Key Takeaways
- In 2022, 52.5 million people aged 12 or older in the United States (18.7% of the population) used marijuana in the past year according to the National Survey on Drug Use and Health (NSDUH)
- Past month marijuana use among U.S. adults aged 18+ increased from 7.5% in 2015 to 15.6% in 2021 per CDC data
- In 2021, 18.2% of U.S. high school students reported current marijuana use (past 30 days), down from 22.7% in 2019, from the Youth Risk Behavior Survey (YRBS)
- Regular marijuana smoking associated with 20-30% increased risk of chronic bronchitis per NIH study (2014)
- THC exposure in pregnancy linked to 2.5 times higher risk of low birth weight, JAMA Pediatrics (2021)
- Cannabis use disorder prevalence among past-year users is 30% per NIDA review (2020)
- As of 2023, 24 U.S. states have legalized recreational marijuana, covering 54% of population, MPP.org tracker
- Federal prohibition under Schedule I since 1970, despite no accepted medical use per DEA
- Cannabis arrests comprised 35% of U.S. drug arrests (91,000) in 2021, FBI UCR
- U.S. legal cannabis market size reached $29 billion in 2022, Statista
- Employment in cannabis industry: 428,000 full-time equivalent jobs (2023), Leafly Jobs Report
- Tax revenue: California collected $1.15 billion from cannabis taxes in 2022, CDTFA
- Past-year use highest among U.S. Hispanics at 22.5% (2022), vs Whites 18.1%, NSDUH
- Among U.S. 12-17 year olds, past-month use higher in males 6.3% vs females 5.1% (2022), NSDUH
- Urban U.S. adults past-year use 20.1% vs rural 16.5% (2022), NSDUH
Legalization trends are boosting adult marijuana use while youth consumption remains steady.
Economic Aspects
- U.S. legal cannabis market size reached $29 billion in 2022, Statista
- Employment in cannabis industry: 428,000 full-time equivalent jobs (2023), Leafly Jobs Report
- Tax revenue: California collected $1.15 billion from cannabis taxes in 2022, CDTFA
- Black market still 58% of total U.S. market ($90B est. 2023), Whitney Economics
- Average retail price per ounce: $250 in legal states vs $350 illicit (2023), Headset
- Colorado cannabis tax revenue: $423 million in FY2022, funded schools, Colo. Dept Revenue
- Investment: $3.5 billion in public cannabis stocks (2022), Viridian Capital
- Export value: Canada $300 million CAD legal exports to EU/Australia (2022), StatCan
- Cost savings: Legalization saved U.S. $3.6B in enforcement 2010-2017, ACLU
- Average dispensary revenue: $5.2M annually (2022), BDSA
- Hemp CBD market: $5.3B U.S. sales 2022, Brightfield Group
- Tourism boost: 20% increase in Denver visitors post-legalization, VISIT Denver
- Bankruptcy rate: 15% of cannabis businesses failed 2020-2022, New Frontier Data
- Wage premium: Cannabis workers earn 21% above state average, Leafly
- Global legal market projected $44B by 2025, Prohibition Partners
- Michigan wholesale flower price dropped 50% to $1,200/lb (2023), Headset
- Ancillary services market: $25B (packaging, tech, etc.) 2023, MJBiz
- Tax allocation: 60% of Illinois cannabis tax to general fund ($400M 2022), Illinois IFC
- Consolidation: Top 10 MSOs control 40% of legal sales (2023), Viridian
- R&D spending: $500M annually by major cannabis firms (2022), PitchBook
- Price per gram pre-roll: $5.50 average (2023), Headset
- Medical vs rec sales: 30% medical, 70% recreational in mature markets (2023), BDSA
- Interstate commerce ban costs $4B potential revenue, New Frontier
- Cultivator licenses: 2,000+ issued, but oversupply in 70% of states, Whitney
- Edibles 25% of sales volume, beverages growing 300% YoY (2023), Headset
Economic Aspects Interpretation
Health Risks and Benefits
- Regular marijuana smoking associated with 20-30% increased risk of chronic bronchitis per NIH study (2014)
- THC exposure in pregnancy linked to 2.5 times higher risk of low birth weight, JAMA Pediatrics (2021)
- Cannabis use disorder prevalence among past-year users is 30% per NIDA review (2020)
- Daily use increases schizophrenia risk by 3-5 fold in genetically predisposed individuals, Lancet Psychiatry (2019)
- Acute cannabis intoxication impairs driving by equivalent of 4+ drinks, NHTSA study (2020)
- Vaping THC products linked to EVALI outbreak with 2,800 hospitalizations and 68 deaths (2019-2020), CDC
- Long-term heavy use associated with 40% reduction in IQ points among adolescent starters, PNAS (2012)
- Medical cannabis reduced opioid overdose deaths by 35% in states with legalization, JAMA IM (2020)
- Cannabis hyperemesis syndrome cases increased 4-fold post-legalization in Colorado, Annals of IM (2020)
- Adolescent use doubles risk of depression and suicidality in adulthood, JAMA Psychiatry (2021)
- THC impairs memory consolidation, with effects lasting up to 28 days post-abstinence, JAMA (2022)
- CBD shows promise in reducing seizure frequency by 40-50% in Dravet syndrome, NEJM (2017)
- Heavy use linked to 1.5-2x increased risk of testicular cancer, Cancer (2015)
- Cannabis withdrawal symptoms affect 47% of regular users, Drug and Alcohol Dependence (2019)
- Edibles lead to 7x higher rate of ED visits due to over-intoxication vs smoking, Annals of EM (2018)
- Chronic use associated with gum disease and periodontitis in 2.5x higher prevalence, J Periodontol (2017)
- Medical marijuana patients report 64% reduction in nausea for chemotherapy, J Clin Oncol (2001)
- Delta-8 THC products involved in 41,116 poison control calls (2021), CDC MMWR
- Cannabis smoke contains 33 cancer-causing agents similar to tobacco, NIDA (2020)
- Use during adolescence linked to 8x higher risk of cannabis psychosis, Schizophrenia Bulletin (2022)
- Synthetic cannabinoids (K2/Spice) have 100x higher potency leading to 660% increase in ED visits 2010-2011, SAMHSA
- 27% of medical cannabis users discontinued opioids entirely after 6 months, J Pain (2021)
- High-potency THC (>10%) doubles psychosis risk vs low-potency, Lancet Psychiatry (2019)
- Cannabis allergy affects 10-30% of users with rhinitis/asthma, Ann Allergy Asthma Immunol (2019)
- Post-legalization, pediatric cannabis exposures rose 150% in Washington state, Clin Tox (2019)
- Regular use impairs lung function similar to tobacco, with FEV1 reduction of 75ml, Chest (2013)
- THC reduces intraocular pressure by 25-30% for glaucoma short-term, but tolerance develops, Ophthalmology (1979)
- Binge drinking reduced by 15% in medical cannabis states, J Health Econ (2020)
- 13.7% of U.S. ED visits for psychosis involved cannabis (2019), HCUP data
- Cannabis use in schizophrenia patients worsens symptoms in 70% of cases, Schizophr Res (2018)
- Medical cannabis for chronic pain: 50% of patients report 30% pain reduction, JAMA (2018)
Health Risks and Benefits Interpretation
Legalization and Policy
- As of 2023, 24 U.S. states have legalized recreational marijuana, covering 54% of population, MPP.org tracker
- Federal prohibition under Schedule I since 1970, despite no accepted medical use per DEA
- Cannabis arrests comprised 35% of U.S. drug arrests (91,000) in 2021, FBI UCR
- 38 states have medical marijuana programs as of 2023, with varying qualifying conditions, NCSL
- Post-legalization in Colorado, youth use did not increase (stable at 20%), Healthy Kids Colorado Survey 2021
- Interstate cannabis transport illegal federally, leading to 1,200+ seizures in 2022, DEA
- Tax revenue from legal sales: $3.7 billion in 2022 across U.S. states, MJBizDaily
- 50% of Americans support full legalization (2023 Gallup poll)
- Uruguay first country to legalize recreational in 2013, with state-controlled market, UNODC
- Canada legalized recreational Dec 2018, home grow limit 4 plants per household, Health Canada
- Hemp production legalized federally 2018 Farm Bill, CBD <0.3% THC, USDA
- Black Americans 3.6x more likely to be arrested for possession despite similar use rates, ACLU (2020)
- Germany legalized personal possession up to 25g and home grow 3 plants (2024), Reuters
- Expungements: Over 2 million marijuana convictions cleared in U.S. states post-legalization, Last Prisoner Project
- Federal banking restrictions under 280E tax code cost industry $3B+ annually, Leafly
- Mexico legalized recreational 2021 but supply chain stalled, regulated market pending, Brookings
- Youth possession citations dropped 90% in Denver post-legalization (2014-2020), Denver PD
- 15 states have decriminalized possession (civil penalty only) as of 2023, NORML
- EU countries: Malta legalized recreational 2021 (7g possession), EMCDDA
- U.S. military: Zero tolerance, THC positive discharges up 200% post-legalization nearby, DoD
- Workplace drug testing: 55% of U.S. employers test for cannabis (2023), Quest Diagnostics
- Legal sales outlets: 15,000+ nationwide (2023), Headset.io
- International treaties: UN Single Convention 1961 mandates control, WHO review ongoing
- U.S. states with bans on public consumption: 80% of legal states, MPP
- Legal age: 21 in all U.S. recreational states, matching alcohol/tobacco
- Home delivery legalized in 10 states (2023), Leafly
- Possession limits: Average 1-2 oz in recreational states, NCSL
- Tax rates average 20-30% (excise + sales) in legal states, BDSA
Legalization and Policy Interpretation
Prevalence and Usage
- In 2022, 52.5 million people aged 12 or older in the United States (18.7% of the population) used marijuana in the past year according to the National Survey on Drug Use and Health (NSDUH)
- Past month marijuana use among U.S. adults aged 18+ increased from 7.5% in 2015 to 15.6% in 2021 per CDC data
- In 2021, 18.2% of U.S. high school students reported current marijuana use (past 30 days), down from 22.7% in 2019, from the Youth Risk Behavior Survey (YRBS)
- Lifetime marijuana use among U.S. adults rose to 45.1% in 2021 from 40.5% in 2015, NSDUH 2021
- In Canada, 26% of the population aged 15+ reported past-year cannabis use in 2022, up from 15% pre-legalization, per Canadian Cannabis Survey
- Among U.S. college students, past-year marijuana use was 39% in 2021, according to Monitoring the Future
- Daily or near-daily marijuana use among U.S. adults tripled from 0.9% in 2015 to 2.8% in 2022, JAMA Psychiatry study
- In Europe, 7.1% of adults aged 15-64 used cannabis in the past year (2022), EMCDDA data
- U.S. past-month use among 12-17 year olds was 5.7% in 2022, stable from prior years, NSDUH
- In states with recreational legalization, adult past-year use averaged 25.3% vs 15.2% in non-legal states (2021), CDC BRFSS
- 22.0 million U.S. people aged 12+ initiated marijuana use in the past year (2022), representing 7.9% of the population, NSDUH
- Among pregnant women in U.S., past-month marijuana use was 5.5% (2020), NSDUH
- Edibles use among past-year U.S. marijuana users was 28.6% in 2021, NSDUH
- Vaping marijuana past-year use among U.S. youth 12-17 was 12.1% in 2021, NSDUH
- In Australia, 11.4% of population aged 14+ used cannabis in past 12 months (2019), National Drug Strategy Household Survey
- U.S. adults aged 26+ had 21.6% past-year marijuana use in 2022, highest ever, NSDUH
- Past 30-day use among U.S. males was 17.1% vs 10.3% for females (2022), NSDUH
- In New Zealand, 14.1% of adults used cannabis past year (2023), NZ Health Survey
- Frequent use (20+ days/month) among U.S. past-year users was 14.7% in 2021, NSDUH
- Global past-year cannabis use estimated at 209 million people (2022), UNODC World Drug Report
- In Colorado, adult past 30-day use was 19.5% in 2021 post-legalization, Colorado Health Access Survey
- U.S. past-year use disorder among marijuana users was 10.2% (2021), NSDUH
- Among U.S. 18-25 year olds, past-month use was 24.9% in 2022, NSDUH
- In Uruguay, post-legalization (2013), prevalence stabilized at 9.4% past-year (2019), IDPC survey
- Dabbing (concentrates) use past-year among U.S. users 12+ was 8.9% (2021), NSDUH
- Past-year use in U.S. rural areas was 16.3% vs 19.9% urban (2022), NSDUH
- In the UK, 16.1% of adults aged 16-59 used cannabis past year (2022), Crime Survey England & Wales
- U.S. first-time use among 12-17 dropped to 3.4 million in 2022 from 4.2 million in 2019, NSDUH
- Concentrate use past 30 days among youth was 4.2% (2022), Monitoring the Future
- In California, 2021 adult past-year use was 27.6%, California Health Care Foundation
- Chronic daily use among U.S. adults aged 12+ was 6.5 million people (2.3%) in 2022, NSDUH
Prevalence and Usage Interpretation
Youth and Demographics
- Past-year use highest among U.S. Hispanics at 22.5% (2022), vs Whites 18.1%, NSDUH
- Among U.S. 12-17 year olds, past-month use higher in males 6.3% vs females 5.1% (2022), NSDUH
- Urban U.S. adults past-year use 20.1% vs rural 16.5% (2022), NSDUH
- Lifetime use among U.S. Baby Boomers (55+) reached 36.4% in 2021, NSDUH
- Among U.S. Blacks, past-year use 19.4% similar to Whites but arrests 4x higher, NSDUH/ACLU
- College graduates have 15% lower past-month use vs non-grads (25+), NSDUH 2022
- Past-year use among U.S. LGBTQ+ youth 32% vs 15% straight (2021), Trevor Project
- Among 18-25, past-month use highest in Native Americans 28.7% (2022), NSDUH
- Women aged 50+ saw 250% increase in past-year use 2015-2021, JAMA Network Open
- High school seniors daily use 8.2% boys vs 3.9% girls (2022), Monitoring the Future
- Past-year use among U.S. unemployed 26.1% vs employed 17.4% (2022), NSDUH
- In Canada, Indigenous people past-year use 29% vs national 23% (2022), CCS
- U.S. veterans past-year use 21% vs civilians 18% (2021), VA study
- Among low-income (<$20k) U.S. adults, past-month use 20.3% (2022), NSDUH
- 12th graders in non-legal states use similar to legal states (18.6% past-year 2022), MTF
- Past-month use peaks at age 18-25 (24.9%), drops to 11.4% at 35-50 (2022), NSDUH
- Among U.S. Asians, lowest past-year use 9.2% (2022), NSDUH
- Married adults past-year use 13.2% vs never married 28.4% (2022), NSDUH
- Youth in Colorado post-legalization: 19% past-year vs national 15% (high school 2021), CDPHE
- U.S. adults with mental illness past-year use 27.1% vs 16.5% without (2021), NSDUH
- Among 26+ with children at home, past-month use 12.8% (2022), NSDUH
Youth and Demographics Interpretation
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