Most Indian college students opposed cannabis legalization and lacked knowledge of its harms and legal status

Among 260 college students in Mumbai, 11.2% used cannabis, peer pressure was the top reason for starting, 81% opposed legalization, and over half were unaware of cannabis-related legal issues.

Ali, Enub et al.·The National medical journal of India·2025·Preliminary EvidenceCross-Sectional
RTHC-05903Cross SectionalPreliminary Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Preliminary Evidence
Sample
N=260

What This Study Found

Among 260 college students in Mumbai, 11.2% reported cannabis use and 15% expressed desire to try it. Friends introduced 72% of users to cannabis. Top reasons for use were peer pressure (29.6%), stress reduction (23.5%), and experimentation (21.9%). Despite 81% opposing legalization, more than half of all participants were unaware of cannabis-related legal issues. Users viewed cannabis as less harmful and addictive than non-users did.

Key Numbers

n=260; 11.2% cannabis users; 72% introduced by friends; 29.6% cited peer pressure; 23.5% stress reduction; 81% opposed legalization; >50% unaware of legal issues; 15% expressed desire to try

How They Did This

Cross-sectional study across multiple colleges in Mumbai, India. 260 students aged 18-25 selected by systematic random sampling. Self-administered questionnaire on knowledge, attitudes, and use patterns analyzed with SPSS.

Why This Research Matters

The combination of low legal awareness, high peer influence, and a perception gap between users and non-users about harm suggests that campus prevention efforts need to go beyond "just say no" messaging to address knowledge gaps and social dynamics.

The Bigger Picture

Cannabis use among Indian college students follows similar social patterns seen globally: peer introduction, stress as a motivator, and a disconnect between legal knowledge and use behavior. The finding that most students oppose legalization yet lack legal knowledge mirrors patterns found in US studies.

What This Study Doesn't Tell Us

Small sample (n=260) from one city limits generalizability across India. Self-reported use may underestimate prevalence given legal status. Cross-sectional design cannot establish causal relationships between attitudes and use.

Questions This Raises

  • ?Would campus-based education about cannabis legal consequences reduce initiation?
  • ?How does cannabis use among Indian college students compare to other substance use rates?

Trust & Context

Key Stat:
72% of users were introduced to cannabis by friends
Evidence Grade:
Small cross-sectional survey from a single city provides preliminary descriptive data with limited generalizability.
Study Age:
2025 publication
Original Title:
Knowledge and attitude of college students towards cannabis use in urban India: A comparative perspective of users and non-users.
Published In:
The National medical journal of India, 38(2), 78-83 (2025)
Database ID:
RTHC-05903

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

Why do Indian college students start using cannabis?

Peer pressure was the most common reason (29.6%), followed by stress reduction (23.5%) and experimentation (21.9%). Friends introduced 72% of users to cannabis.

Did users and non-users view cannabis differently?

Yes. Non-users considered cannabis more harmful and addictive, while users held more permissive views about its effects. This perception gap is consistent with findings from other countries.

Read More on RethinkTHC

Cite This Study

RTHC-05903·https://rethinkthc.com/research/RTHC-05903

APA

Ali, Enub; Sachdeva, Ankur; Thakur, Avinash; Khullar, Shilpa; Das, Padmini; Abbas, S Zafar. (2025). Knowledge and attitude of college students towards cannabis use in urban India: A comparative perspective of users and non-users.. The National medical journal of India, 38(2), 78-83. https://doi.org/10.25259/NMJI_451_2023

MLA

Ali, Enub, et al. "Knowledge and attitude of college students towards cannabis use in urban India: A comparative perspective of users and non-users.." The National medical journal of India, 2025. https://doi.org/10.25259/NMJI_451_2023

RethinkTHC

RethinkTHC Research Database. "Knowledge and attitude of college students towards cannabis ..." RTHC-05903. Retrieved from https://rethinkthc.com/research/ali-2025-knowledge-and-attitude-of

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.