Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 May 23;22(6):823.
doi: 10.3390/ijerph22060823.

Influence of Socio-Ecological and Economic Correlates on Marijuana Legalization Policy Across the States of America

Affiliations

Influence of Socio-Ecological and Economic Correlates on Marijuana Legalization Policy Across the States of America

Mashooq Salehin et al. Int J Environ Res Public Health. .

Abstract

Marijuana legalization has been at the center of debate in the social and political realm of the United States. So far, thirty nine states and the District of Columbia have legalized marijuana either for recreational or medical purposes. States are taking a cautious approach to legalization in a policy context consisting of multi-layered sociopolitical systems. Strong arguments from advocacy groups supporting and opposing legalization highlight the significance of assessing the impact of marijuana use and its legalization on the well-being of the community and its members. Utilizing the social determinants of health and system perspectives, this study measures the cumulative effect of six socio-ecological and economic predictors, such as the state's marijuana use prevalence and median household income, on the dependent variable of marijuana legality scores using discriminant analysis and One-way ANOVA. As hypothesized, the result shows a significant influence of the predictors on the state policy score of marijuana legality. Predicted associations between independent and dependent variables were also found. Findings suggest that without a supportive policy context comprising social, economic, and political factors, marijuana legalization might not have the desired impact on the community. Implications and recommendations for future research are provided.

Keywords: United States; legalization; marijuana; medical; policy; recreational; substance.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. National Conference of State Legislatures State Medical Cannabis Laws. 6 March 2025. [(accessed on 21 May 2025)]. Available online: https://www.ncsl.org/health/state-medical-cannabis-laws#:~:text=As%20of%....
    1. Neeley G.W., Richardson L.E. Marijuana policy bundles in the American states over time and their impact on the use of marijuana and other drugs. Eval. Rev. 2022;46:165–199. doi: 10.1177/0193841X221077795. - DOI - PubMed
    1. DeLetter E. Ohio Legalizes Marijuana, Joining Nearly Half the US: See the States Where Weed Is Legal. USA Today. 8 November 2023. [(accessed on 18 May 2024)]. Available online: https://www.usatoday.com/story/news/nation/2023/11/08/legal-weed-states/...
    1. National Conference of State Legislatures. Cannabis Overview. 20 June 2024. [(accessed on 21 May 2025)]. Available online: https://www.ncsl.org/civil-and-criminal-justice/cannabis-overview.
    1. Dills A., Goffard S., Miron J., Partin E. The Effect of State Marijuana Legalizations: 2021 Update. Cato Institute; Washington, DC, USA: 2021. (Policy Analysis, 908).

LinkOut - more resources