Abstract

This article examines the relaxation of state marijuana laws, changes in adolescent use of marijuana, and implications for drug education. Under federal law, use of marijuana remains illegal. In spite of this federal legislation, as of 1 June 2021, 36 states, four territories and the District of Columbia have enacted medical marijuana laws. There are 17 states, two territories and the District of Columbia that have also passed recreational marijuana laws. One of the concerns regarding the enactment of legislation that has increased access to marijuana is the possibility of increased adolescent use of marijuana. While there are documented benefits of marijuana use for certain medical conditions, we know that marijuana use by young people can interfere with brain development, so increased marijuana use by adolescents raises legitimate health concerns. A review of results from national survey data, including CDC’s YRBS, Monitoring the Future, and the National Household Survey on Drug Use, allows us to document changes in marijuana use over time. Increased legal access to marijuana also has implications for educational programming. A “Reefer Madness” type educational approach no longer works (if it ever did). We explore various strategies, including prevention programs for education about marijuana, and make recommendations for health educators.

Highlights

  • Published: 11 March 2022Under federal law, the use of marijuana remains illegal

  • One of the concerns regarding the enactment of legislation that has increased access to marijuana is the possibility of increased adolescent use of marijuana

  • In states that have increased legal access to marijuana, has there been an increase in adolescent marijuana use? How has use impacted adolescents? From both a public policy standpoint and educational perspective, how might we best approach the issue of reducing adolescent marijuana use? In this commentary, we will briefly explore the scope of marijuana legalization, the impact recreational legalization has had on the adolescent population, and the national and international response

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Summary

Introduction

The use of marijuana remains illegal. In spite of this federal legislation, as of 1 June 2021, 36 states, four territories and the District of Columbia have enacted medical marijuana laws. The policy confirmed that marijuana remained an illegal drug, but states would continue to be given the authority to determine marijuana laws and enforcement [2]. It appears that the federal policy requires states to enact their own regulatory protocols concerning “production, distribution, and possession of marijuana” [2]. With widespread surges of COVID-19 brought on by the Delta and the Omicron variants, in 2021, and continuing into 2022, the pandemic may continue to be an obstacle to obtaining accurate data This makes it extraordinarily challenging to consider the impact of recreational legalization on the adolescent population, as the best data we have may well not provide an accurate reflection of actual use. These findings suggest that, perhaps, it may be easier to identify indirect consequences of recreational marijuana legalization, including the immediate and longer-term impact of prevention program

Impact of Legalization
Youth under 12 Years of Age
Adolescent Cannabis Use
Prevention
Parent Engagement
Classroom Intervention
Findings
Conclusions
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