5% of Australian Workers Use Cannabis Weekly, With Significant Work Absences

Among 25,000 Australian workers, 5% used cannabis weekly and those at risk of harm missed nearly 7 extra work days per year, with construction and hospitality workers most affected.

Di Censo, Gianluca et al.·Drug and alcohol dependence·2026·Moderate EvidenceCross-Sectional
RTHC-08225Cross SectionalModerate Evidence2026RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
N=24,954

What This Study Found

Weekly cannabis use was reported by 5.0% of workers. Risk of cannabis-related harm was found in 2.2%. Construction and hospitality workers, labourers, and tradesmen had elevated rates. Weekly use was associated with 2.8 additional absent days, while being at risk of harm was associated with 6.9 additional absent days. Key determinants: male, younger, never married, Australian-born, current smoker, heavy episodic drinker.

Key Numbers

24,954 workers surveyed. 5.0% weekly cannabis use. 2.2% at risk of harm. At-risk workers: 6.9 extra absent days/year. Weekly users: 2.8 extra absent days. Highest use: construction, hospitality, labourers, tradesmen. Strongest predictor: current smoking status.

How They Did This

Analysis of 2019 and 2022-23 Australian National Drug Strategy Household Surveys (N=24,954). Assessed weekly cannabis use prevalence, determinants, and associated work absenteeism. Multivariate regression models identified predictors of use and harm risk.

Why This Research Matters

Cannabis use in the workforce has real economic consequences. Nearly 7 extra absent days per year for at-risk workers translates to significant productivity losses, and the concentration in physically demanding jobs raises safety concerns.

The Bigger Picture

The concentration of cannabis use in physically demanding and safety-sensitive industries (construction, trades) is particularly concerning. Combined with significant absenteeism, this supports workplace-specific interventions rather than blanket policies.

What This Study Doesn't Tell Us

Cross-sectional — cannabis use may result from, rather than cause, work difficulties. Self-reported use likely underestimates actual rates. Australian context may not generalize. Absenteeism data is self-reported and may have other causes.

Questions This Raises

  • ?Would workplace drug testing reduce use or just drive it underground?
  • ?Are there effective harm-reduction approaches for cannabis-using workers?
  • ?Is cannabis use causing the absences, or are both caused by other factors?

Trust & Context

Key Stat:
Evidence Grade:
Large nationally representative workforce survey with multivariate analysis, though cross-sectional design limits causal conclusions.
Study Age:
Published in 2026, using 2019 and 2022-23 Australian survey data.
Original Title:
Illicit cannabis use among workers in Australia: A nationally representative cross-sectional analysis of prevalence, determinants, and associated absenteeism.
Published In:
Drug and alcohol dependence, 280, 113057 (2026)
Database ID:
RTHC-08225

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

How common is cannabis use among workers?

About 5% of Australian workers reported weekly cannabis use, with construction, hospitality, labourers, and tradesmen showing the highest rates. Current tobacco smoking was the strongest predictor of cannabis use.

Does cannabis use affect work attendance?

Workers at risk of cannabis-related harm missed nearly 7 extra days per year compared to non-users. Weekly users without harm risk missed about 3 extra days. However, this association doesn't prove cannabis directly caused the absences.

Read More on RethinkTHC

Cite This Study

RTHC-08225·https://rethinkthc.com/research/RTHC-08225

APA

Di Censo, Gianluca; Thompson, Kirrilly; Bowden, Jacqueline. (2026). Illicit cannabis use among workers in Australia: A nationally representative cross-sectional analysis of prevalence, determinants, and associated absenteeism.. Drug and alcohol dependence, 280, 113057. https://doi.org/10.1016/j.drugalcdep.2026.113057

MLA

Di Censo, Gianluca, et al. "Illicit cannabis use among workers in Australia: A nationally representative cross-sectional analysis of prevalence, determinants, and associated absenteeism.." Drug and alcohol dependence, 2026. https://doi.org/10.1016/j.drugalcdep.2026.113057

RethinkTHC

RethinkTHC Research Database. "Illicit cannabis use among workers in Australia: A nationall..." RTHC-08225. Retrieved from https://rethinkthc.com/research/di-2026-illicit-cannabis-use-among

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.