Recreational Marijuana Legalization Associated with 13% Rise in Youth Use, Major Study Finds

Kevin Sabet, a prominent advocate against marijuana legalization, asserted in a recent tweet, "> Never tell me legalization doesn’t increase adolescent marijuana use," drawing attention to the ongoing debate surrounding the impact of cannabis policy changes on youth. His statement underscores concerns frequently raised by public health organizations regarding the potential consequences of widespread legalization on younger populations. The tweet points to a significant body of research and recent findings that suggest a direct correlation between legalization and increased adolescent cannabis consumption.

Sabet, a three-time former White House drug policy advisor and the President and CEO of Smart Approaches to Marijuana (SAM), has consistently argued against broad marijuana legalization based on public health and safety grounds. His organization advocates for evidence-based drug policies focusing on prevention, treatment, and public safety. This stance is rooted in extensive research and data collection regarding the societal effects of cannabis commercialization.

A significant study published in the November 2024 issue of the Journal of the American Academy of Child & Adolescent Psychiatry supports Sabet's assertion. This comprehensive meta-analysis found that recreational marijuana legalization was associated with a 13% increase in past-month marijuana use among youth aged 12 to 17. The study also indicated a 22% increase in past-month use among young adults aged 18 to 25, highlighting a broader impact on younger demographics.

Further data from states with legal recreational marijuana markets reveal concerning trends. Nine out of 10 states with the highest rates of youth marijuana use prevalence among 12- to 17-year-olds have legal recreational cannabis. Additionally, the rate of marijuana use disorder among young people in legal states grew 25% faster than in non-legal states. Such findings contribute to the argument that commercialization and normalization of cannabis can lead to increased accessibility and perceived safety among adolescents.

Beyond usage rates, concerns also extend to public health incidents. Marijuana-related poisonings among young children have seen a dramatic rise, with over 22,000 cases reported in 2024, compared to 930 in 2009, with 75% involving children and teens. These incidents are often linked to the availability of high-potency products and edibles, which are particularly appealing to younger individuals. Sabet and his allies continue to emphasize that these trends underscore the need for stricter regulations and a reevaluation of current legalization policies to protect youth.