76% of older adults surveyed considered cannabis an important treatment option, but only 23% had been asked about cannabis use by their primary care physician.
Primary care physicians, geriatricians, and medical education leaders.
23% asked by PCPabout cannabis use vs. 55-57% asked about tobacco and alcohol, revealing a healthcare communication gap
What the researchers found
76% considered cannabis highly important for older adults, 42% considered themselves highly knowledgeable, but only 23% were asked about cannabis by their PCP (vs. 55% asked about tobacco and 57% about alcohol). Most relied on internet and social media rather than doctors.
Why it matters
As cannabis use rises among older adults, the disconnect between patient interest and provider engagement creates risks from drug interactions, misinformation, and missed counseling opportunities.
The numbers in context
47 participants, average age 71. 53% male, 64% Black. 76% valued cannabis highly for treatment. 23% asked about cannabis by PCP vs. 55% tobacco, 57% alcohol.
How the study worked
Cross-sectional survey of adults aged 65+ in Philadelphia (December 2019-May 2020) with quantitative and qualitative analysis.
Who was studied
47 adults aged 65+ (average 71 years) in Philadelphia, predominantly male (53%) and Black (64%).
What this study cannot tell us
Very small pilot sample (n=47). Philadelphia-specific. Predominantly Black and male sample may not generalize. Survey during early COVID period.
How to read the evidence
Small pilot cross-sectional survey; hypothesis-generating but not generalizable.
When this study was published
Conducted December 2019-May 2020 in Philadelphia.
The bigger picture
This pilot study reveals a significant gap between older adults growing interest in cannabis and the healthcare system readiness to discuss it, echoing findings from younger populations.
Replication
Small pilot; larger studies across diverse populations needed.
Funding
Not specified in abstract
Conflicts of interest
Not specified in abstract
Questions still open
- What prevents PCPs from asking about cannabis use?
- How can healthcare providers become trusted cannabis information sources?
Read the original research
Attitudes, Beliefs, and Perceptions on Cannabis Among Older Adults Aged 65 and Older: A cross-sectional Survey.
Journal of primary care & community health, 14, 21501319231177284
Citation
Kleidon, Alex M; Peterson, Andrew M; Warner-Maron, Ilene; Glicksman, Allen. (2023). Attitudes, Beliefs, and Perceptions on Cannabis Among Older Adults Aged 65 and Older: A cross-sectional Survey.. Journal of primary care & community health, 14, 21501319231177284. https://doi.org/10.1177/21501319231177284