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Study breakdown

About 1 in 9 U.S. adolescents use marijuana, and higher use tracks with more missed school and lower grades

Cross SectionalModerate evidence
The takeaway

Analysis of national survey data found that 11.4% of U.S. adolescents ages 12-17 use cannabis, with higher use linked to more missed school days and lower academic performance.

Parents, school administrators, adolescent health providers

1 in 6 adolescents who try marijuana develop a use disorder

What the researchers found

The pooled prevalence of cannabis use among adolescents ages 12-17 was 11.4% (95% CI: 10.70-12.20%). Cannabis use was slightly more common among females than males and among white, Hispanic, and Black adolescents. Higher marijuana use correlated with more skipped classes and lower grades. About 1 in 6 adolescents who try marijuana develop a use disorder.

Why it matters

With increasing THC potency and greater accessibility through legalization, understanding adolescent cannabis use patterns and their academic consequences is essential for prevention efforts.

The numbers in context

11.4% prevalence (95% CI: 10.70-12.20%); slightly higher in females; 1 in 10 users overall develop use disorder; 1 in 6 teen users develop addiction; higher use linked to more class skipping and lower grades

How the study worked

Analysis of the National Survey on Drug Use and Health (NSDUH) data, with age restricted to 12-17 year-olds. Compared cannabis users to non-users across gender, race, school attendance, and academic performance.

What this study cannot tell us

Cross-sectional design cannot establish whether cannabis causes academic problems or if other factors drive both. Self-reported data may undercount use. NSDUH methodology changes over time could affect prevalence estimates.

How to read the evidence

Moderate: nationally representative survey data with large sample, but cross-sectional design and self-reported measures.

When this study was published

2026 publication using NSDUH survey data.

The bigger picture

This adds to the evidence that adolescent cannabis use correlates with academic difficulties. The finding that 1 in 6 adolescent users may develop a use disorder is higher than the adult rate, consistent with the developmental vulnerability of the adolescent brain.

Questions still open

  • Does the relationship between cannabis use and academic performance persist after controlling for socioeconomic factors? Are there differences in outcomes by frequency or potency of use? Would school-based screening reduce the 1-in-6 rate of teen cannabis use disorder?

Common questions

How common is marijuana use among U.S. teens?
About 11.4% of adolescents ages 12-17 reported using cannabis, roughly 1 in 9. Use was slightly more common among females and among white, Hispanic, and Black adolescents.
Does teen marijuana use affect school performance?
This study found that higher marijuana use was associated with more missed school days and lower grades, though it cannot prove cannabis caused these outcomes.

Read the original research

The perils of marijuana use in adolescents.

Journal of addictive diseases, 1-6

Citation

Ward, Savitra; Konda, Sanjana; Zhao, Daniel Zongliang; Ganti, Latha. (2026). The perils of marijuana use in adolescents.. Journal of addictive diseases, 1-6. https://doi.org/10.1080/10550887.2025.2589700

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