Record High: Growing number of cannabis users among older adults

The research letter published in JAMA Internal Medicine by Han et al. (2025) examines trends in recent cannabis use among U.S. adults aged 65 and older using data from the National Survey on Drug Use and Health (NSDUH) between 2021 and 2023. With the growing legalization and perceived medical benefits of cannabis, this demographic has shown increased interest and usage. The study analyzed responses from over 15,000 individuals and found a notable rise in past-month cannabis use, from 4.8% in 2021 to 7.0% in 2023.

The increase in cannabis use was not uniform across all groups. It was more pronounced among women, individuals identifying as White or "other" races, those with higher education and income, and those residing in states where medical cannabis is legal. Among health conditions, people with chronic obstructive pulmonary disease (COPD) showed the largest increase (6.4% to 13.5%), and rising use was also observed in those with diabetes, heart conditions, hypertension, cancer, and multiple chronic conditions.

The authors suggest these trends may reflect both increased access and perceived therapeutic value of cannabis among older adults. However, they emphasize the importance of cautious use, as cannabis, especially products with psychoactive effects, can complicate management of chronic diseases in this population. They advocate for more clinician-patient discussions around cannabis use, particularly in light of mixed evidence regarding its medical benefits and the potential for adverse outcomes among older users.

Citation:
Han, B. H., Yang, K. H., Cleland, C. M., & Palamar, J. J. (2025). Trends in Past-Month Cannabis Use Among Older Adults. JAMA Internal Medicine, 185(7). https://doi.org/10.1001/jamainternmed.2025.1156