Cannabis use among New Jersey young adults jumped 42% after adult-use retail sales began

Ever cannabis use among New Jersey 18-23 year olds increased from 49% to 58% within three months of adult-use retail sales launching, with edibles and dried herb driving the largest increases.

Glasser, Allison M et al.·Preventive medicine·2025·Moderate EvidenceProspective Cohort
RTHC-06549Prospective CohortModerate Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Prospective Cohort
Evidence
Moderate Evidence
Sample
N=1,439

What This Study Found

Odds of ever cannabis use were 42% higher in the post-retail period (95% CI: 32%-54%). Ever use of dried herb, edibles, drinks, and topicals all significantly increased. Past 30-day edible use rose from 9.0% to 11.8%. Concentrate, vape, and other product types did not significantly change.

Key Numbers

Ever use: 58.1% post vs 48.9% pre (p<0.01). aOR for ever use: 1.42 (95% CI: 1.32-1.54). Edibles ever use: 45.9% vs 35.6% (p<0.01). Past 30-day edibles: 11.8% vs 9.0% (p=0.01). Dried herb: 44.4% vs 38.5% (p<0.01).

How They Did This

Prospective cohort analysis of New Jersey young adults (18-23) from the PACE study. Three pre-retail waves (March-November 2021, n=1,439) compared to one post-retail wave (June-July 2022, n=1,127) using generalized estimating equations.

Why This Research Matters

This is one of the first studies to examine cannabis use changes specifically by product type after retail legalization. The finding that edibles drove much of the increase has implications for dosing safety and public health messaging.

The Bigger Picture

New Jersey legalized adult-use cannabis in 2020 but retail sales did not begin until April 2022. The rapid increase in the first three months of retail availability, particularly for edibles, confirms the importance of product accessibility in driving use patterns.

What This Study Doesn't Tell Us

Short post-retail follow-up period (3 months). Cohort attrition from pre to post waves. Cannot distinguish new users from people who were using illicitly and now report legal use. New Jersey experience may not generalize to other states.

Questions This Raises

  • ?Will the increase plateau or continue accelerating with longer retail availability?
  • ?Does the shift toward edibles reduce smoking-related harms?

Trust & Context

Key Stat:
higher odds of ever cannabis use among NJ young adults within 3 months of adult-use retail sales opening
Evidence Grade:
Prospective cohort design with pre-post comparison provides stronger evidence than cross-sectional studies, though short follow-up and attrition are limitations.
Study Age:
2025 publication with 2021-2022 data.
Original Title:
Relationship between an adult-use Cannabis law and Cannabis use by type in a cohort of New Jersey young adults.
Published In:
Preventive medicine, 198, 108354 (2025)
Database ID:
RTHC-06549

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

Enrolls participants and follows them forward in time.

What do these levels mean? →

Frequently Asked Questions

Why did edibles increase the most?

Edibles may appeal to new or returning users who want to avoid smoking. They are also easy to use discreetly and available in familiar forms (gummies, chocolates). Retail availability makes them more accessible than the illicit market where flower dominates.

Does this mean legalization increases cannabis problems?

The study measured use, not harm. Increased use does not automatically mean increased problems. Some of the increase likely represents people reporting previously illicit use. Whether the increase translates to health consequences requires longer follow-up.

Read More on RethinkTHC

Cite This Study

RTHC-06549·https://rethinkthc.com/research/RTHC-06549

APA

Glasser, Allison M; Villanti, Andrea C; Gundersen, Daniel A; Schroth, Kevin R J; Hrywna, Mary. (2025). Relationship between an adult-use Cannabis law and Cannabis use by type in a cohort of New Jersey young adults.. Preventive medicine, 198, 108354. https://doi.org/10.1016/j.ypmed.2025.108354

MLA

Glasser, Allison M, et al. "Relationship between an adult-use Cannabis law and Cannabis use by type in a cohort of New Jersey young adults.." Preventive medicine, 2025. https://doi.org/10.1016/j.ypmed.2025.108354

RethinkTHC

RethinkTHC Research Database. "Relationship between an adult-use Cannabis law and Cannabis ..." RTHC-06549. Retrieved from https://rethinkthc.com/research/glasser-2025-relationship-between-an-adultuse

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.