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Psychedelics stores, their regulation and public health: knowledge, perceptions, attitudes and opinions of Canadians.

François Gagnon, Anne Philibert, Benjamin Carignan, Elsa Labonté, Yannick Dufresne

The International journal on drug policy July 9, 2026 DOI: 10.1016/j.drugpo.2026.105427 via PubMed

Summary

AI-generated from the abstract

Most Canadian adults are unfamiliar with the proliferation of illegal psychedelic retail stores selling psilocybin, DMT, and related substances, with 79.1% unaware of the stores and 80.3% unaware of the products sold. Among those with some familiarity, perceptions of risks and benefits coexist, with ambivalence being the most common stance. Respondents were equally divided between closing the stores and maintaining the current unregulated status quo. However, 66.6% supported authorizing sales under a regulatory framework, even among those with no direct exposure to psychedelics. Large majorities favored public health protections over fiscal considerations, product restrictions, promotion limits, and caps on store numbers. Public support for legal regulation appears receptive but not fixed, potentially shaped by the regulatory framework's features.

Study at a glance

Characteristics Cross-sectional survey Peer reviewed
Sample size 3,674
Population Canadian adults
Keywords Attitudes Knowledge Opinions Psychedelics stores Public health
Key finding 66.6% of Canadian adults supported authorizing psychedelic store sales under a regulatory framework, despite widespread unfamiliarity with the stores and ambivalent risk-benefit perceptions.

Abstract

Psychedelic retail stores illegally selling psilocybin, DMT and related substances have proliferated in Canada, with close to 60 brick-and-mortar shops documented in 2023. This echoes the pre-legalization and regulation cannabis landscape. Public responses have remained inconsistent, oscillating between de facto tolerance and enforcement of the law, raising concerns among public health authorities and other stakeholders. How to regulate these stores has become a pressing policy question, yet no research has examined what Canadians know, perceive, and think about the stores and their regulation. A web-based survey of 3,674 Canadian adults was conducted in March 2025 via the Léger Opinion online panel. Descriptive and bivariate analyses examine knowledge, perceptions, and attitudes toward regulatory options and their associations with substance use, proximity to stores, and sociodemographic characteristics. Most respondents were unfamiliar with psychedelic stores (79.1%) or the products sold (80.3%). Among those with some familiarity, risk and benefit perceptions coexisted, with ambivalence being the most common configuration. Respondents were equally divided on closing the stores or maintaining the current unregulated status quo. By contrast, 66.6% supported authorization of sales by stores under a regulatory framework, including among respondents with no direct exposure to psychedelics. Large majorities favored public health protection over fiscal considerations, product restrictions, promotion limits, and caps on store numbers. Despite widespread unfamiliarity with psychedelic retail stores and ambivalent perceptions of their potential risks and benefits, Canadians appear more receptive to their authorization under a legal framework than to the status quo. Attitudinal ambivalence suggests that public support is not fixed and may be shaped by the features of the regulatory framework proposed.

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