People With Disabilities Were More Likely to Use Medical Cannabis, Regardless of Social Support

Among 822 adults with anxiety or depression, those with self-reported disabilities had higher odds of using medical cannabis regardless of their social support levels, while for non-disabled individuals, more social support was linked to less medical cannabis use.

Vogel, Erin A et al.·Cannabis (Albuquerque·2025·Moderate EvidenceCross-Sectional
RTHC-07885Cross SectionalModerate Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
N=822

What This Study Found

A significant interaction between disability and social support showed that social support was associated with lower odds of medical cannabis use among those without disability (p=0.038), but had no effect on medical cannabis use among those with disability (p=0.525). Disability and social support were not associated with recreational cannabis use.

Key Numbers

N = 822. 51.1% self-reported disability. 24.9% past-month medical cannabis use. 25.4% past-month recreational cannabis use. Racially diverse: 25.3% American Indian, 25.1% Black, 25.1% White, 24.6% Latinx. 64.6% female. Mean age 38.3.

How They Did This

Cross-sectional baseline survey of 822 adults with clinically significant anxiety and/or depression participating in a clinical trial. Self-reported disability, perceived social support, and past-month medical and recreational cannabis use were assessed. Regression models adjusted for race/ethnicity, gender, age, and income.

Why This Research Matters

This study reveals that people with disabilities may turn to medical cannabis as a healthcare resource that social support cannot substitute for. Unlike non-disabled individuals who may reduce cannabis use when they have strong support networks, disabled individuals may use cannabis to manage symptoms that social support alone cannot address.

The Bigger Picture

As medical cannabis becomes more accessible, understanding why people with disabilities use it — and that social support doesn't diminish their use — suggests these individuals may have symptom management needs that mainstream healthcare isn't adequately meeting.

What This Study Doesn't Tell Us

Cross-sectional — cannot determine causation. Self-reported disability (broad definition). All participants had anxiety/depression, limiting generalizability. Cannot distinguish specific disabilities. Clinical trial participants may not represent general population.

Questions This Raises

  • ?What specific symptoms are disabled individuals managing with medical cannabis?
  • ?Would improved healthcare access reduce medical cannabis use in this population?
  • ?Should disability status inform clinical cannabis recommendations?

Trust & Context

Key Stat:
Evidence Grade:
Diverse cross-sectional sample from a clinical trial with appropriate statistical modeling, but baseline-only data and self-reported measures.
Study Age:
Published 2025.
Original Title:
Associations of Disability and Social Support with Cannabis Use Among Adults with Anxiety and Depressive Symptoms.
Published In:
Cannabis (Albuquerque, N.M.), 8(3), 103-115 (2025)
Database ID:
RTHC-07885

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

Why don't support networks reduce medical cannabis use for disabled individuals?

Researchers suggest that people with disabilities may use medical cannabis to manage physical symptoms, chronic pain, or functional limitations that social support cannot address — it's serving a healthcare function, not a coping mechanism.

Is recreational cannabis use different?

Yes — neither disability nor social support was associated with recreational cannabis use. The disability-specific pattern was only seen with medical use, supporting the idea that disabled individuals are using cannabis therapeutically.

Read More on RethinkTHC

Cite This Study

RTHC-07885·https://rethinkthc.com/research/RTHC-07885

APA

Vogel, Erin A; Romm, Katelyn F; McMaughan, D J; Zvolensky, Michael J; Garey, Lorra; Businelle, Michael S. (2025). Associations of Disability and Social Support with Cannabis Use Among Adults with Anxiety and Depressive Symptoms.. Cannabis (Albuquerque, N.M.), 8(3), 103-115. https://doi.org/10.26828/cannabis/2025/000305

MLA

Vogel, Erin A, et al. "Associations of Disability and Social Support with Cannabis Use Among Adults with Anxiety and Depressive Symptoms.." Cannabis (Albuquerque, 2025. https://doi.org/10.26828/cannabis/2025/000305

RethinkTHC

RethinkTHC Research Database. "Associations of Disability and Social Support with Cannabis ..." RTHC-07885. Retrieved from https://rethinkthc.com/research/vogel-2025-associations-of-disability-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.