Risks and Benefits of Marijuana Use: A National Survey of U.S. Adults

Ann Intern Med. 2018 Sep 4;169(5):282-290. doi: 10.7326/M18-0810. Epub 2018 Jul 24.

Abstract

Background: Despite insufficient evidence regarding its risks and benefits, marijuana is increasingly available and is aggressively marketed to the public.

Objective: To understand the public's views on the risks and benefits of marijuana use.

Design: Probability-based online survey.

Setting: United States, 2017.

Participants: 16 280 U.S. adults.

Measurements: Proportion of U.S. adults who agreed with a statement.

Results: The response rate was 55.3% (n = 9003). Approximately 14.6% of U.S. adults reported using marijuana in the past year. About 81% of U.S. adults believe marijuana has at least 1 benefit, whereas 17% believe it has no benefit. The most common benefit cited was pain management (66%), followed by treatment of diseases, such as epilepsy and multiple sclerosis (48%), and relief from anxiety, stress, and depression (47%). About 91% of U.S. adults believe marijuana has at least 1 risk, whereas 9% believe it has no risks. The most common risk identified by the public was legal problems (51.8%), followed by addiction (50%) and impaired memory (42%). Among U.S. adults, 29.2% agree that smoking marijuana prevents health problems. About 18% believe exposure to secondhand marijuana smoke is somewhat or completely safe for adults, whereas 7.6% indicated that it is somewhat or completely safe for children. Of the respondents, 7.3% agree that marijuana use is somewhat or completely safe during pregnancy. About 22.4% of U.S. adults believe that marijuana is not at all addictive.

Limitation: Wording of the questions may have affected interpretation.

Conclusion: Americans' view of marijuana use is more favorable than existing evidence supports.

Primary funding source: National Heart, Lung, and Blood Institute.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Anxiety / therapy
  • Attitude to Health*
  • Depression / therapy
  • Epilepsy / therapy
  • Female
  • Humans
  • Male
  • Marijuana Abuse / complications
  • Marijuana Abuse / psychology
  • Marijuana Smoking / adverse effects
  • Marijuana Smoking / psychology*
  • Middle Aged
  • Multiple Sclerosis / therapy
  • Pain Management
  • Pregnancy
  • Risk Assessment
  • Stress, Psychological / therapy
  • Surveys and Questionnaires
  • Tobacco Smoke Pollution / adverse effects
  • United States / epidemiology
  • Young Adult

Substances

  • Tobacco Smoke Pollution