Abstract

This cross-sectional study assesses the association between US state legalization of medical and recreational marijuana use and use of marijuana by adolescents.

Highlights

  • Thirty-six states have legalized medical marijuana and 18 states have passed recreational marijuana laws (RMLs)

  • Using data from the Youth Risk Behavior Survey (YRBS) for the period 1993-2019, this study provides updated estimates of the association between legalization and adolescent marijuana use

  • Preand post-RML data from the YRBS are available from 10 states; 7 states contributed more than one Author affiliations and article information are listed at the end of this article

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Summary

Introduction

Thirty-six states have legalized medical marijuana and 18 states have passed recreational marijuana laws (RMLs). Using data from the Youth Risk Behavior Survey (YRBS) for the period 1993-2017, Anderson et al[2] found that RML adoption was associated with an 8% decrease in the odds of marijuana use among high school students. These authors, had prelegalization and postlegalization data from only 7 states and pre– and post–recreational sales data from only 3 states, calling into question the generalizability of their results.[3]. Preand post-RML data from the YRBS are available from 10 states; 7 states contributed more than one Author affiliations and article information are listed at the end of this article

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