Historical data from colonial India shows alcohol and cannabis were economic substitutes

Analysis of 1911-1925 Bengal district data found people treated alcohol and cannabis bud as substitutes (when one got expensive, they switched to the other) while cannabis leaf complemented alcohol.

Chandra, Siddharth et al.·Health economics·2025·Moderate EvidenceLongitudinal Cohort
RTHC-06181Longitudinal CohortModerate Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Longitudinal Cohort
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Alcohol and cannabis bud functioned as economic substitutes; cannabis leaf was a complement to alcohol but a substitute for cannabis bud; alcohol, cannabis bud, and opium all showed negative income elasticity.

Key Numbers

25 districts analyzed over 14 years (1911-1925); three substances examined; negative income elasticity found for alcohol, cannabis bud, and opium.

How They Did This

Economic analysis of district-level consumption data from 25 Bengal districts (1911-1925) examining price elasticity, cross-price elasticity, and income elasticity for alcohol, cannabis (bud and leaf separately), and opium in a legal market.

Why This Research Matters

Modern legalization debates often ask whether cannabis substitutes for alcohol; this study provides rare data from a period when all three substances were legal and regulated.

The Bigger Picture

The substitution relationship between alcohol and cannabis observed over a century ago in a very different context echoes findings from modern US legalization studies.

What This Study Doesn't Tell Us

Historical data from colonial Bengal may not generalize to modern contexts; district-level data obscures individual behavior; legal and cultural context differed vastly from today; data quality from the period is uncertain.

Questions This Raises

  • ?Do modern legal cannabis markets show similar substitution patterns?
  • ?What explains the negative income elasticity?
  • ?Would similar analysis of modern multi-substance markets yield comparable results?

Trust & Context

Key Stat:
Alcohol and cannabis bud were economic substitutes in legal Bengal markets over a century ago
Evidence Grade:
Unique historical dataset spanning 14 years and 25 districts, though colonial-era data collection and vastly different context limit modern applicability.
Study Age:
Published 2025, data from 1911-1925
Original Title:
Substitution and Complementarity in the Consumption of Alcohol, Cannabis, and Opium.
Published In:
Health economics, 34(5), 827-854 (2025)
Database ID:
RTHC-06181

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Follows a group of people over time to track how outcomes develop.

What do these levels mean? →

Frequently Asked Questions

Were cannabis and alcohol substitutes?

Yes, specifically cannabis bud and alcohol. When alcohol prices rose, cannabis bud consumption increased, and vice versa.

What about cannabis leaf?

Cannabis leaf showed a different pattern. It complemented alcohol (used together) but substituted for cannabis bud.

Read More on RethinkTHC

Cite This Study

RTHC-06181·https://rethinkthc.com/research/RTHC-06181

APA

Chandra, Siddharth; Doshi, Gaurav. (2025). Substitution and Complementarity in the Consumption of Alcohol, Cannabis, and Opium.. Health economics, 34(5), 827-854. https://doi.org/10.1002/hec.4938

MLA

Chandra, Siddharth, et al. "Substitution and Complementarity in the Consumption of Alcohol, Cannabis, and Opium.." Health economics, 2025. https://doi.org/10.1002/hec.4938

RethinkTHC

RethinkTHC Research Database. "Substitution and Complementarity in the Consumption of Alcoh..." RTHC-06181. Retrieved from https://rethinkthc.com/research/chandra-2025-substitution-and-complementarity-in

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.