Cannabis Use Among Canadians Aged 55–65 Jumped After Legalization

Cannabis use among Canadian adults aged 55–65 significantly increased from 19% before legalization (2018) to 25% after (2019), with many using it for health reasons — highlighting the need for age-specific education about interactions with medications.

Wadsworth, Elle et al.·Journal of drug issues·2025·Strong EvidenceCross-Sectional
RTHC-07896Cross SectionalStrong Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Strong Evidence
Sample
N=18,177

What This Study Found

Past 12-month cannabis use among 55–65-year-olds significantly increased from 19.3% (2018, pre-legalization) to 24.5% in 2019 (first year post-legalization) and continued rising. A substantial proportion used cannabis to manage physical or mental health conditions.

Key Numbers

18,177 total adults aged 55–65 surveyed. 4,119 past-year cannabis consumers. Use increased from 19.3% (2018) to 24.5% (2019). Significant increase (p < 0.001). Substantial health-motivated use reported.

How They Did This

Repeat cross-sectional survey of Canadian adults aged 55–65 (n=18,177 total, n=4,119 cannabis consumers) across 2018–2021 survey waves, spanning pre- and post-legalization of non-medical cannabis in Canada.

Why This Research Matters

Adults aged 55–65 are more likely to take prescription medications, making cannabis-drug interactions a real concern. The rapid increase in use post-legalization among this age group means healthcare providers need to proactively ask older patients about cannabis use.

The Bigger Picture

Legalization doesn't just affect young people — older adults are among the fastest-growing cannabis user demographics. With more chronic conditions and medications, this group may face unique risks and benefits that standard cannabis education doesn't address.

What This Study Doesn't Tell Us

Self-reported use — may still underestimate true prevalence. Repeat cross-sectional design (different people each wave), so cannot track individual changes. Cannot determine if new users are first-time users or returning after years of non-use. Canadian-specific.

Questions This Raises

  • ?Are healthcare providers screening older adults for cannabis use post-legalization?
  • ?What specific drug interactions are most relevant for this age group?
  • ?Are older adults accessing regulated products or unregulated sources?

Trust & Context

Key Stat:
Evidence Grade:
Large representative survey (18,177 participants) spanning pre- and post-legalization with clear temporal analysis.
Study Age:
Published 2025, data from 2018–2021.
Original Title:
Cannabis Consumption Among Adults Aged 55-65 in Canada, 2018-2021.
Published In:
Journal of drug issues, 55(1), 33-49 (2025)
Database ID:
RTHC-07896

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 are more older adults using cannabis after legalization?

Legalization likely reduced stigma, improved access, and increased awareness of potential health benefits. Many older adults report using cannabis for pain, sleep, and mental health — conditions common in this age group.

Should older adults worry about cannabis and their medications?

Yes — cannabis can interact with many common medications including blood thinners, blood pressure drugs, and some antidepressants through CYP450 enzyme interactions. Always inform your pharmacist and doctor about cannabis use.

Read More on RethinkTHC

Cite This Study

RTHC-07896·https://rethinkthc.com/research/RTHC-07896

APA

Wadsworth, Elle; Cristiano, Nick; Gabrys, Robert; Renard, Justine; Hammond, David. (2025). Cannabis Consumption Among Adults Aged 55-65 in Canada, 2018-2021.. Journal of drug issues, 55(1), 33-49. https://doi.org/10.1177/00220426231190022

MLA

Wadsworth, Elle, et al. "Cannabis Consumption Among Adults Aged 55-65 in Canada, 2018-2021.." Journal of drug issues, 2025. https://doi.org/10.1177/00220426231190022

RethinkTHC

RethinkTHC Research Database. "Cannabis Consumption Among Adults Aged 55-65 in Canada, 2018..." RTHC-07896. Retrieved from https://rethinkthc.com/research/wadsworth-2025-cannabis-consumption-among-adults

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.