2024 / Retrospective Cohort / Moderate evidenceNational analysis of 1.6 million urologic cancer surgeries found CUD prevalence increased 7-fold (2003-2014) and was linked to 31% longer stays and 33% higher costs, but not more complications.
2024 / Retrospective Cohort / Moderate evidenceNew Mexico study found reported prenatal cannabis use paradoxically decreased after recreational legalization, while cannabis-exposed infants continued to show worse birth outcomes in both periods.
2024 / Cross Sectional / Moderate evidenceFrench ER study found nearly 1 in 4 young visitors (16-25) were using cannabis, with strong associations to unemployment, sexual abuse history, and alcohol problems.
2024 / Cross Sectional / Moderate evidenceFirst study of drug use in Burkina Faso prisons found cannabis was the most common drug (71% of users), with one-third of in-prison users starting drug use while incarcerated.
2024 / Cross Sectional / Moderate evidence21-country survey of 28,154 drug users found higher perceived harm from secondhand cannabis smoke was associated with 70% greater odds of not smoking cannabis at home.
2024 / Cross Sectional / Strong evidenceUS survey of 21,381 adults found perceiving secondhand cannabis smoke as "extremely harmful" was associated with 6x higher odds of banning cannabis smoking in the home.
2024 / Cross Sectional / Moderate evidenceGlobal Drug Survey of 64,000 cannabis users found about 64% smoked at home, with daily home smoking in roughly 25-28%, raising concerns about residential secondhand smoke exposure.
2024 / Narrative Review / Moderate evidenceReview of the past decade of research explains how cannabis triggers psychosis by disrupting the endocannabinoid system during adolescent brain development, affecting synaptic pruning and neurotransmitter signaling.
2024 / Retrospective Cohort / Moderate evidenceMulticenter Israeli study found purified CBD reduced seizures in 92% of 139 children with drug-resistant epilepsy, with 41% achieving >50% reduction and prior CBD oil response predicting success.
2024 / Scoping Review / Moderate evidenceScoping review of 35 studies found cannabinoids in cancer care most studied for nausea/vomiting (77%), with far less evidence for appetite, pain, and tumor effects.
2024 / Review / Strong evidenceNIDA leaders identify critical research gaps: effects of high-THC cannabis during brain development, therapeutic endocannabinoid system manipulation, and CUD treatment strategies.
2024 / Animal Study / Preliminary evidenceRat study found prenatal THC disrupted stress hormone receptors and dopamine signaling specifically in male offspring, causing stress vulnerability that was correctable with a developmental intervention.
2024 / Systematic Review / Strong evidenceSystematic review found cannabis smoking independently increases heart attack risk (aOR up to 5.24) after adjusting for tobacco, while non-smoked cannabis showed no significant cardiac risk.
2024 / Randomized Controlled Trial / Strong evidenceFibromyalgia RCT found cannabis combined with oxycodone reduced opioid intake by 35% but offered no advantage in pain or side effects, with one-third of cannabis users dropping out.
2024 / Retrospective Cohort / Moderate evidenceSpine surgery patients with CUD had 2.6x more readmissions and 3.4x more reoperations after neck fusion, but paradoxically fewer medical complications at 6 and 12 months.
2024 / Animal Study / Preliminary evidenceRat study found prenatal CBD exposure caused glucose intolerance in male offspring by 3 months, with altered liver circadian clock and metabolic gene expression, despite no effects at birth.
2024 / Cross Sectional / Moderate evidenceStudy of 140 adults in addiction treatment found those with ADHD started substance use younger and had higher rates of cannabis, alcohol, and methamphetamine use.
2024 / Meta Analysis / Strong evidenceMeta-analysis of 58 RCTs in adults 50+ found cannabinoid medicines increase common side effects dose-dependently but do not significantly increase serious adverse events, withdrawals, or deaths.
2024 / Randomized Controlled Trial / Strong evidenceRCT of 1,489 university students found the Minder app significantly reduced anxiety, depression, and cannabis use frequency over 30 days, with 77% engagement.
2024 / Systematic Review / Moderate evidenceSystematic review found only 5 RCTs on integrated treatment for psychiatric disorders in cannabis-using youth, revealing a critical gap for depression, bipolar, anxiety, and PTSD.
2024 / Cross Sectional / Strong evidenceNational study of 113,000 young adults found daily cannabis use associated with 1.7-1.8x violent behavior in males, while any cannabis use was linked to 1.6-2.4x higher odds in females.
2024 / Retrospective Cohort / Moderate evidenceRetrospective study found adding marijuana to tobacco during pregnancy did not produce additional adverse birth outcomes, though both groups had high rates of adverse outcomes.
2024 / Cross Sectional / Moderate evidenceStudy of 225 young adults found greater cannabis use linked to small reductions in emotional processing speed and working memory, with modest age-of-onset effects but no sex differences.
2024 / Cross Sectional / Moderate evidenceHair testing for THC metabolites in 13- to 14-year-olds revealed cognitive deficits in memory, verbal ability, and inhibitory control that self-reported cannabis use alone did not capture.
2024 / Animal Study / Preliminary evidenceInhaled cannabis terpenes linalool and beta-myrcene reduced anxiety in mice, but effective dosing patterns and CBD synergy differed between males and females.
2024 / Cross Sectional / Moderate evidenceAmong 12- to 15-year-olds in the ABCD Study, cannabis use was linked to more depression symptoms, with the strongest association in teens who also had smaller amygdala volumes.
2024 / Observational / Preliminary evidenceMedical marijuana patients reported significant relief from gastrointestinal symptoms at every survey point over a 12-month period, with mild to moderate side effects.
2024 / Observational / Preliminary evidenceCBD reduced the cancer-killing ability of activated NK cells against tumors with high Hsp70 expression by suppressing key immune mediators like interferon-gamma and granzyme B.
2024 / Observational / Moderate evidenceControlled study found eyelid tremor had only 18% specificity for detecting recent cannabis use, with trained experts unable to reliably distinguish users from non-users.
2024 / Cross Sectional / Moderate evidenceLab analysis of vaping products from 16 California high schools found 90% of disposable vape pens contained THC or CBD, and some nicotine labels were inaccurate.
2024 / Retrospective Cohort / Moderate evidenceIn a study of over 680,000 patients, semaglutide was associated with 40-56% lower risk of new cannabis use disorder and 38% lower relapse risk compared to other obesity and diabetes medications.
2024 / Animal Study / Preliminary evidenceA compound from cannabis seeds called trilinolein improved eczema in mice by repairing mitochondrial damage in skin cells, performing comparably to the prescription drug crisaborole.
2024 / Review / Preliminary evidenceReview of preclinical research finds CBD extends healthspan and lifespan in model organisms through autophagy and antioxidant mechanisms, with emerging evidence against cellular senescence.
2024 / Review / Preliminary evidenceReview outlines how medicinal cannabis could protect gut mucosal barriers during cancer treatment, potentially addressing the cascade of symptoms from mucositis through the endocannabinoid system.
2024 / Retrospective Cohort / Moderate evidenceData from 24 European countries shows synthetic cannabinoids cause more neurological emergencies (coma, seizures) while natural cannabis is linked to cardiovascular symptoms (tachycardia, chest pain).
2024 / Prospective Cohort / Moderate evidenceLarge pandemic-era cohort found prenatal cannabis exposure linked to a borderline increase in communication delays at 12 months that did not survive statistical correction, with no effects on birth outcomes or other developmental domains.
2024 / Randomized Controlled Trial / Preliminary evidenceSmall 16-day RCT found no significant CBD effect on seborrheic dermatitis in Parkinson's patients, though trends favored CBD over placebo (p = .07 between groups).
2024 / Review / Moderate evidenceExpert panel developed practical consensus guidelines for optimizing Epidiolex dosing in rare epilepsies, emphasizing individualized titration, drug interaction management, and distinguishing from non-approved CBD products.
2024 / Cross Sectional / Preliminary evidencePET imaging shows cannabis users with trauma have 15-20% higher mGlu5 glutamate receptors in frontal and limbic brain regions — a molecular link between the endocannabinoid and glutamate systems.
2024 / Cross Sectional / Moderate evidenceCannabis use was the only substance independently linked to lower grades, truancy, and detention in teens, with significantly stronger associations among adolescents with chronic illness.
2024 / Longitudinal Cohort / Strong evidenceBrain connectivity patterns linked to poor sustained attention at age 14 predicted increases in cannabis and cigarette use through age 23, suggesting attention deficits precede substance use.
2024 / Longitudinal Cohort / Moderate evidenceAnalysis across four studies found that shifts toward using cannabis for multiple motives predicted worse outcomes, offering a foundation for adaptive, personalized interventions.
2024 / Cross Sectional / Moderate evidenceNational survey of 14- to 24-year-olds found most believe cannabis is harmful during pregnancy and want clinician counseling, though over one-third would classify prenatal use as child abuse.
2024 / Observational / Moderate evidenceFirst systematic comparison finds glass pipes release about 80% of radioactive polonium-210 from cannabis, while water pipes release about 40% and filters absorb some contamination.
2024 / Qualitative / Preliminary evidenceInterviews with 20 psychiatric hospital staff found cannabis legalization improved some aspects of care but increased use, complicated mental health treatment, and exposed gaps in provider training.
2024 / Prospective Cohort / Preliminary evidenceAfter ER visits for cannabinoid hyperemesis syndrome, patients had persistent symptoms for a week and most resumed cannabis use within days, with 25% returning to the ER within three months.
2024 / Cross Sectional / Moderate evidenceSurvey of 23,500 New Zealand cannabis users found 60% reported using less alcohol due to cannabis, with substitution patterns varying by age, ethnicity, and urban/rural location.
2024 / Retrospective Cohort / Strong evidenceIn a study of over 558,000 teen surgical patients, those with cannabis use disorder had 2.4x higher risk of needing mechanical ventilation and nearly 2x the risk of ICU admission.
2024 / Animal Study / Preliminary evidenceSynthetic CBD analogue H4CBD reduced body mass by 15% and improved glucose response by 29% in aged diabetic rats, primarily through abdominal fat loss rather than changes in insulin signaling.
2024 / Review / Moderate evidenceUpdated risk assessment establishes a 10 mg/day health-based guidance value for CBD in food products, based on liver toxicity data from both animal and human studies.