Daily marijuana use outpaces daily drinking in the US, new study says

For the first time, the number of Americans who use marijuana almost daily has surpassed the number who drink that often, a shift some 40 years in the making as recreational pot use became more mainstream and legal in nearly half of US states.

In 2022, an estimated 17.7 million people reported using marijuana daily or near-daily compared to 14.7 million daily or near-daily drinkers, according an analysis of national survey data. In 1992, when daily pot use hit a low point, less than a million people said they used marijuana nearly every day.

Alcohol is still more widely used overall, but 2022 was the first time this intensive level of marijuana use overtook daily and near-daily drinking, said the study’s author, Jonathan Caulkins, a cannabis policy researcher at Carnegie Mellon University.

“A good 40 per cent of current cannabis users are using it daily or near daily, a pattern that is more associated with tobacco use than typical alcohol use,” Caulkins said.

The research, based on data from the National Survey on Drug Use and Health, was published today NZT in the journal Addiction. The survey is a highly regarded source of self-reported estimates of tobacco, alcohol, and drug use in the United States.

From 1992 to 2022, the per capita rate of reporting daily or near-daily marijuana use increased 15-fold. Caulkins acknowledged in the study that people may be more willing to report marijuana use as public acceptance grows, which could boost the increase.

Michael Keren, left, and Scott Kisch smoke a marijuana cigarette during a 'Joints for Jabs' event in 2021. Photo / AP

Most American states now allow medical or recreational marijuana, though it remains illegal at the federal level. In November, Florida voters will decide on a constitutional amendment allowing recreational cannabis, and the federal Government is moving to reclassify marijuana as a less dangerous drug.

Research shows that high-frequency users are more likely to become addicted to marijuana, said Dr David Gorelick, a psychiatry professor at the University of Maryland School of Medicine, who was not involved in the study.

The number of daily users suggests that more people are at risk of developing problematic cannabis use or addiction, Gorelick said.

“High frequency use also increases the risk of developing cannabis-associated psychosis,” a severe condition where a person loses touch with reality, he said.