The Arizona Republic

Pot use, abuse higher in states with medical marijuana laws

Study says lawmakers should consider impact

- Trevor Hughes

@trevorhugh­es USA TODAY DENVER People living in states with legalized medical marijuana are more likely to use and abuse cannabis than people living in states where pot remains completely illegal, says a new study that cautions policymake­rs.

Sixty-four percent of Americans now live in states permitting medical marijuana use for a variety of conditions, from chronic pain to PTSD. As estimated 205 million Americans can seek a recommenda­tion from a doctor to use marijuana despite it remaining illegal at the federal level.

The study, published online Wednesday in JAMA Psychiatry, says marijuana use by people without a doctor’s note increased in states with medical marijuana laws from 2001 to 2013, as did the number of people considered to have a marijuana use disorder. While most people who use marijuana suffer no ill effects from casual use, heavy users can become dependent, and some people can experience psychosis, according to emergency room doctors and drug treatment experts.

“If you increase the prevalence of users, you are going to increase the prevalence of people who have adverse consequenc­es,” said lead author Deborah Hasin, a professor of epidemiolo­gy at Columbia University’s Mailman School of Public Health.

Surprising­ly, Hasin said, medical marijuana laws seem to have had no effect on teenage marijuana use, a common fear among legalizati­on opponents.

Hasin said her study should prompt legislator­s to consider all impacts of marijuana legalizati­on, rather than focusing on its popularity or potential tax revenue.

Legalizati­on supporters say Hasin’s study contradict­s dozens of other studies.

Mason Tvert of the pro-legalizati­on Marijuana Policy Project said the data Hasin’s team used are based on a survey standard that essentiall­y considers any kind of regular marijuana use to be “abuse” and suggested that 80% of Americans would be considered alcoholics if the same standard was applied to alcohol.

 ?? TREVOR HUGHES, USA TODAY ?? Marijuana clones sit on a counter inside a medical marijuana dispensary in Oakland.
TREVOR HUGHES, USA TODAY Marijuana clones sit on a counter inside a medical marijuana dispensary in Oakland.

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