Most people are poorly informed about cannabis health risks, especially psychosis

Across over 72,000 respondents in the U.S. and Canada, only 23-37% knew about cannabis's link to psychosis, while 12-18% believed the false claim that cannabis can cure cancer.

Goodman, Samantha et al.·Health education research·2022·Moderate EvidenceCross-Sectional
RTHC-03881Cross SectionalModerate Evidence2022RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
N=72,459

What This Study Found

Knowledge of cannabis health risks was highest for driving impairment (66-80%), pregnancy risks (61-71%), and addiction potential (51-62%), but lowest for psychosis and schizophrenia risk (23-37%). 12-18% agreed cannabis could cure or prevent cancer (false), and 6-7% believed it could cause diabetes (false). Canadians had the highest health knowledge, followed by U.S. legal states, then U.S. illegal states.

Key Numbers

72,459 respondents. Driving risk awareness: 66-80%. Pregnancy risk: 61-71%. Addiction: 51-62%. Psychosis: 23-37%. False cancer cure belief: 12-18%. False diabetes belief: 6-7%.

How They Did This

Cross-sectional online surveys from the 2018-2019 International Cannabis Policy Study with 72,459 respondents aged 16-65 recruited from Nielsen panels across Canada and U.S. states. Nine health effect questions including two false control items.

Why This Research Matters

Substantial knowledge gaps, particularly about psychosis risk, could lead to uninformed decisions about cannabis use. Frequent consumers had the lowest knowledge despite the greatest exposure.

The Bigger Picture

The finding that Canadian respondents (where cannabis is federally legal with regulated information) had higher health knowledge than U.S. respondents suggests legalization with public education may improve awareness.

What This Study Doesn't Tell Us

Non-probability sampling. Online survey may underrepresent certain populations. Self-reported knowledge may not reflect actual understanding.

Questions This Raises

  • ?Could better psychosis risk communication change cannabis use patterns?
  • ?Why do frequent users have less health knowledge despite more exposure to cannabis information?

Trust & Context

Key Stat:
Only 23-37% knew about cannabis-psychosis link; 12-18% believed cannabis cures cancer
Evidence Grade:
Very large international sample, though non-probability online panel methodology limits representativeness.
Study Age:
Published in 2022 with 2018-2019 survey data.
Original Title:
Perceptions of the health risks of cannabis: estimates from national surveys in Canada and the United States, 2018-2019.
Published In:
Health education research, 37(2), 61-78 (2022)
Database ID:
RTHC-03881

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

What did people know least about?

The risk of psychosis and schizophrenia from cannabis use was the least known health risk, with only 23-37% of respondents aware of this association.

Did legalization improve health knowledge?

Yes. Canadian respondents (federal legalization with regulated products and information) had the highest health knowledge, followed by U.S. legal states, then illegal states.

Read More on RethinkTHC

Cite This Study

RTHC-03881·https://rethinkthc.com/research/RTHC-03881

APA

Goodman, Samantha; Hammond, David. (2022). Perceptions of the health risks of cannabis: estimates from national surveys in Canada and the United States, 2018-2019.. Health education research, 37(2), 61-78. https://doi.org/10.1093/her/cyac006

MLA

Goodman, Samantha, et al. "Perceptions of the health risks of cannabis: estimates from national surveys in Canada and the United States, 2018-2019.." Health education research, 2022. https://doi.org/10.1093/her/cyac006

RethinkTHC

RethinkTHC Research Database. "Perceptions of the health risks of cannabis: estimates from ..." RTHC-03881. Retrieved from https://rethinkthc.com/research/goodman-2022-perceptions-of-the-health

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.