Tag Archives: health/medicine: drugs

Is Marijuana a Gateway Drug? Findings Lean from Mixed to No

All politicians lie, said I.F. Stone. But they don’t all lie as blatantly as Chris Christie did last week in repeating his vow not to legalize marijuana in New Jersey.

Every bit of objective data we have tells us that it’s a gateway drug to other drugs.

That statement simply is not true. The evidence on marijuana as a gateway drug is at best mixed, as the governor or any journalist interested in fact checking his speech could have discovered by looking up “gateway” on Wikipedia.

If the governor meant that smoking marijuana in and of itself created a craving for stronger drugs, he’s just plain wrong. Mark Kleiman, a policy analyst who knows a lot about drugs, says bluntly:

The strong gateway model, which is that somehow marijuana causes fundamental changes in the brain and therefore people inevitably go on from marijuana to cocaine or heroin, is false, as shown by the fact that most people who smoke marijuana don’t. That’s easy. But of course nobody really believes the strong version.

Nobody? Prof. Kleiman, meet Gov. Christie

Or maybe Christie meant a softer version – that the kid who starts smoking weed gets used to doing illegal things, and he makes connections with the kinds of people who use stronger drugs. He gets drawn into their world. It’s not the weed itself that leads to cocaine or heroin, it’s the social world.

That social gateway version, though, offers support for legalization.  Legalization takes weed out of the drug underworld. If you want some weed, you no longer have to consort with criminals and serious druggies.

There are several other reasons to doubt the gateway idea. Much of the evidence comes from studies of individuals. But now, thanks to medical legalization, we also have state-level data, and the results are the same. Legalizing medical marijuana did not lead to an increase in the use of harder drugs, especially among kids. Just the opposite.


1a

First, note the small percents. Perhaps 1.6% of adults used cocaine in the pre-medical-pot years. That percent fell slightly post-legalization. Of course, those older people had long since passed through the gateway, so we wouldn’t expect legalization to make much difference for them. But for younger people, cocaine use was cut in half. Instead of an open gateway with traffic flowing rapidly from marijuana through to the world of hard drugs, it was more like, oh, I don’t know, maybe a bridge with several of its lanes closed clogging traffic.

Jay Livingston is the chair of the Sociology Department at Montclair State University. You can follow him at Montclair SocioBlog or on Twitter.

Children of the Prison Boom

The United States imprisons more people than any other country. This is true whether you measure by percentage of the population or by sheer, raw numbers. If the phrase mass incarceration applies anywhere, it applies in the good ol’ U. S. of A.

It wasn’t always this way. Rates of incarceration began rising as a result of President Reagan’s “war on drugs” in the ’80s (marijuana, for example), whereby the number of people imprisoned for non-violent crimes began climbing at an alarming rate. Today, about one-in-31 adults are in prison. his is a human rights crisis for the people that are incarcerated, but its impact also echoes through the job sector, communities, families, and the hearts of children. One-in-28 school-age children — 2.7 million — have a parent in prison.

2 (1)

In a new book, Children of the Prison Boom, sociologists Christopher Wildeman and Sara Wakefield describe the impact of parental imprisonment on children: an increase in poverty, homelessness, depression, anxiety, learning disorders, behavioral problems, and interpersonal aggression. Some argue that taking parents who have committed a crime out of the family might be good for children, but the data is in. It’s not.

Parental incarceration is now included in research on Adverse Childhood Experiences and it’s particular contours include shame and stigma alongside the trauma. It has become such a large problem that Sesame Street is incorporating in their Little Children, Big Challenges series and has a webpage devoted to the issue. Try not to cry as a cast member sings “you’re not alone” and children talk about what it feels like to have a parent in prison:

Wildeman and Wakefield, alongside another sociologist who researches the issue, Kristin Turney, are interviewed for a story about the problem at The Nation. They argue that even if we start to remedy mass incarceration — something we’re not doing — we will still have to deal with the consequences. They are, Wildeman and Wakefield say, “a lost generation now coming of age.”

The subtitle of their book, Mass Incarceration and the Future of Inequality, points to how that lost generation might exacerbate the already deep race and class differences in America. At The Nation, Katy Reckdahl writes:

One in four black children born in 1990 saw their father head off to prison before they turned 14… For white children of the same age, the risk is one in thirty. For black children whose fathers didn’t finish high school, the odds are even greater: more than 50 percent have dads who were locked up by the time they turned 14…

Even well-educated black families are disproportionately affected by the incarceration boom. Wakefield and Wildeman found that black children with college-educated fathers are twice as likely to see them incarcerated as the children of white high-school dropouts.

After the Emancipation Proclamation, Jim Crow hung like a weight around the shoulders of the parents of black and brown children. After Jim Crow, the GI Bill and residential redlining strangled their chances to build wealth that they could pass down. The mass incarceration boom is just another in a long history of state policies that target black and brown people — and their children — severely inhibiting their life chances.

Hat tip Citings and Sightings. Cross-posted at Pacific Standard and A Nerd’s Guide to New Orleans.

Lisa Wade is a professor of sociology at Occidental College and the co-author of Gender: Ideas, Interactions, Institutions. You can follow her on Twitter and Facebook.

Chart of the Week: Big Pharma Spends More on Marketing than Research

Pharmaceutical companies say that they need long patents that keep the price of their drugs high so that they can invest in research. But that’s not actually what they’re spending most of their money on. Instead, they’re spending more — sometimes twice as much — on advertising directly to doctors and consumers.

Data from the BBC, visualized by León Markovitz:

2“When do you cross the line from essential profits to profiteering?,” asked Dr Brian Druker, one of a group of physicians asking for price reductions.

Lisa Wade is a professor of sociology at Occidental College and the co-author of Gender: Ideas, Interactions, Institutions. You can follow her on Twitter and Facebook.

How Prohibition Put the Cocaine in Coca-Cola

You may be familiar with the fact that the coca in Coca-Cola was originally cocaine. But did you know that the reason we infused such a beverage with the drug in the first place was because of prohibition? Cocaine cola replaced cocaine wine. In fact, when it was debuted in 1886, it was described as “Coca-Cola: The Temperance Drink.”

The first mass marketed cocaine product was Vin Mariani, a cocaine-infused Bordeaux introduced in the 1860s. Legal and requiring no prescription, it was believed to “restore health and vitality” and I’m sure it felt like it did. Wikipedia reports that it included 7.2 mg of cocaine per ounce; comparatively, a line snorted is about 25 mg.

3 4

Yes, Vin Mariani was good for men, women, and children. The “tonic of kings!” Even the Pope! He loved it so much he called it a “benefactor of humanity” and gave it a Vatican Gold Medal:

2

But he was just the most eminent of its fans. Mariani’s media blitz included endorsements from Sarah Bernhardt, H.G. Wells, Ulysses S. Grant, Queen Victoria, the Empress of Russia, Thomas Edison, and the then-President of the United States, William McKinley. Jules Verne reportedly joked: “Since a single bottle of Mariani’s extraordinary coca wine guarantees a lifetime of 100 years, I shall be obliged to live until the year 2700!”

Vin Mariani dominated the market, but there was an American chemist, John Smith Pemberton, who made a competing product: Pemberton’s French Wine Coca. He described it as an “intellectual beverage.” Pemberton was located in — you guessed it, Atlanta — and the state enacted temperance legislation in 1885. Hence, Coca-Cola was born.

Cross-posted at Pacific Standard.

Lisa Wade is a professor of sociology at Occidental College and the co-author of Gender: Ideas, Interactions, Institutions. You can follow her on Twitter and Facebook.

Do You Have to Learn How to Get High?

If you stop and think about it, alcohol is just the worst. Almost every one who drinks has experienced the pain of a mean morning hangover (at least once). Also, the experience of being drunk… why is that enjoyable? When drunk you slur your words, it’s hard to think straight, you’re liable to say or do something that will offend the people around you, and you can’t legally drive a car. Why does any of that sound like a good way to spend a Friday night?

To a sociologist, the reason people drink alcohol is that they have been socially taught to. That is, we like alcohol because we’ve been taught to overlook the negative side effects or we have redefined them as positive. If that’s confusing, don’t worry. Let’s talk about another drug people abuse (marijuana) and how the sociologist Howard Becker argues we socially construct getting high and being a stoner.

Becoming a Marijuana User

In 1953 Becker set out to answer what appears to be a simple question: how does a person become a marijuana user. After interviewing fifty marijuana users Becker (1953: 235) concluded that:

An individual will be able to use marihuana for pleasure only when he (1) learns to smoke it in a way that will produce real effects; (2) learns to recognize the effects and connect them with drug use; and (3) learns to enjoy the sensations he perceives. This proposition based on an analysis of fifty interviews with marihuana users, calls into question theories which ascribe behavior to antecedent predispositions and suggests the utility of explaining behavior in terms of the emergence of motives and dispositions in the course of experience.

The first point should be pretty obvious. You can’t get high if you don’t inhale when you smoke marijuana (like President Bill Clinton). So the first step to becoming a pot smoker is learning to properly smoke pot. Most often this takes place when an experienced smoker socializes (i.e. trains) a novice smoker in the mechanics of the task.

Becker’s second point might be harder to understand. Drugs inherently alter your physiology… that’s what makes them drugs. Being in a chemcially alterted state can be disorienting. But don’t believe me, watch this:

David, the little boy in the movie, had not been socialized to how anesthesia works. Similarly, when you ingest any drug you have to be taught to recognize the effects. So for marijuana maybe that would include heightened senses, food cravings, and possibly a sense of anxiety or paranoia. When you haven’t been socialized it’s easy to go into a panic or ignore the effects altogether.

For instance, around 2007 a police officer in Dearborn Heights Michigan stole marijuana from a drug arrest, baked it into brownies, and then consumed the brownies to get high for what he said was his very first time. He then called 911 because he thought he was dying. Becker would likely say that if he had been socialized and knew what effects he should expect, the police officer wouldn’t have likely freaked out and incriminated himself.

After you’ve learned to inhale properly, learned to recognize how the substance will alter you, then the last step to becoming a marijuana user is to redefine potentially negative experiences as positive. As we talked about above, smoking marijuana can lead to anxiety, paranoia, insatiable food cravings, hyper sensitivity, confusion, etc.

To see an example of this, we need look no further than the comment section under the video I just showed you.  What WeBeChillin420’s comment does is reframe a panic attack into a desirable thing. S/he seems to be nostalgic for his or her first time consuming freak out quantities of marijuana.

Becker and the scholars he inspired to research marijuana communities further point out that it’s common among smokers to say that “coughing gets you higher.” Actually, coughing after smoking is your body’s way of telling you that you inhaled something it didn’t like. It’s your body literally gasping for air. It seems just as likely that marijuana users could think of coughing as a bad thing or as a sign they inhaled too much. Instead smokers socially construct coughing as a positive and desirable thing.

All Drugs Are Socially Constructed

While Becker focused on marijuana, we can extend his ideas to every type of drug. For instance let’s look at caffeine. Coffee and Red Bull are said to be “acquired tastes.” Doesn’t this mean that you have to learn to like them? You have to learn to like to feel a slight jitteriness? What you can take from Becker’s research is that how we think about drugs, how we react to any drug or medicine we ingest, and how we feel about others who’ve used drugs are all social constructs.

Nathan Palmer, MA is a visiting lecturer at Georgia Southern University. He is a passionate educator, the founder of Sociology Source, and the editor of Sociology in Focus, where this post originally appeared.

Saturday Stat: Smoking Keeps Its Hold on the Poor

At the New York Times, Sabrina Tavernise and Robert Gebeloff discuss the tenaciousness of tobacco in low-income areas.  Smoking rates are declining, but much more slowly in some counties than others.  Local residents suggest that smoking is the least of their worries:

“Just sit and watch the parking lot for a day,” Mrs. Bowling said. “If smoking is the worst thing that’s happening, praise the Lord.”

Smoking rates, 1996:1a

Smoking rates, 2013:1

Lisa Wade is a professor of sociology at Occidental College and the co-author of Gender: Ideas, Interactions, Institutions. You can follow her on Twitter and Facebook.

Should Drug Treatment Aim to End Use or Reduce Harm?

In the wake of Philip Seymour Hoffman’s sad death, many are calling for various “harm reduction” approaches to substance use. Proponents of harm reduction have identified lots of ways to reduce the social and personal costs of drugs, but they often require us to shift our focus from the prevention of drug use itself to the prevention of harm. Resistance to such approaches often hinges on the notion that they somehow tolerate, facilitate, or even subsidize risky behavior.

This tension emerged clearly in my new article with Sarah Shannon in Social Problems. We re-analyzed an experimental jobs program that randomly assigned a basic low-wage work opportunity to long-term unemployed people as they left drug treatment. In some ways, the program worked beautifully. The job treatment group had significantly less crime and recidivism, especially for predatory economic crimes like robberies and burglaries. After 18 months, about 13 percent of the control group had been arrested for a new robbery or burglary, relative to only 7 percent of the treatment group. Put differently, 87 percent of those not offered the jobs survived a year and a half without such an arrest, relative to 93 percent of the treatment group who were offered jobs.

2

A randomized experiment that shows a 46 percent reduction in serious crime is a pretty big deal to criminologists, but the program has still been considered a failure. In part, this is because the “treatment” group who got the jobs relapsed to cocaine and heroin use at about the same rate as the control group. After 18 months, about 66 percent of the control group had not yet relapsed, relative to about 63 percent in the treatment group. So, there’s no evidence the program helped people avoid cocaine and heroin.

3

From an abstinence-only perspective, such programs look like failures. Nevertheless, even a crummy job and a few dollars clearly helped people avoid recidivism and improved the public safety of their communities. So, did the program work? From a harm reduction perspective, a jobs program for drug users surely “works” if it reduces crime and other harms, even if it doesn’t dent rates of cocaine or heroin use.

Chris Uggen is a professor of sociology at the University of Minnesota and the author of Locked Out: Felon Disenfranchisement and American Democracy, with Jeff Manza. You can follow him at his blog and on twitter. This post originally appeared at Public Criminology.

Marijuana Policing as a Civil Rights Issue

Young black adults are less likely than whites to use marijuana, but extraordinarily more likely to be arrested for its use, according to a new report by the ACLU.  This is old news, but the data never fails to stun.

First, notice that arrests for marijuana possession have grown over the past 15 years, even relative to arrests for other types of drugs.  The first chart is total marijuana possession arrests, the second is the percent of all drug arrests that were for marijuana (note that in neither chart does the vertical axis start at zero and truncated axes tend to make data look more dramatic, as if that were necessary here).

Screenshot (11) Screenshot (12)This rise in arrests has disproportionately affected African Americans.  The arrest rate for blacks has consistently been substantially higher than that of whites, but it increased, even so, over the 2000s.
Screenshot (14)

According to the report:

…in every state the Black arrest rate is disproportionate to Blacks’ percentage of the population.  In fact, in 42 states the Black percentage of marijuana possession arrests is more than double the Black percentage of the population, while in 18 states Blacks account for more than three times the percentage of marijuana possession arrests than they do of the population.  In four states, the difference is a factor of at least four.

Most of these arrests are of young people.  Almost half (46%) involve 18 to 24 year olds:

Screenshot (17)

The black arrest rate cannot be attributed to different rates of use.  Overall, blacks and whites have very similar rates of marijuana use (the first figure below), but among 18 to 25 year olds — the population being arrested the most — whites have slightly higher rates than blacks (second figure):
Screenshot (15) Screenshot (16)This is a long-standing, well-documented Civil Rights issue.  The war on drugs is a war on black people.  These practices are harmful to individuals, their families, and their communities.  It functions to further the disadvantage faced by black Americans in a society rife with institutions already stacked against them.

More than half of Americans would like to see marijuana legalized.  Legalizing or decriminalizing marijuana would relieve this egregious attack on black communities and save states billions of dollars.  There is little downside.  Relative to other substances, it’s a minor problem.

Screenshot (19)Cross-posted at Pacific Standard.

 

Lisa Wade is a professor of sociology at Occidental College and the co-author of Gender: Ideas, Interactions, Institutions. You can follow her on Twitter and Facebook.