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U.S. Cannabis Use Disorder Increased Significantly From 2021 to 2024, Study Finds

Researchers link the rise to expanded legal access with higher‑THC products, urging wider screening, expanded treatment capacity, more research

Overview

  • A JAMA Psychiatry analysis of 186,823 adults using National Survey on Drug Use and Health data found past‑year cannabis use disorder rose between 2021 and 2024 for men (7.3% to 9.3%) and women (4.5% to 5.6%).
  • The share of adults with moderate‑to‑severe cannabis use disorder also increased, with the largest gains seen in ages 21–34, 35–49 and 50 and older.
  • Authors estimated the number of U.S. adults with cannabis use disorder grew from about 15.3 million in 2021 to roughly 19.4 million in 2024.
  • The study contrasts that alcohol use disorder rates stayed largely stable over the same period and points to wider legal access and higher‑THC commercial products as partial drivers.
  • Researchers and public‑health experts say clinicians should screen routinely for problematic cannabis use and that federal and state systems need more treatment capacity and better evidence on effective therapies.