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      Exploring consumer preferences for cannabis edible products to support public health policy: A discrete choice experiment

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          Abstract

          Background

          In October 2019, cannabis edibles were legalized for sale in Canada for non-medical use. This move was intended to improve public safety by regulating contents (including a maximum 10 mg tetrahydrocannabinol (THC) per package) and packaging to prevent accidental ingestion or over consumption. This study aimed to explore consumer preferences for cannabis edibles to inform cannabis policy.

          Methods

          We explored the relative importance and trade-offs consumers make for attributes of cannabis edibles using a discrete choice experiment. Attributes included type of edible, price, THC content, cannabis taste, package information, product consistency, product recommendations, and Health Canada regulation. Participants lived in Canada, were 19 years of age or older, and purchased a cannabis edible in the last 12 months. A multinomial logit (MNL) model was used for the base model, and latent class analysis to assess preference sub-groups. This study was approved by the institutional ethics committee.

          Results

          Among 684 participants, the MNL model showed that potency was the most relevant attribute, followed by edible type. A two-group latent class model revealed two very distinct preference patterns. Preferences for group 1 (~65% of sample) were driven primarily by edible type, while for group 2 (~35% of sample) were driven almost entirely by THC potency.

          Conclusion

          This study found that consumer preferences for ~65% of consumers of cannabis edibles are being met through regulated channels. The remaining ~35% are driven by THC potency at levels that are not currently available on the licensed market. Attracting this market segment will require reviewing the risks and benefits of restricting THC package content.

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          Most cited references21

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          Deciding on the Number of Classes in Latent Class Analysis and Growth Mixture Modeling: A Monte Carlo Simulation Study

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            Latent Class Analysis: A Guide to Best Practice

            Latent class analysis (LCA) is a statistical procedure used to identify qualitatively different subgroups within populations who often share certain outward characteristics. The assumption underlying LCA is that membership in unobserved groups (or classes) can be explained by patterns of scores across survey questions, assessment indicators, or scales. The application of LCA is an active area of research and continues to evolve. As more researchers begin to apply the approach, detailed information on key considerations in conducting LCA is needed. In the present article, we describe LCA, review key elements to consider when conducting LCA, and provide an example of its application.
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              Pediatric marijuana exposures in a medical marijuana state.

              An increasing number of states are decriminalizing the use of medical marijuana, and the effect on the pediatric population has not been evaluated. To compare the proportion of marijuana ingestions by young children who sought care at a children's hospital in Colorado before and after modification of drug enforcement laws in October 2009 regarding medical marijuana possession. Retrospective cohort study from January 1, 2005, through December 31, 2011. Tertiary-care children's hospital emergency department in Colorado. A total of 1378 patients younger than 12 years evaluated for unintentional ingestions: 790 patients before September 30, 2009, and 588 patients after October 1, 2009. Marijuana ingestion. Marijuana exposure visits, marijuana source, symptoms, and patient disposition. The proportion of ingestion visits in patients younger than 12 years (age range, 8 months to 12 years)that were related to marijuana exposure increased after September 30, 2009, from 0 of 790 (0%; 95% CI, 0%-0.6%) to 14 of 588 (2.4%; 95% CI, 1.4%-4.0%) (P < .001). Nine patients had lethargy, 1 had ataxia, and 1 had respiratory insufficiency. Eight patients were admitted, 2 to the intensive care unit. Eight of the 14 cases involved medical marijuana, and 7 of these exposures were from food products. We found a new appearance of unintentional marijuana ingestions by young children after modification of drug enforcement laws for marijuana possession in Colorado. The consequences of unintentional marijuana exposure in children should be part of the ongoing debate on legalizing marijuana.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SoftwareRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: ValidationRole: VisualizationRole: Writing – review & editing
                Role: Writing – original draftRole: Writing – review & editing
                Role: Funding acquisitionRole: Writing – review & editing
                Role: Funding acquisitionRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLOS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                16 May 2024
                2024
                : 19
                : 5
                : e0292336
                Affiliations
                [1 ] School of Pharmacy, Memorial University, St. John’s, Newfoundland and Labrador, Canada
                [2 ] Faculty of Medicine, Memorial University, St. John’s, Newfoundland and Labrador, Canada
                University of Brescia: Universita degli Studi di Brescia, ITALY
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0002-2908-0804
                https://orcid.org/0000-0002-4979-4222
                Article
                PONE-D-23-29893
                10.1371/journal.pone.0292336
                11098505
                38753807
                7fa14250-3d19-4709-b473-3c7de85af3c8
                © 2024 Donnan et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 18 September 2023
                : 22 February 2024
                Page count
                Figures: 2, Tables: 6, Pages: 15
                Funding
                Funded by: CIHR
                Award ID: RN407334 - 429120
                Award Recipient :
                Funded by: CCSA
                Award ID: B2 – RESGRL 413-10-9633
                Award Recipient :
                The authors received financial support for conduct of the research from the Canadian Institutes of Health Research (Grant No. RN407334 - 429120) and the Canadian Centre of Substance Use and Addiction for the Partnerships for Cannabis Policy (Grant Nos. RN407334 – 429120 and B2 – RESGRL 413-10-9633) inclusive of this research. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Medicine and Health Sciences
                Pharmacology
                Behavioral Pharmacology
                Recreational Drug Use
                Cannabis
                Medicine and Health Sciences
                Pharmacology
                Drugs
                Cannabinoids
                Medicine and Health Sciences
                Public and Occupational Health
                People and places
                Geographical locations
                North America
                Canada
                Medicine and Health Sciences
                Public and Occupational Health
                Safety
                Medicine and Health Sciences
                Epidemiology
                Medical Risk Factors
                Biology and Life Sciences
                Neuroscience
                Cognitive Science
                Cognitive Psychology
                Perception
                Sensory Perception
                Taste
                Biology and Life Sciences
                Psychology
                Cognitive Psychology
                Perception
                Sensory Perception
                Taste
                Social Sciences
                Psychology
                Cognitive Psychology
                Perception
                Sensory Perception
                Taste
                Biology and Life Sciences
                Neuroscience
                Sensory Perception
                Taste
                People and places
                Geographical locations
                North America
                United States
                Custom metadata
                All data files are available from the Borealis database ( https://doi.org/10.5683/SP3/A55JZ8).

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                Uncategorized

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