Nearly 30% of College Students Had Used Marijuana Before Arriving, and 8.5% Started During Freshman Year

Among over 3,000 college students, 30% had used marijuana before college, and 8.5% started during freshman year, with cigarette use, alcohol use, and living on campus as key predictors of initiation.

Suerken, Cynthia K et al.·Addictive behaviors·2014·Moderate EvidenceLongitudinal Cohort
RTHC-00872Longitudinal CohortModerate Evidence2014RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Longitudinal Cohort
Evidence
Moderate Evidence
Sample
N=3,146

What This Study Found

Nearly 30% of students arriving at college reported lifetime marijuana use. Among those who had never used before college, 8.5% initiated during freshman year.

Predictors of having used marijuana before college included: having $100+ monthly spending money, rarely or never attending church, current cigarette/alcohol/hookah use, lifetime use of other illicit drugs, and higher sensation-seeking tendencies.

Predictors of initiating marijuana during freshman year were different: Hispanic ethnicity, living on campus, and current cigarette and alcohol use. The shift from pre-college to freshman-year predictors suggests the college environment itself creates new risk factors, particularly residential living.

Key Numbers

3,146 students from 11 colleges. 30% had used marijuana before college. 8.5% initiated during freshman year. Risk factors for initiation: Hispanic ethnicity, campus residence, cigarette use, alcohol use.

How They Did This

Researchers used data from the first two semesters of a longitudinal study involving 3,146 students from 11 colleges in North Carolina and Virginia. Random-effects logistic regression models identified predictors of lifetime marijuana use at college entry and initiation during freshman year.

Why This Research Matters

College represents a major transition period for substance use. Understanding that nearly one in ten previously non-using students starts marijuana during freshman year, and that living on campus is a key risk factor, has implications for campus-based prevention programming.

The Bigger Picture

The transition to college is associated with increased substance use across the board. This study identifies specific risk factors that could be targeted by prevention programs, particularly the role of campus residential environments in facilitating first-time marijuana use.

What This Study Doesn't Tell Us

The sample was from North Carolina and Virginia colleges and may not represent all college populations. Self-reported substance use may be inaccurate. The study did not measure frequency or quantity of marijuana use after initiation. The two-semester follow-up captures only the beginning of the college experience.

Questions This Raises

  • ?Would targeted prevention for students living on campus reduce freshman-year marijuana initiation?
  • ?Does marijuana initiation in college lead to regular use or is it mostly experimental?
  • ?How do campus policies around marijuana affect initiation rates?

Trust & Context

Key Stat:
8.5% of previously non-using students initiated marijuana during freshman year
Evidence Grade:
This is a multi-site longitudinal study with appropriate regression modeling, providing moderate evidence for the identified risk factors.
Study Age:
Published in 2014. College marijuana use patterns have continued to shift, particularly in states with recreational legalization.
Original Title:
Prevalence of marijuana use at college entry and risk factors for initiation during freshman year.
Published In:
Addictive behaviors, 39(1), 302-7 (2014)
Database ID:
RTHC-00872

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Follows a group of people over time to track how outcomes develop.

What do these levels mean? →

Frequently Asked Questions

Why is living on campus a risk factor?

Campus residential environments increase exposure to peers who use substances, reduce parental oversight, and create social contexts (parties, dorm socializing) where marijuana use is more accessible and normalized.

Does starting marijuana in college lead to long-term use?

This study did not track long-term outcomes. Other research suggests that most college-initiated marijuana use is experimental, but a subset of initiators develop regular use patterns that persist after college.

Read More on RethinkTHC

Cite This Study

RTHC-00872·https://rethinkthc.com/research/RTHC-00872

APA

Suerken, Cynthia K; Reboussin, Beth A; Sutfin, Erin L; Wagoner, Kimberly G; Spangler, John; Wolfson, Mark. (2014). Prevalence of marijuana use at college entry and risk factors for initiation during freshman year.. Addictive behaviors, 39(1), 302-7.

MLA

Suerken, Cynthia K, et al. "Prevalence of marijuana use at college entry and risk factors for initiation during freshman year.." Addictive behaviors, 2014.

RethinkTHC

RethinkTHC Research Database. "Prevalence of marijuana use at college entry and risk factor..." RTHC-00872. Retrieved from https://rethinkthc.com/research/suerken-2014-prevalence-of-marijuana-use

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.