Cannabis Use Rises Among Older Adults in US

Recent research published by the Center for Drug Use and HIV/HCV Research (CDUHR) at the NYU School of Global Public Health provides significant insights into the evolving landscape of cannabis use among older adults in the United States. In June 2025, the findings revealed that marijuana use had reached a new record high among adults aged 65 and over, with reported usage of 7% in the past month, marking a notable increase from 4.8% in 2021 and 5.2% in 2022. This represents a staggering 46% increase within a span of just two years.

Demographic Shifts in Cannabis Use

The study, led by Dr. Joseph Palamar and published in JAMA Internal Medicine, highlights a shift in the demographic profile of cannabis users among older adults. The increases were pronounced among college-educated, married, female participants, as well as those with higher incomes. This shift indicates a change in societal perceptions and accessibility of cannabis as it aligns with norms prevalent in states where marijuana is legalized for medical or recreational use.

• College-Educated: A surge in cannabis use observed notably among individuals with higher education.
• Marital Status: Married individuals reported higher usage rates.
• Gender: Although older men still utilize cannabis more than older women, the latter demographic has seen a sharp increase in their usage patterns.
• Income Level: A reversal in usage prevalence trends was noted; the highest income group experienced the largest rise in use by 2023.

Research Methodology

The researchers analyzed data from the National Survey on Drug Use and Health conducted between 2021 and 2023. This allowed for unprecedented examination of 'current' cannabis use in older adults, defining usage as consumption reported in the past month. Previous studies had only been able to capture past-year data due to smaller sample sizes of current users.

Key Findings

Several significant trends emerged from the analysis:

Additionally, the growth in cannabis use was most noticeable in older adults with ongoing chronic health issues, particularly those managing multiple conditions such as:

• Cardiovascular diseases
• Diabetes
• Hypertension
• Cancer
• Chronic obstructive pulmonary disease (COPD)

Implications for Healthcare Providers

As cannabis use becomes more prevalent in this demographic, medical professionals are urged to engage in dialogue with older patients regarding its usage and effects. Dr. Benjamin Han emphasized the need for clinicians to educate patients on the implications of cannabis in managing chronic health symptoms. He expressed concerns that while some patients find relief using cannabis, there could be complications in managing chronic diseases.

“The increasing interest in cannabis among older adults necessitates comprehensive education on its use and potential risks,” – Dr. Benjamin Han, Associate Professor, UC San Diego

Recommendations for Future Research and Practice

Researchers highlighted the importance of clinicians conducting regular screenings for cannabis use among older patients and educating them about the physiological changes associated with aging that may increase sensitivity to cannabis’s psychoactive effects. Moreover, understanding the evolving dynamics around cannabis use offers a clear pathway for implementing more tailored health strategies. Current observations suggest a need for:

• Increased educational programs for healthcare providers regarding cannabis effects.
• Further clinical research on the benefits and risks of cannabis use in older adults.
• Policy considerations around medical cannabis access for older adults.

Conclusion

This study illuminates an important trend in cannabis use among older adults and reflects broader societal shifts in the perception and acceptance of cannabis. Moving forward, healthcare providers must remain attentive to these trends, ensuring that they support informed and safe cannabis use while managing their patients' complex health needs.

References

[1] Han, B. H., et al. (2025). Trends in Past-Month Cannabis Use Among Older Adults. JAMA Internal Medicine.

[2] Palamar, J. J., et al. (2025). Changes in cannabis use among older adults amidst the legalization trend. The Journal of Drug Issues.

[3] National Institute on Drug Abuse. (2025). Marijuana and Public Health. Retrieved from NIDA Website.