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Shift in some teens' use and perceptions of marijuana after recreational marijuana is legalized (2016-12-29)

After marijuana was legalized for adults in the U.S. state of Washington, younger teens there perceived it to be less harmful and reported using it more, a new study found.

The study authors believe their research is the first in the nation to assess changes in teens' perceptions and marijuana use before and after legalized recreational use, and compare these attitudes and use in 45 other contiguous states where marijuana use is not legal.

The data showed that legalization of recreational marijuana use significantly reduced perceptions of marijuana's harmfulness by 14 percent and 16 percent among eighth and 10th graders and increased their past-month marijuana use by 2 percent and 4 percent in Washington state but not in Colorado.

The researchers compared data on the perceived harmfulness of marijuana use to health and self-reported marijuana use for nearly 254,000 students in the eighth, 10th and 12th grades in Colorado, Washington and 45 other contiguous U.S. states who participated in the Monitoring the Future survey.

The survey measures drug, alcohol and cigarette use and related attitudes among adolescent students nationwide.

"While legalization for recreational purposes is currently limited to adults, potential impacts on adolescent marijuana use are of particular concern," said Magdalena Cerdá, an epidemiologist with the UC Davis Violence Prevention Research Program and first author of the study.

"Some adolescents who try marijuana will go on to chronic use, with an accompanying range of adverse outcomes, from cognitive impairment to downward social mobility, financial, work-related and relationship difficulties.
We need to better understand the impact of recreational marijuana use so we're better prepared to prevent adverse consequences among the most vulnerable sectors of the population," Cerdá said.

"The perceived harmfulness of marijuana has declined sharply in the U.S. in the last few years, despite the fact that there are adverse consequences associated with marijuana use in some adults and in adolescents," said Deborah Hasin, a professor of epidemiology at Columbia University's Mailman School of Public Health and in psychiatry at Columbia University and principal investigator of the study.

"Epidemiologic monitoring of these consequences as more states legalize recreational use, and public education about potential health consequences, are important to protect public health," Hasin said.

Cerdá noted that the study suggests that legalization of marijuana in Washington reduced stigma and perceived risk of use, which could explain why younger adolescents are using more marijuana after legalization.

"Other potential reasons for the increase in use include increased access to marijuana through third-party purchases, and lower price," Cerdá said. "Older adolescents may also have had their attitudes and beliefs about marijuana formed before recreational marijuana use was legalized, making it less likely their use would change after legalization."

For more information
JAMA Pediatrics
Association of State Recreational Marijuana Laws With Adolescent Marijuana Use
Link...

MDN