Nearly 60% of top hip-hop music videos on YouTube contained nicotine or cannabis depictions, generating over 100 billion substance impressions

Analysis of 1,160 top YouTube music videos from 2024 found hip-hop/rap videos were 13 times more likely to depict nicotine or cannabis than other genres, with US videos favoring cannabis and German videos favoring nicotine.

Morgenstern, Matthis et al.·Substance use & misuse·2026·Moderate EvidenceCross-Sectional
RTHC-08506Cross SectionalModerate Evidence2026RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
N=1,160

What This Study Found

41% of all top music videos contained nicotine or cannabis depictions. Hip-hop/rap videos were dramatically more likely (59.5%) to contain substance depictions compared to other genres (10.1%, OR = 13.11). US hip-hop emphasized cannabis; German hip-hop emphasized nicotine. Estimated 57 billion nicotine and 49 billion cannabis impressions.

Key Numbers

1,160 videos. 479 (41%) contained substance depictions. Hip-hop/rap OR = 13.11 vs. other genres. 4,478 total occurrences. Estimated 57 billion nicotine and 49 billion cannabis impressions.

How They Did This

Content analysis of all German- and English-language videos from the 2024 YouTube Top 100 charts (n = 1,160). Videos categorized by genre and substance content. Occurrences counted. Exposure estimated by multiplying occurrences by March 2025 view counts.

Why This Research Matters

Music videos are among the most-consumed media by adolescents, and substance depictions are an established risk factor for youth initiation. The scale of exposure (over 100 billion impressions) represents a massive, unregulated channel for substance normalization.

The Bigger Picture

While tobacco advertising is heavily regulated, substance depictions in music videos reach billions of viewers with no age restrictions or warning labels.

What This Study Doesn't Tell Us

Content analysis cannot prove viewer behavior changes. Impression estimates assume all viewers saw the depictions. No assessment of how depictions were framed. Single year of data.

Questions This Raises

  • ?Would age restrictions or warning labels on substance-containing music videos reduce youth exposure?
  • ?How do these depictions influence initiation?

Trust & Context

Key Stat:
59.5% of hip-hop videos contained substance depictions vs. 10.1% of other genres
Evidence Grade:
Comprehensive content analysis with large sample, but cannot establish causal links between media depictions and behavior.
Study Age:
2026 publication analyzing 2024 YouTube data
Original Title:
Depictions of Nicotine and Cannabis in Popular US and German Hip-Hop/Rap Music Videos: A YouTube Top 100 Content Analysis.
Published In:
Substance use & misuse, 1-5 (2026)
Database ID:
RTHC-08506

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

Do music videos cause young people to use substances?

This study measured depictions and exposure, not behavioral outcomes. Prior research has established media substance depictions as a risk factor for youth initiation.

Why is cannabis more common in US videos?

Cultural normalization of cannabis in the US, including expanding legalization, likely influences how frequently artists depict it.

Read More on RethinkTHC

Cite This Study

RTHC-08506·https://rethinkthc.com/research/RTHC-08506

APA

Morgenstern, Matthis; Süßkow, Eddy; Neumann, Clemens; Hanewinkel, Reiner. (2026). Depictions of Nicotine and Cannabis in Popular US and German Hip-Hop/Rap Music Videos: A YouTube Top 100 Content Analysis.. Substance use & misuse, 1-5. https://doi.org/10.1080/10826084.2025.2611414

MLA

Morgenstern, Matthis, et al. "Depictions of Nicotine and Cannabis in Popular US and German Hip-Hop/Rap Music Videos: A YouTube Top 100 Content Analysis.." Substance use & misuse, 2026. https://doi.org/10.1080/10826084.2025.2611414

RethinkTHC

RethinkTHC Research Database. "Depictions of Nicotine and Cannabis in Popular US and German..." RTHC-08506. Retrieved from https://rethinkthc.com/research/morgenstern-2026-depictions-of-nicotine-and

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.