Most cannabis users in the US use multiple product types, with patterns varying by demographics

Analysis of the 2022 national drug survey found most US cannabis users consumed more than one type of product, with smoking remaining dominant but edibles, vaping, and dabbing increasingly common among both adults and adolescents.

Leal, Wanda E et al.·Addictive behaviors·2024·Strong EvidenceObservational
RTHC-05460ObservationalStrong Evidence2024RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Observational
Evidence
Strong Evidence
Sample
Not reported

What This Study Found

Among cannabis users surveyed in the 2022 NSDUH, the majority used more than one cannabis product type. Eight routes of administration were examined: smoking, vaping, eating/drinking, dabbing, drops/lozenges, topical, pills, and other. Prevalence patterns were fairly consistent between adults and adolescents, and individual-level factors associated with use varied by route of administration.

Key Numbers

Eight product types examined; majority of both adult and adolescent users consumed multiple product types; prevalence patterns consistent across age groups; individual-level correlates varied by route of administration

How They Did This

Analysis of 2022 National Survey on Drug Use and Health (NSDUH) data examining prevalence and correlates of eight cannabis product types and a cannabis variety scale among nationally representative samples of adult and adolescent cannabis users.

Why This Research Matters

Different routes of cannabis administration carry different risks. Understanding who uses which products can help target harm reduction messaging and clinical screening to the right populations.

The Bigger Picture

The diversification of cannabis products through legal dispensaries has created a complex consumption landscape where most users are multi-product consumers, complicating both research and public health messaging.

What This Study Doesn't Tell Us

Cross-sectional survey data; self-reported use without verification; cannot determine frequency or quantity by product type; 2022 data from a single year; does not capture product potency or specific cannabinoid content

Questions This Raises

  • ?Do multi-product users face greater health risks than single-product users?
  • ?How should harm reduction messaging account for the dominant multi-product use pattern?

Trust & Context

Key Stat:
Majority of users consumed multiple product types
Evidence Grade:
Nationally representative survey data with comprehensive product type assessment, though cross-sectional and self-reported.
Study Age:
2024 publication analyzing 2022 NSDUH data
Original Title:
The many forms of cannabis use: Prevalence and correlates of routes of administration among nationally representative samples of U.S. adult and adolescent cannabis users.
Published In:
Addictive behaviors, 159, 108146 (2024)
Database ID:
RTHC-05460

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

How many cannabis product types do most users consume?

The majority of both adult and adolescent cannabis users reported using more than one type of cannabis product. The study examined eight categories: smoking, vaping, eating/drinking, dabbing, drops/lozenges, topical, pills, and other methods.

Do teens and adults use the same types of products?

The overall prevalence patterns were fairly consistent between adults and adolescents, though individual-level factors associated with using different product types varied. Certain demographic and personal characteristics predicted use of specific routes of administration.

Read More on RethinkTHC

Cite This Study

RTHC-05460·https://rethinkthc.com/research/RTHC-05460

APA

Leal, Wanda E; Moscrop-Blake, Kelsi. (2024). The many forms of cannabis use: Prevalence and correlates of routes of administration among nationally representative samples of U.S. adult and adolescent cannabis users.. Addictive behaviors, 159, 108146. https://doi.org/10.1016/j.addbeh.2024.108146

MLA

Leal, Wanda E, et al. "The many forms of cannabis use: Prevalence and correlates of routes of administration among nationally representative samples of U.S. adult and adolescent cannabis users.." Addictive behaviors, 2024. https://doi.org/10.1016/j.addbeh.2024.108146

RethinkTHC

RethinkTHC Research Database. "The many forms of cannabis use: Prevalence and correlates of..." RTHC-05460. Retrieved from https://rethinkthc.com/research/leal-2024-the-many-forms-of

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.