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Missouri College Students More Open to Cannabis After Legalization

Cross SectionalPreliminary evidence
The takeaway

After Missouri legalized recreational cannabis, college students reported higher intentions to use and more positive attitudes toward it.

College health administrators, legalization researchers, public health planners

Higher cannabis use intentions found post-legalization among college students

What the researchers found

Following the 2022 legalization of recreational cannabis in Missouri, college students showed increased intentions to use cannabis and more favorable attitudes compared to pre-legalization baseline data.

Why it matters

Young adults on college campuses are a key population for understanding how legalization shifts cannabis use norms and behaviors.

The numbers in context

Post-legalization survey of Missouri college students; specific percentages and sample sizes in full text.

How the study worked

Cross-sectional survey of college students in Missouri assessing cannabis use intentions, attitudes, and behaviors after recreational legalization.

What this study cannot tell us

Cross-sectional design at a single time point post-legalization. Single university sample limits generalizability. Self-reported intentions may not match actual behavior.

How to read the evidence

Single-site cross-sectional survey limits causal claims about legalization effects.

When this study was published

2025 study examining post-2022 legalization effects in Missouri.

The bigger picture

States that legalize recreational cannabis often see shifts in social norms, particularly among young adults. Whether attitude changes translate to increased problematic use remains an open question.

Questions still open

  • Do more positive attitudes lead to increased use rates over time? How do campus policies moderate the effect of state legalization?

Common questions

Does legalization make college students more likely to use cannabis?
This study found Missouri college students reported more positive attitudes and higher intentions to use cannabis after legalization, though intentions do not always translate to behavior changes.
How quickly do attitudes shift after legalization?
The survey, conducted shortly after Missouri legalized recreational cannabis in 2022, already detected meaningful shifts in student attitudes and intentions.

Read the original research

Missouri College Students' Intentions Towards Initiating or Changing Cannabis Use in a Shifting Legal Landscape.

Cannabis (Albuquerque, N.M.), 8(2), 33-50

Citation

McNamara, Ian A; Parnes, Jamie E; Stetsiv, Khrystyna; Nance, Melissa; Sauer, Jake; Greenwood, Kayleigh; Masters, Joan P; Carpenter, Ryan W. (2025). Missouri College Students' Intentions Towards Initiating or Changing Cannabis Use in a Shifting Legal Landscape.. Cannabis (Albuquerque, N.M.), 8(2), 33-50. https://doi.org/10.26828/cannabis/2025/000286