Smoking Remains the Most Common Way Americans Use Cannabis, With Vaping Rising Among Young Adults

Using the 2022 BRFSS data from 22 states and 2 territories, 15.3% of adults reported past 30-day cannabis use. Among users, smoking was most common (79.4%), followed by eating (41.6%), vaping (30.3%), and dabbing (14.6%). Vaping and dabbing were most prevalent among ages 18-24. The survey used a newly revised marijuana module for the first time.

Analysis of the 2022 Behavioral Risk Factor Surveillance System (BRFSS) with a newly revised optional marijuana module administered across 22 states and 2 territories. Weighted prevalences with 95% CIs were reported overall and by demographic characteristics. Women aged 49 or under were analyzed by pregnancy status.

This is the first BRFSS analysis using an updated marijuana module that captures multiple routes of use, providing the most comprehensive population-level picture of how Americans actually consume cannabis. The dominance of smoking despite known respiratory risks has direct public health implications.

Despite the proliferation of edibles, vapes, and concentrates, smoking remains how nearly 4 in 5 cannabis users consume the drug. This has implications for respiratory health interventions, which remain relevant even as alternative products gain market share. The concentration of vaping and dabbing among young adults suggests generational shifts in consumption patterns.

BRFSS is phone-based survey with potential response bias. Only 22 states plus 2 territories administered the module. Self-reported use may underestimate actual consumption. Cannot capture all emerging product forms. Cross-sectional snapshot from a single year.