Children in states with legal recreational cannabis did not perceive cannabis as less risky than children in states where it was illegal

Among 10,395 children aged 9-10 tracked over 3 years in the ABCD Study, living in a state with recreational cannabis laws had no significant effect on their perception of cannabis risk, even after controlling for demographics, impulsivity, and religiosity.

Gilman, Jodi M et al.·Cannabis and cannabinoid research·2024·Strong EvidenceObservational
RTHC-05338ObservationalStrong Evidence2024RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Observational
Evidence
Strong Evidence
Sample
N=10,395

What This Study Found

There was no significant main effect of state recreational cannabis laws on perceived risk of cannabis use among children, and no differences in how risk perception changed over time between states with and without legalization. These null findings persisted after controlling for sex, race, SES, religiosity, and trait impulsivity.

Key Numbers

10,395 children from the ABCD Study. Ages 9-10 at baseline. 3-year follow-up. No significant main effect of state recreational cannabis laws (RCLs) on risk perception. No significant time-by-RCL interaction.

How They Did This

Multilevel regression analysis of ABCD Study data. 10,395 children aged 9-10 at baseline assessed longitudinally across 3 years. Multilevel modeling accounted for state-, family-, and participant-level clustering.

Why This Research Matters

A major concern about cannabis legalization is that it will normalize cannabis for children. This large, nationally representative study finds no evidence that state-level legalization laws change how children perceive cannabis risk, at least in the 9-13 age range.

The Bigger Picture

While legalization may affect adult attitudes and use patterns, this study suggests that children's risk perceptions are shaped more by family, individual traits, and developmental factors than by state-level legal status, at least during late childhood.

What This Study Doesn't Tell Us

Assessed risk perception, not actual use behavior. Children aged 9-13 may be too young for legalization to affect their attitudes. Perception may shift during adolescence when cannabis becomes more socially relevant. Cannot account for local-level variation within states.

Questions This Raises

  • ?Does the relationship change during adolescence when cannabis use becomes more accessible?
  • ?Do parental attitudes mediate any potential legalization effects?

Trust & Context

Key Stat:
10,395 children; no legalization effect on cannabis risk perception
Evidence Grade:
Large nationally representative longitudinal sample with rigorous multilevel modeling and appropriate controls.
Study Age:
2024 study
Original Title:
State-Level Recreational Cannabis Legalization Is Not Differentially Associated with Cannabis Risk Perception Among Children: A Multilevel Regression Analysis.
Published In:
Cannabis and cannabinoid research, 9(1), 343-352 (2024)
Database ID:
RTHC-05338

Evidence Hierarchy

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

Watches what happens naturally without intervening.

What do these levels mean? →

Frequently Asked Questions

Does this mean legalization is safe for children?

This study only measured risk perception in 9-13 year olds, not use behavior or health outcomes. Children in legal states did not view cannabis as less risky, but other measures of impact were not assessed.

Might this change as children get older?

Possibly. The study followed children from ages 9-10 to about 12-13. As children enter mid-adolescence when cannabis use initiation is more common, state legalization status may start to influence their attitudes.

Read More on RethinkTHC

Cite This Study

RTHC-05338·https://rethinkthc.com/research/RTHC-05338

APA

Gilman, Jodi M; Iyer, Mallika T; Pottinger, Emma G; Klugman, Emma M; Hughes, Dylan; Potter, Kevin; Tervo-Clemmens, Brenden; Roffman, Joshua L; Evins, A Eden. (2024). State-Level Recreational Cannabis Legalization Is Not Differentially Associated with Cannabis Risk Perception Among Children: A Multilevel Regression Analysis.. Cannabis and cannabinoid research, 9(1), 343-352. https://doi.org/10.1089/can.2022.0162

MLA

Gilman, Jodi M, et al. "State-Level Recreational Cannabis Legalization Is Not Differentially Associated with Cannabis Risk Perception Among Children: A Multilevel Regression Analysis.." Cannabis and cannabinoid research, 2024. https://doi.org/10.1089/can.2022.0162

RethinkTHC

RethinkTHC Research Database. "State-Level Recreational Cannabis Legalization Is Not Differ..." RTHC-05338. Retrieved from https://rethinkthc.com/research/gilman-2024-statelevel-recreational-cannabis-legalization

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.