Determinants of Public Support for Marijuana Legalization in Uruguay, the United States, and El Salvador

Published date01 October 2016
DOI10.1177/0022042616649005
AuthorJosé Miguel Cruz,María Fernanda Boidi,Rosario Queirolo
Date01 October 2016
Subject MatterArticles
Journal of Drug Issues
2016, Vol. 46(4) 308 –325
© The Author(s) 2016
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DOI: 10.1177/0022042616649005
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Article
Determinants of Public Support for
Marijuana Legalization in Uruguay,
the United States, and El Salvador
José Miguel Cruz1, Rosario Queirolo2,
and María Fernanda Boidi3
Abstract
What are the determinants of public support for marijuana legalization? In the last 3 years,
Uruguay and the states of Colorado and Washington have legalized the production, sale, and
consumption of recreational marijuana. Although Uruguay and the United States have followed
different paths toward legalization, these cases provide an excellent opportunity to explore
the relationship between drug policy implementation and public opinion in different political
contexts. Using logistic regressions on data from the 2014 AmericasBarometer cross-national
surveys conducted in Uruguay, the United States, and El Salvador, this article examines citizen
views toward marijuana regulation and the individual determinants of support for legalization
in a comparative fashion. Results underline the role of political socialization variables in those
countries in which legalization is being debated. Across countries, some of the most important
factors for predicting positive attitudes toward marijuana regulation are related to political
tolerance, ideology, and the views toward the government.
Keywords
marijuana, marijuana legalization, support for drug policy reform, Uruguay
Introduction
Why do people support legalization of controlled substances? Why do persons who may or may
not consume drugs back drug legalization measures? The recent cases of marijuana regulation in
Uruguay and the several approaches to its liberalization in the United States provide us with an
opportunity to explore the individual factors associated with public support for such measures in
very different social and political contexts. In the United States, the legalization of marijuana in
several states have brought drug policy to the forefront of the political debate (Bennett & Walsh,
2014; Caulkins, Lee, & Kasunic, 2012). In Uruguay, the swift implementation of total regulation
led by the national government has turned this South American country into a potential model for
legalization around the world (Hetzer & Walsh, 2014).1
1Florida International University, Miami, FL, USA
2Universidad Católica del Uruguay, Montevideo, Uruguay
3Insights Research and Consulting, Montevideo, Uruguay
Corresponding Author:
José Miguel Cruz, Kimberly Green Latin American and Caribbean Center, Florida International University, 11200 SW
8th St., DM 353, Miami, FL 33199, USA.
Email: jomcruz@fiu.edu
649005JODXXX10.1177/0022042616649005Journal of Drug IssuesCruz et al.
research-article2016
Cruz et al. 309
In general, observers have equated the developments in Uruguay and the United States, where
state legislatures are approving bills to allow the production, commercialization, and consump-
tion of cannabis (Pardo, 2014; Room, 2014). It is usually assumed that Uruguay came to legalize
recreational cannabis commercialization in the same way the process developed in the United
States: by popular demand. Actually, the processes in Uruguay and the United States have been
very different. In Uruguay, marijuana legalization followed a top-down course in which the presi-
dent and the national legislature agreed, with little initial public support, to pass the most com-
prehensive regulatory bill on marijuana in the Western Hemisphere (Kilmer, Kruithof, Pardal,
Caulkins, & Rubin, 2013). Uruguay’s marijuana legalization law resulted not from growing
popular demand, but rather from a strategy drawn up in the office of the president (Garat, 2015).
In this article, using a cross-national survey of adults, we explore the factors associated with
public support for marijuana legalization. Specifically, we examine the experiences of Uruguay
and the United States, with El Salvador as a contrasting case. We devote the most attention to
Uruguay, where the government took unilateral action to legalize marijuana despite widespread
public opposition. This apparent contradiction makes Uruguay an interesting case for under-
standing the importance of political factors in the process of drug policy reform.
Factors Associated to Support for Marijuana Legalization
What are the individual factors behind support for marijuana legalization? Does the govern-
ment’s stance on policies have any effect on whether citizens manifest support for marijuana
legalization? Studies conducted in the United States indicate that policy outcomes have tended to
be consistent with public opinion, especially when it relates to politically salient issues (Monroe,
1998; Page & Shapiro, 1983). Some studies place public opinion as an important determinant of
policy. Paul Burstein (2003), for instance, argues that salient topics for the public tend to enhance
the impact of public opinion on policy. However, when it comes to drug issues, research has not
been able to establish a consistent correlation between people’s attitudes toward drugs and public
policies (DiChiara & Galliher, 1994; Millhorn et al., 2009). In fact, as Resko (2014) has pointed
out, public opinion about drug policy has actually been noticeably absent in the research litera-
ture. Despite the abundance of media polls about drug-related policies, very little research has
been conducted by academics. In addition, there is the belief that the political complexities sur-
rounding drug policy have prevented a closer alignment between public attitudes toward drugs
and official policies (Singleton & Rubin, 2014).
Except for Khatapoush and Hallfors (2004), who studied the impact of legalization of medical
cannabis on attitudes toward marijuana use and found little change, research has concentrated
almost exclusively on the impact of policy change on consumption and drug use behavior (Cerdá,
Wall, Keyes, Galea, & Hasin, 2012; Chu, 2014; Single, 1989). Marijuana legalization initiatives
in Uruguay and the United States thus provide a unique opportunity to study the context in which
drug policy decisions take place. In Uruguay, the “official” national policy toward cannabis
seems to be at odds with the mainstream views. The Uruguayan government passed what is con-
sidered to be the world’s most ambitious marijuana regulatory bill in an unfavorable public opin-
ion environment (Hetzer & Walsh, 2014; Walsh & Ramsey, 2015). In the United States,
conversely, policy responses are divided: Although the federal government has a formal stance
against legalization (Office of National Drug Control Policy, 2015), several states are advancing
in the legalization of medicinal and—in some cases—recreational marijuana. Furthermore,
despite federal policy, the White House does not seem to be challenging the states that decided to
advance legalization. This is happening in a context in which U.S. public opinion has been
increasingly in favor of marijuana legalization (Ferner, 2015; Paul, 2003). Surveys in the United
States have extensively addressed the factors associated with support for marijuana legalization
(Carroll, 2005; Ferner, 2015), but little is known about public opinion toward these initiatives

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