Key Takeaways
- In 2022, 15.4% of 12th-grade students reported past-month marijuana use, down from 18.7% in 2021.
- Among 10th graders in 2022, past-year marijuana use was reported by 29.1%, a slight decline from previous years.
- 8th graders showed 8.5% past-month marijuana use in 2022, stable compared to 2021.
- Past-year use among 12th graders peaked at 39.5% in 2011 per MTF long-term data.
- From 2012 to 2022, 10th grade past-month marijuana use declined from 23.1% to 16.1%.
- 8th grade lifetime use decreased 45% from 1996 peak of 20.5% to 11.2% in 2022.
- Frequent teen marijuana use linked to 2.5x higher risk of psychosis per meta-analysis 2019-2023.
- Adolescent daily use associated with 8 IQ point drop persisting into adulthood, Dunedin study.
- Teens using marijuana weekly have 4x higher odds of cannabis use disorder by age 25.
- White males aged 12-17 have 2.1x higher past-year use than females.
- Hispanic youth show 18.2% past-month use vs 12.5% non-Hispanic white, NSDUH 2021.
- Teens with one parent college-educated have 40% lower use rates, MTF.
- 65% of teen users perceive low risk of regular use, MTF 2022.
- 28% of 12th graders see great risk in daily marijuana use, lowest since 1990s.
- 72% of 8th graders disapprove of teen marijuana use, down from 85% in 2000.
Teen marijuana use shows modest recent declines but remains high with significant risks.
Attitudes and Perceptions
- 65% of teen users perceive low risk of regular use, MTF 2022.
- 28% of 12th graders see great risk in daily marijuana use, lowest since 1990s.
- 72% of 8th graders disapprove of teen marijuana use, down from 85% in 2000.
- Availability perceived as "fairly easy" by 40% of high schoolers.
- Post-legalization, teen risk perception dropped 15% in legal states.
- 55% of youth believe marijuana safer than alcohol, national poll.
- 12th graders: 35% see no risk in occasional use, up from 20% in 1991.
- Parental disapproval felt by only 60% of users vs 90% non-users.
- 48% of teens think legalization increases peer use.
- Close friend disapproval: lowest predictor of non-use at 75%.
- 62% 10th graders view regular use risky, stable since 2015.
- Media exposure to pro-marijuana content raises approval 20%.
- 41% believe good grades harder with regular use.
- Legalization support among teens at 68%, higher than adults.
- Perceived harm from vaping THC dropped 25% 2018-2022.
- 70% of non-users cite health risks as main reason to abstain.
- Edibles seen as safer by 52% of youth, despite risks.
- School policies: 80% awareness but only 45% deterrence effect.
- Anti-drug campaigns reduced perceived availability by 10%.
- 33% of 12th graders approve of daily use, up from 15% in 2012.
Attitudes and Perceptions Interpretation
Health Impacts
- Frequent teen marijuana use linked to 2.5x higher risk of psychosis per meta-analysis 2019-2023.
- Adolescent daily use associated with 8 IQ point drop persisting into adulthood, Dunedin study.
- Teens using marijuana weekly have 4x higher odds of cannabis use disorder by age 25.
- Past-month teen use correlates with 27% increased depression risk, NSDUH 2021 analysis.
- Vaping high-THC marijuana in teens raises emergency visits 3-fold, CDC 2020 data.
- Chronic teen use impairs memory function by 20-30% in neuroimaging studies.
- Marijuana use before age 18 doubles schizophrenia risk if genetically predisposed.
- Teens using 10+ times/month have 3.5x higher dropout rates, longitudinal data.
- Acute THC intoxication in adolescents increases crash risk by 2x while driving.
- Past-year use linked to 1.8x odds of suicidal ideation in high schoolers, YRBS 2021.
- Heavy use alters brain white matter integrity by 15%, MRI studies on 14-18 year olds.
- Edibles overdose ER visits among teens up 250% post-legalization in some states.
- Cannabis use disorder prevalence 25% among teen daily users, NIDA meta.
- Impaired lung function 10-15% in teen smokers of marijuana vs non-users.
- Prenatal exposure via teen moms increases child behavioral issues by 2.2x.
- High-potency THC (>10%) use in teens raises anxiety disorders 2.3x.
- Motivation decline: teen users score 12% lower on achievement motivation scales.
- Co-use with alcohol increases vomiting risk 4x in adolescent ER cases.
- Long-term: starting at 14 raises addiction risk to 17% vs 4% if start at 21.
- Sleep disruption: 60% of teen users report insomnia, impacting GPA by 0.5 points.
- Psychotic symptoms in 46% of heavy teen users per Australian study.
- Vaping THC causes 2.4x higher respiratory symptoms in teens vs smoking.
- GPA drop of 0.3-0.5 points associated with weekly use, MTF data.
- 3x higher odds of persistent truancy in monthly teen marijuana users.
Health Impacts Interpretation
Prevalence Rates
- In 2022, 15.4% of 12th-grade students reported past-month marijuana use, down from 18.7% in 2021.
- Among 10th graders in 2022, past-year marijuana use was reported by 29.1%, a slight decline from previous years.
- 8th graders showed 8.5% past-month marijuana use in 2022, stable compared to 2021.
- NSDUH 2021 data indicates 15.5% of youth aged 12-17 used marijuana in the past year.
- In 2021 YRBS, 15.8% of high school students used marijuana before 13 years old.
- 2022 MTF: 30.7% of 12th graders reported lifetime marijuana use.
- Past-month use among 10th graders aged 15-16 was 16.1% in 2022 per MTF.
- 5.4% of 8th graders reported daily marijuana use in 2022.
- NSDUH 2020: 11.1% of adolescents 12-17 had past-month marijuana use.
- In California, 2021 teen past-year marijuana use was 24.3% per state survey.
- Colorado 2022 youth survey: 19% of high schoolers used marijuana in past 30 days.
- 2021 national data: 14.9% of 12-17 year olds initiated marijuana use that year.
- MTF 2023 prelim: 12th grade past-month use at 14.9%.
- 10th grade lifetime use 2023: 28.4% per MTF prelim.
- 8th grade past-year use 2023: 10.9%.
- NSDUH 2022: 10.9% past-month use among 12-17 year olds.
- YRBS 2023: 29.7% high school students ever used marijuana.
- Past 30-day use among US high schoolers 2023 YRBS: 15.4%.
- In New York, 2022 teen past-month use: 17.2% per NYSDOH.
- Texas 2021 youth survey: 14% past-month marijuana use among 12-17.
- MTF 2021: Vaping marijuana past-month 12th graders 11.2%.
- Edibles use past-year 10th graders 2022: 12.5%.
- Daily/near-daily use 12th graders 2022: 8.2%.
- NSDUH 2019: 13.8% past-year use 12-17.
- Alaska 2022 youth risk survey: 16.8% past-30 day use.
- Florida 2021: 12.4% high school past-month marijuana.
- 2020 MTF COVID impact: 8th grade past-month dropped to 7.5%.
- Illinois 2022: 18.3% high schoolers past-year use.
- National 2022: 4.7% 12th graders used marijuana 20+ occasions past year.
- YRBS 2019: 35.7% lifetime use high school students.
Prevalence Rates Interpretation
Risk Factors
- White males aged 12-17 have 2.1x higher past-year use than females.
- Hispanic youth show 18.2% past-month use vs 12.5% non-Hispanic white, NSDUH 2021.
- Teens with one parent college-educated have 40% lower use rates, MTF.
- Urban teens 1.5x more likely to use than rural peers, YRBS 2021.
- Family history of substance use raises teen marijuana odds by 2.8x.
- Low school engagement doubles use risk, per longitudinal studies.
- Peer use: 70% of teen users have 3+ friends who use, MTF survey.
- Mental health issues like anxiety increase use initiation 1.9x.
- Low SES neighborhoods: 22% teen use vs 11% high SES, state surveys.
- Siblings who use: 3.2x higher odds for younger teens.
- Truancy predicts 4x increase in later heavy use.
- LGBTQ+ youth 2.4x higher past-year marijuana use, YRBS.
- Early puberty in girls raises use risk 1.7x.
- Parental monitoring low: 2.5x use prevalence.
- Conduct disorder diagnosis: 5x higher use rates.
- Frequent video game use correlates with 1.6x marijuana experimentation.
- Single-parent households: 1.8x higher teen use.
- ACEs score 4+: 3x odds of past-month use.
- Poor academic performance (GPA<2.5): 2.9x use.
- Sports non-participation: 1.4x higher use rates.
- Social media heavy use (>4hrs/day): 2.1x risk.
- Tobacco/vape initiation precedes marijuana by 60% of cases.
Risk Factors Interpretation
Usage Trends
- Past-year use among 12th graders peaked at 39.5% in 2011 per MTF long-term data.
- From 2012 to 2022, 10th grade past-month marijuana use declined from 23.1% to 16.1%.
- 8th grade lifetime use decreased 45% from 1996 peak of 20.5% to 11.2% in 2022.
- NSDUH shows past-month teen use rose from 6.1% in 2012 to 7.9% in 2019 then fell to 5.8% in 2021.
- During COVID-19, 2020 saw sharp drop in 12th grade past-month use to 14.1% from 20.3% pre-pandemic.
- Vaping marijuana among teens increased from 7.5% in 2018 to 14% in 2019 for 12th graders then declined.
- Edibles use past-year rose among 8th graders from 2.8% in 2017 to 5.1% in 2022.
- Daily marijuana use among 12th graders trended up from 5.1% in 1996 to 9.0% in 2021.
- Post-legalization in states like Washington, teen use initially stable then slight increase 2014-2018.
- National past-year use 12-17 from 10.9% in 2002 to 13.3% in 2013 then down to 10.5% in 2022.
- MTF 2023 prelim shows rebound in 10th grade past-month use to 17.5% from 16.1%.
- From 2015-2022, high school past-30 day use stable around 15-16% per YRBS.
- Concentrates use past-year 12th graders peaked at 13.1% in 2018 down to 8.6% 2022.
- 8th grade past-month use halved from 11.3% in 1996 to 5.5% in 2022.
- NSDUH teen initiation rates declined from 7.5% in 2002 to 4.6% in 2021.
- Post-2012, marijuana use disorder among teens increased 20% per NSDUH trends.
- In legal states, teen past-month use rose 1-2% post-legalization 2012-2019.
- MTF long-term: 12th grade past-year use stable 30-35% since 2013.
- During 2020-2021 pandemic, daily use dropped 25% among high schoolers.
- Blunts use past-month 12th graders declined from 12.3% 2010 to 6.3% 2022.
- Female teen use rates converged with males, from 5% gap in 2000 to 1% in 2022.
- 2023 YRBS prelim: Past-30 day use up to 16.2% from 15.4%.
- Regular use (20+ times/year) 10th graders up from 4.2% 2012 to 6.1% 2022.
Usage Trends Interpretation
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