Daily marijuana use is outpacing daily drinking habits—but is that any better?

By Claire Wolters | Fact-checked by Jessica Wrubel
Published September 6, 2024

Key Takeaways

  • A new study found that marijuana use in the United States is outpacing daily drinking habits for the first time.

  • Alcohol is one of the leading causes of preventable deaths, so decreased drinking can have major health benefits.

  • It is unclear whether or not replacing alcohol with marijuana is healthier, and more research on marijuana is needed to find out. 

  • So far, researchers have noted both positives and negatives to marijuana consumption, which may depend on how it is being used and by whom.

A new study found that daily marijuana use is, for the first time, outpacing daily alcohol consumption in the United States. Trends in marijuana use follow policy changes, with periods of increased marijuana use correlating with decreased restrictions on the substance, according to the study.[] Youth and young adults are also drinking less today than they were one or two decades ago.[]

Alcohol is one of the leading causes of preventable deaths in the US—where an estimated 178,000-plus deaths per year are attributed to excessive alcohol use, according to The Alcohol-Related Disease Impact application.[] Excessive alcohol drinking can lead to impaired judgment in the moment and increase chances of developing conditions like diabetes, obesity, and other chronic conditions in the future—all of which can put a person’s health at risk. As a result, decreasing alcohol use can have a multitude of benefits on a person’s health.

However, it is unclear whether replacing alcohol with marijuana has the same positive impact.  

Cannabis unknowns

Nora Volkow, MD, the director of the National Institute on Drug Abuse (NIDA), says that there are many unknowns of cannabis due to a substantial lack of research on the plant.

“While many of the health effects of alcohol have been well established through decades of research, we do not have the same evidence base for cannabis at present,” Dr. Volkow says. “Rigorous research on the potential risks, benefits, and health effects of cannabis use is urgently needed.”

Limited research on marijuana is largely due to its classification as a Schedule I drug, which places the substance under the country’s strictest drug laws. The classification has implications for use, criminalization, and research. Thet Attorney General has proposed to switch marijuana’s classification to a Schedule III drug, which would make it still a controlled substance but with more lenient restrictions. Still, this change has yet to come to fruition.[]

What researchers do know about marijuana is mixed, with some evidence showing that the drug can be successful at treating types of pain, weight loss, and epilepsy—and other reports showing adverse health effects like addiction, respiratory problems, accidents, psychosis, and cardiovascular events.

To date, the US Food and Drug Administration (FDA) has not approved a drug containing the whole cannabis or marijuana plant. However, the agency has approved some cannabis and marijuana-based products for medication.[] Some FDA-approved cannabis-based medications include dronabinol and nabilone, which are THC-based and treat nausea and vomiting associated with cancer chemotherapy as well as weight loss associated with HIV and AIDS.

As usage rises, Dr. Volkow says it is important for research to “continue to explore potential therapeutic effects of cannabis to help inform individual and public health decisions, including strategies to minimize potential harms associated with cannabis use.

What this means for you

Studies show that today’s young adults are drinking less than generations before them. And for the first time, marijuana use is outpacing daily drinking in the United States. While low

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