Over 90% of underage young adults who used cannabis perceived easy access, and most used multiple product types
Among underage US young adults in the Monitoring the Future Panel study, 95% of past-year cannabis users perceived easy access to smoking products, and 63.5% of users reported multiple modes of consumption.
Quick Facts
What This Study Found
Among all respondents, 30.7% reported smoking, 19.7% vaping, 18.2% edibles, 10.4% dabbing, and 2.8% drinking cannabis. Among users, 63.5% used multiple modalities. Of past-year users, 95.0% perceived easy access to smoking products, 91.3% to vaping, and 86.7% to edibles. State recreational policy was associated with easier perceived access among non-users.
Key Numbers
3,075 participants (52.9% female). 23.3% used multiple modalities. Smoking: 30.7%, vaping: 19.7%, edibles: 18.2%, dabbing: 10.4%, drinking: 2.8%. Among users: 95.0% easy access to smoking, 91.3% vaping, 86.7% edibles. Among non-users: 77.5% perceived easy smoking access.
How They Did This
Data from adults under 21 in the Monitoring the Future Panel study (2019-2023). Cannabis use prevalence measured by modality (n=3,075). Perceived accessibility assessed for smoking, vaping, and edibles (n=1,227). Logistic regression examined associations with state policy and demographics.
Why This Research Matters
Despite age-based purchase restrictions, nearly all underage young adult cannabis users report easy access. The high prevalence of multi-modality use suggests prevention messaging needs to address the full range of cannabis products, not just smoking.
The Bigger Picture
This study reveals that age-based cannabis purchase restrictions are not effective barriers to access. Even among non-users, over 70% perceive cannabis as easily accessible, suggesting that social sources and informal markets remain robust despite regulated retail.
What This Study Doesn't Tell Us
Self-reported data from a panel study. Perceived accessibility may not equal actual accessibility. Sample limited to panel participants who were originally surveyed in high school. Data from 2019-2023 spans the pandemic period.
Questions This Raises
- ?Where are underage young adults obtaining cannabis?
- ?Does perceived accessibility predict future initiation among non-users?
- ?Would stricter enforcement of age restrictions reduce perceived access?
Trust & Context
- Key Stat:
- 95% of underage users perceived easy access; 63.5% used multiple products
- Evidence Grade:
- Moderate: national panel data with appropriate statistical methods, but limited by self-report and panel attrition considerations.
- Study Age:
- Published 2026. Data from 2019-2023.
- Original Title:
- Patterns of Cannabis Use and Perceived Accessibility Among Underage U.S. Young Adults: Implications for Policy and Prevention.
- Published In:
- Journal of studies on alcohol and drugs, 87(1), 154-163 (2026)
- Authors:
- Terry-McElrath, Yvonne M(2), Pang, Yuk C, Patrick, Megan E(8)
- Database ID:
- RTHC-08657
Evidence Hierarchy
A snapshot of a population at one point in time.
What do these levels mean? →Frequently Asked Questions
Can underage young adults easily get cannabis?
Among past-year users under 21, 95% perceived easy access to cannabis for smoking, 91.3% for vaping, and 86.7% for edibles, despite age-based purchase restrictions.
How many products do young cannabis users consume?
About 63.5% of underage young adult cannabis users reported using multiple product types (smoking, vaping, edibles, dabbing, or drinking).
Read More on RethinkTHC
Cite This Study
https://rethinkthc.com/research/RTHC-08657APA
Terry-McElrath, Yvonne M; Pang, Yuk C; Patrick, Megan E. (2026). Patterns of Cannabis Use and Perceived Accessibility Among Underage U.S. Young Adults: Implications for Policy and Prevention.. Journal of studies on alcohol and drugs, 87(1), 154-163. https://doi.org/10.15288/jsad.25-00026
MLA
Terry-McElrath, Yvonne M, et al. "Patterns of Cannabis Use and Perceived Accessibility Among Underage U.S. Young Adults: Implications for Policy and Prevention.." Journal of studies on alcohol and drugs, 2026. https://doi.org/10.15288/jsad.25-00026
RethinkTHC
RethinkTHC Research Database. "Patterns of Cannabis Use and Perceived Accessibility Among U..." RTHC-08657. Retrieved from https://rethinkthc.com/research/terry-mcelrath-2026-patterns-of-cannabis-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.