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Study breakdown

Social network norms predicted cannabis use frequency in young adults

Cross SectionalModerate evidence
The takeaway

Young adults whose social networks included more cannabis users tended to use more frequently, with this effect being stronger for recreational users than medicinal users.

Young adults, prevention researchers, and clinicians interested in social influences on cannabis use.

Recreational users 62% more influenced by peer cannabis norms

What the researchers found

Descriptive norms (how much one's social contacts use cannabis) were associated with more frequent cannabis use (aIRR 1.19), but not with problematic use. The effect was stronger for recreationally oriented users (aIRR 1.62) than medicinally oriented users (aIRR 1.22).

Why it matters

Understanding how social environments influence cannabis use patterns can inform prevention and harm reduction strategies for young adults.

The numbers in context

339 participants (182 medical patients, 157 nonpatients). Descriptive norms associated with use frequency (aIRR 1.19). Recreational users: aIRR 1.62. Medicinal users: aIRR 1.22. No association with problematic use.

How the study worked

Cross-sectional survey of 339 young adult cannabis users (182 medical patients, 157 nonpatients) in Los Angeles (2015-2016). Regression models examined associations between egocentric network characteristics and past-90-day cannabis use.

What this study cannot tell us

Cross-sectional design limits causal claims. Los Angeles sample may not generalize. Self-reported cannabis use and network composition.

How to read the evidence

Cross-sectional survey with moderate sample size. Cannot determine direction of causation between social norms and use patterns.

When this study was published

Published in 2022 with data from 2015-2016.

The bigger picture

The finding that social norms influenced frequency but not problematic use suggests that being around other users increases consumption but does not necessarily lead to dependency or problems.

Questions still open

  • Do medicinal users self-regulate against social pressure? Would interventions targeting social norms reduce cannabis consumption among recreational users?

Common questions

Did peer cannabis use lead to problematic use?
No. While being around more cannabis users was linked to higher frequency of use, it was not associated with problematic or disordered cannabis use.
Why were recreational users more influenced by peers?
Medicinal users may have more structured, self-regulated use patterns driven by symptom management, making them less responsive to social pressure to use.

Read the original research

Egocentric Network Characteristics and Cannabis Use in a Sample of Young Adult Medical Cannabis Patients and Nonpatient Users.

Journal of studies on alcohol and drugs, 83(6), 802-811

Citation

DiGuiseppi, Graham T; Fedorova, Ekaterina V; Lankenau, Stephen E; Davis, Jordan P; Wong, Carolyn F. (2022). Egocentric Network Characteristics and Cannabis Use in a Sample of Young Adult Medical Cannabis Patients and Nonpatient Users.. Journal of studies on alcohol and drugs, 83(6), 802-811. https://doi.org/10.15288/jsad.21-00286

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