{"id":16615,"date":"2023-06-27T19:28:41","date_gmt":"2023-06-27T19:28:41","guid":{"rendered":"https:\/\/drugprevent.org.uk\/ppp\/?p=16615"},"modified":"2023-10-10T17:29:55","modified_gmt":"2023-10-10T17:29:55","slug":"online-sales-of-marijuana-an-unrecognized-public-health-dilemma","status":"publish","type":"post","link":"https:\/\/drugprevent.org.uk\/ppp\/2023\/06\/online-sales-of-marijuana-an-unrecognized-public-health-dilemma\/","title":{"rendered":"Online Sales of Marijuana: An Unrecognized Public Health Dilemma"},"content":{"rendered":"<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">The Internet hosts many unregulated marketplaces for otherwise regulated products. If extended to marijuana (or cannabis), online markets can undermine both the U.S. Controlled Substances Act, which bans marijuana sales, and the regulatory regimes of states that have legalized marijuana. Consequently, regardless of the regulatory regime, understanding the online marijuana market should be a public health<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">priority. Herein, the scale and growth trajectory of the online marijuana marketplace was assessed for the first time by analyzing aggregate Internet searches and the links searchers typically find.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">METHODS<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">First, the fraction of U.S. Google searches including the terms marijuana, weed, pot, or cannabis relative to all searches was described monthly from January 2005 through June 2017 using data obtained from Google. Searches were also geotagged by state (omitting Alaska, Montana, North Dakota, South Dakota, Vermont, West Virginia, and Wyoming because of data access restrictions). The subset of shopping searches was then monitored by tracking queries that also included buy, shop, and order (e.g., buy marijuana) in aggregate. Searches that included killer, cooking, or clay (e.g., weed killer) were considered unrelated and excluded from all analyses.<\/span><br \/>\n<span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">Linear regressions were used to compute pooled means to compare between time periods and log-linear regressions were used to compute average growth. Raw search volumes were estimated based on total Google search volume using comScore (www.comscore.com).<\/span><br \/>\n<span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">Searches in a Google Chrome browser without cached data were executed during July 2017 using the 12 combinations of marijuana and shopping root terms (i.e., buy marijuana). The results would be indicative of a Google user\u2019s typical search results. The first two pages of links, including duplicates (N\u00bc279, with seven to 12 links per page), were analyzed (because nearly all searchers click a link on the first two pages, with as much as 42% selecting the first link). Investigators recorded whether each linked site advertised mail-order marijuana (excluding local deliveries in legal marijuana states) and its order in the search results. Two authors agreed on all labels. Analyses were computed using R, version 3.4.1.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">RESULTS<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Marijuana searches grew 98% (95% CI\u00bc84%, 113%) as a proportion of all searches from 2005 through the partial 2017 year (Figure 1). The subset of marijuana searches indicative of shopping grew more rapidly over the same period (199%, 95% CI\u00bc165%, 243%), with 1.4\u20132.4<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">million marijuana shopping searches during June 2017. Marijuana shopping searches were highest in Washington, Oregon, Colorado, and Nevada. The compounding annual growth rate for marijuana shopping searches since 2005 was significantly positive (po0.05) in 42 of<\/span><br \/>\n<span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">the 44 studied locations (all but Alabama and Mississippi), suggesting demand is growing across the nation. Forty-one percent (95% CI\u00bc35%, 47%) of shopping search results linked to retailers promising mail-order marijuana (Table 1). Retailers occupied 50% (95% CI\u00bc42%, 59%) of the first page results and for eight (of 12) searches, the first link led to a mail-order marijuana retailer. For some searches (e.g., order marijuana), all of the first-page links were marijuana retailers.<\/span><\/p>\n<p><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">Table 1: Online Mail-Order Marijuana Retailers on Internet Search Engines, 2017<\/span><\/p>\n<table style=\"height: 94px;width: 100%;border-collapse: collapse;border-style: solid;border-color: #000000\" border=\"3\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr style=\"height: 22px\">\n<td style=\"width: 20%;height: 22px;text-align: center\" colspan=\"5\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">Search results<\/span><\/td>\n<\/tr>\n<tr style=\"height: 24px\">\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">Retailer<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">First link<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">First page<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">Second page<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">Total<\/span><\/td>\n<\/tr>\n<tr style=\"height: 24px\">\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">Yes<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">8 (67)<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">66 (50)<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">48 (32)<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">114 (41)<\/span><\/td>\n<\/tr>\n<tr style=\"height: 24px\">\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">No<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">4 (33)<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">65 (50)<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">100 (68)<\/span><\/td>\n<td style=\"width: 20%;height: 24px\"><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 10pt\">165 (59)<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 8pt\">Note: Data were collected by executing searches in July 2017. Cells show the frequency and percent of links (by column) in the first two<\/span><br \/>\n<span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 8pt\">pages of Google search results that claim to sell mail-order marijuana in response to 12 searches that contained unique combinations of the<\/span><br \/>\n<span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 8pt\">following terms: cannabis, marijuana, pot, or weed with buy, order, or shop, such as buy cannabis, buy marijuana, buy pot, or buy weed.<\/span><br \/>\n<span style=\"color: #0000ff;font-family: verdana, geneva, sans-serif;font-size: 8pt\">Searches were executed on a new Google browser without cached data. Two authors agreed on the labels 100% of the time.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">DISCUSSION<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Millions of Americans search for marijuana online, and websites where marijuana can be purchased are often the top search result.<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">If only a fraction of the millions of searches and thousands of retailers are legitimate, this online marketplace poses a number of potential public health consequences. Children could purchase marijuana online. Marijuana could be sold in states that do not currently allow it.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-16616 size-large\" src=\"https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2023\/06\/online-marijuana-e1687284788599-422x768.png\" alt=\"\" width=\"422\" height=\"768\" srcset=\"https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2023\/06\/online-marijuana-e1687284788599-422x768.png 422w, https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2023\/06\/online-marijuana-e1687284788599-264x480.png 264w, https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2023\/06\/online-marijuana-e1687284788599.png 443w\" sizes=\"auto, (max-width: 422px) 100vw, 422px\" \/> Initiation and marijuana dependence could increase. Products may have inconsistent potency or be contaminated. State and local tax revenue (which can fund public health programs) could be negatively impacted.<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Regulations governing online marijuana markets (even if policy changes favor legalized marijuana) need to be developed and enforced. Policing online regulations will require careful coordination across jurisdictions at the local, state, and federal level with agreements on how to implement regulations where enforcement regimes conflict. Online sales are already prohibited under virtually every regulatory regime\u2014all sales are illegal under federal statute and legal marijuana states like Colorado ban online sales\u2014yet the market appears to be thriving.<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Government agencies might work with Internet providers to purge illicit marijuana retailers from search engines, similar to how Facebook removes drug-related pages. Moreover, online payment facilitators could refuse to support marijuana-related online transactions.<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">This study was limited in that who is buying\/selling and the quantity of marijuana exchanged cannot be measured. Further, some searches may be unrelated to seeking marijuana retailers, and some retailers may be illegitimate, including scams or law enforcement bait. The volume of searches and placement of marijuana retailers in search results is a definitive call for public health leaders to address the previously unrecognized dilemma of online marijuana.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">ACKNOWLEDGMENTS<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">This work was supported by a grant from the National Institutes of Mental Health (R21MH103603). Mr. Caputi acknowledges scholarships from the Joseph Wharton Scholars and the George J. Mitchell Scholarship programs. Dr. Leas acknowledges a training grant from the National Heart, Lung, and Blood Institute (T32HL007034). No other financial disclosures were reported by the authors of this paper.<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Source: <a style=\"color: #0000ff\" href=\"https:\/\/www.ajpmonline.org\/article\/S0749-3797(18)30064-3\/fulltext\">Online Sales of Marijuana: An Unrecognized Public Health Dilemma &#8211; American Journal of Preventive Medicine (ajpmonline.org)<\/a> March 2018<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Internet hosts many unregulated marketplaces for otherwise regulated products. If extended to marijuana (or cannabis), online markets can undermine both the U.S. Controlled Substances Act, which bans marijuana sales, and the regulatory regimes of states that have legalized marijuana. Consequently, regardless of the regulatory regime, understanding the online marijuana market should be a public [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30,82,90,75,12,104,14,19],"tags":[],"class_list":["post-16615","post","type-post","status-publish","format-standard","hentry","category-cannabis-marijuana","category-economic","category-global-drug-legalisation-efforts","category-internet","category-legal-sector","category-political-sector","category-social-affairs","category-usa"],"_links":{"self":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/16615","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/comments?post=16615"}],"version-history":[{"count":0,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/16615\/revisions"}],"wp:attachment":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/media?parent=16615"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/categories?post=16615"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/tags?post=16615"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}