Objectives. To provide a legal epidemiology review of state-level policies that regulate the direct delivery of recreational and medical cannabis in the United States. Methods. We conducted a comprehensive review to identify all relevant policies as of July 1, 2024. Specifically, we developed a coding scheme to capture laws governing (1) direct delivery of recreational cannabis, (2) licensing for direct delivery of recreational cannabis, (3) direct delivery of medical cannabis to qualifying patients, and (4) medical cannabis delivery solely from caregivers to qualified patients. Results. Fourteen states authorized the direct delivery of recreational cannabis to adults. Twenty-six states and the District of Columbia permitted the direct delivery of medical cannabis to qualifying patients. Twelve states allowed the delivery of medical cannabis to patients exclusively through caregivers. There were numerous variations in the licensing and authorization of recreational and medical cannabis delivery. Conclusions. States varied in how the delivery of cannabis was regulated. Public Health Implications. A comprehensive review of state-level policies on cannabis delivery highlights the diverse approaches and their implications for recreational and medical cannabis access. (Am J Public Health. Published online ahead of print November 14, 2024:e1-e13. https://doi.org/10.2105/AJPH.2024.307874).

中文翻译：

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美国各州娱乐和医用大麻交付法，2024 年。


目标。对规范美国娱乐和医用大麻直接交付的州级政策进行法律流行病学审查。方法。我们进行了全面审核，以确定截至 2024 年 7 月 1 日的所有相关政策。具体来说，我们开发了一个编码方案来捕获管理 （1） 直接交付娱乐性大麻，（2） 直接交付娱乐性大麻的许可，（3） 直接向符合条件的患者交付医用大麻，以及 （4） 仅由护理人员向合格患者交付医用大麻的法律。结果。14 个州授权向成年人直接交付娱乐性大麻。26 个州和哥伦比亚特区允许向符合条件的患者直接交付医用大麻。12个州允许仅通过护理人员向患者提供医用大麻。娱乐和医用大麻交付的许可和授权存在许多变化。结论。各州对大麻交付的监管方式各不相同。公共卫生影响。对州级大麻交付政策的全面审查强调了不同的方法及其对娱乐和医用大麻获取的影响。（美国公共卫生杂志。2024 年 11 月 14 日提前在线发布：e1-e13。https://doi.org/10.2105/AJPH.2024.307874）。