Evidence map›Paper›PMID 41911092›Full record

Observational studyEuropean addiction research2026

Variations in Regulated Cannabis Sales Conditions and Their Effect on Purchase Behaviour: Findings from an Observational Study.

Nadine Heckel, Maximilian Buschner, Etna J E Engeli, Patricia Dürler, Eva Maria Havelka, Maximilian Haas, Marcus Herdener, Carlos Nordt

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in European addiction research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Nadine HeckelCenter for Addictive Disorders, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Addictive Disorders Research Group, Zurich, Switzerland, nadine.heckel@bli.uzh.ch.
Maximilian BuschnerCenter for Addictive Disorders, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Addictive Disorders Research Group, Zurich, Switzerland.
Etna J E EngeliCenter for Addictive Disorders, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Addictive Disorders Research Group, Zurich, Switzerland.
Patricia DürlerCenter for Addictive Disorders, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Addictive Disorders Research Group, Zurich, Switzerland.
Eva Maria HavelkaCenter for Addictive Disorders, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Addictive Disorders Research Group, Zurich, Switzerland.
Maximilian HaasCenter for Addictive Disorders, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Addictive Disorders Research Group, Zurich, Switzerland.
Marcus HerdenerCenter for Addictive Disorders, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Addictive Disorders Research Group, Zurich, Switzerland.
Carlos NordtCenter for Addictive Disorders, Department of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Addictive Disorders Research Group, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Many countries are exploring regulations for non-medical cannabis markets to mitigate cannabis-related health risks. Regulations such as restricting opening hours or product variability may be useful tools, yet their effects on cannabis purchases remain understudied due to a lack of comprehensive sales data.

methodsThe Züri Can study implements a framework for strictly regulated cannabis sales, with a fixed product portfolio and a maximum purchase volume. The dataset contains all tracked purchases of 2,507 participants from August 22, 2023, to January 17, 2025, across ten Cannabis Social Clubs (CSCs), ten pharmacies, and the municipal Drug Information Centre Zurich (DIZ). It captures detailed information on sales conditions (opening hours, product variety, customers per hour) and purchase behaviour (purchase frequency, number of packages per purchase, THC volume, and expenditure per package). Generalised estimating equations provided means and confidence intervals by type of point of sale (POS). Multilevel survival analysis and random coefficient models examined how sales conditions influenced purchase behaviour, and how purchase behaviour evolved over time.

resultsPharmacies had notably more weekly operating days (5.66), longer daily opening hours (6.16), and fewer customers per hour (1.08) than CSCs (3.81 days; 3.76 h; 4.62 customers per hour) and the DIZ (2.85 days; 3.28 h, 3.37 customers per hour). However, compared to the POS average, longer opening hours and more customers per hour only slightly increased purchase frequency; their impact on purchase amount was negligible. Variations in the number of available products only marginally affected purchasing behaviour. Purchase frequency was higher in the 30 days following the first purchase and declined over 12 months (CSCs, pharmacies) or remained stable (DIZ) while amount obtained per purchase remained stable.

conclusionThese findings suggest that in a strictly regulated non-medical cannabis market similar to the framework of the Züri Can study, variations in sales conditions only have a small impact on purchase behaviour. Legal access to cannabis does not inherently lead to increased purchasing and may even contribute to a decline in purchase frequency. </p>.

Indexed as

CannabisCommerceConsumer BehaviorAdultFemaleHumansMalePharmaciesSwitzerlandCannabisCannabis marketCannabis regulationPurchase behaviourPurchase frequency

Identifiers

PMID41911092
PMCPMC13035307

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.