CDC National Survey: 21.7% of US High School Students Used Marijuana in the Past Month in 2015

The 2015 national Youth Risk Behavior Survey found that 21.7% of high school students had used marijuana in the past 30 days, a rate that had not significantly changed over recent years despite other substance use declining.

Kann, Laura et al.·Morbidity and mortality weekly report. Surveillance summaries (Washington·2016·Strong EvidenceCross-Sectional
RTHC-01191Cross SectionalStrong Evidence2016RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Strong Evidence
Sample
Not reported

What This Study Found

The Youth Risk Behavior Surveillance System is the CDC's primary tool for monitoring health risk behaviors among US high school students. The 2015 survey covered 118 health behaviors across students in grades 9-12 nationwide and in 37 states and 19 large urban school districts.

Marijuana use stood out as stubbornly persistent. While many other risk behaviors had decreased since tracking began (including cigarette use, alcohol use, and sexual activity), the prevalence of "ever having used marijuana" had not significantly changed over time.

In the 30 days before the survey, 21.7% of students had used marijuana, compared to 32.8% who had drunk alcohol and 10.8% who had smoked cigarettes. The gap between marijuana and cigarette use continued to narrow, reflecting declining cigarette use rather than increasing marijuana use.

Key Numbers

21.7% used marijuana in past 30 days. 32.8% drank alcohol. 10.8% smoked cigarettes. 41.2% had ever had sexual intercourse. Marijuana use prevalence had not significantly changed over the tracking period. Most other risk behaviors had decreased.

How They Did This

National school-based survey conducted by the CDC using a three-stage cluster sample design to produce nationally representative estimates. The 2015 survey included results from 37 state surveys and 19 large urban school district surveys. Standard statistical methods were used to assess trends over time.

Why This Research Matters

This is the gold-standard dataset for understanding adolescent risk behaviors in the United States. The persistence of marijuana use rates while other substance use declines raises questions about whether prevention approaches for cannabis need to differ from those that have successfully reduced cigarette and alcohol use among teens.

The Bigger Picture

The YRBSS data reveals a shifting landscape where marijuana has become relatively more prominent among adolescent substance use as other substances decline. This has implications for school-based prevention programs, which may need to allocate more attention to marijuana-specific messaging.

What This Study Doesn't Tell Us

School-based surveys miss students who are absent, dropped out, or homeschooled. Self-reported data in school settings may be affected by social desirability. The survey captures prevalence but not frequency, quantity, or potency of use.

Questions This Raises

  • ?Why has marijuana use remained stable while cigarette and alcohol use have declined?
  • ?Would cannabis-specific prevention strategies be more effective than general substance use programs?
  • ?How has legalization in some states affected these trends?

Trust & Context

Key Stat:
21.7% of US high school students used marijuana in the past 30 days
Evidence Grade:
National CDC surveillance system with representative sampling and rigorous methodology. One of the most authoritative data sources on adolescent behavior.
Study Age:
Published in 2016 with 2015 data. More recent YRBSS surveys have captured the effects of vaping, legalization, and COVID-19 on youth substance use.
Original Title:
Youth Risk Behavior Surveillance - United States, 2015.
Published In:
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002), 65(6), 1-174 (2016)
Database ID:
RTHC-01191

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 many high school students use marijuana?

In 2015, 21.7% of US high school students had used marijuana in the past 30 days, making it the most commonly used illicit substance among teens.

Is teen marijuana use increasing?

As of 2015, marijuana use among high school students had not significantly changed over the tracking period, unlike cigarette use (which declined) and alcohol use (which also declined).

Read More on RethinkTHC

Cite This Study

RTHC-01191·https://rethinkthc.com/research/RTHC-01191

APA

Kann, Laura; McManus, Tim; Harris, William A; Shanklin, Shari L; Flint, Katherine H; Hawkins, Joseph; Queen, Barbara; Lowry, Richard; Olsen, Emily O'Malley; Chyen, David; Whittle, Lisa; Thornton, Jemekia; Lim, Connie; Yamakawa, Yoshimi; Brener, Nancy; Zaza, Stephanie. (2016). Youth Risk Behavior Surveillance - United States, 2015.. Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002), 65(6), 1-174. https://doi.org/10.15585/mmwr.ss6506a1

MLA

Kann, Laura, et al. "Youth Risk Behavior Surveillance - United States, 2015.." Morbidity and mortality weekly report. Surveillance summaries (Washington, 2016. https://doi.org/10.15585/mmwr.ss6506a1

RethinkTHC

RethinkTHC Research Database. "Youth Risk Behavior Surveillance - United States, 2015." RTHC-01191. Retrieved from https://rethinkthc.com/research/kann-2016-youth-risk-behavior-surveillance

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.