Teen smokers in post marijuana legalization era: Facts and figures

The legalization of marijuana across several U.S. states has reshaped its consumption patterns, economic contributions, and social implications. This study investigates the initiation of marijuana use among teenagers in the post-legalization era, emphasizing whether the presence of marijuana laws influences usage trends among individuals aged 12 years and older. Data were obtained from the National Survey on Drug Use and Health (NSDUH), covering the years 2013–2021, with the exception of 2020 due to methodological adjustments. Both national and regional trends were analyzed to determine whether state-level marijuana laws affected the initiation of use among teens.

Findings indicate that teen initiation of marijuana increased consistently from 2013 through 2019, with notable rises in the South and Massachusetts compared to other regions. Although a decline was observed in 2021, the overall trend revealed growing acceptance and reduced perception of marijuana as a risky substance. The results also showed that legalization indirectly fostered black-market activity, which provided cheaper and potentially unsafe marijuana products to minors. Despite strong legal prohibitions at federal and state levels against sales to minors, enforcement challenges and evolving social attitudes reduced the deterrent effects of these laws. In conclusion, marijuana legalization did not significantly deter teenage initiation. Instead, shifting risk perceptions and illegal distribution networks contributed to increased use. The study underscores the need for stronger regulatory enforcement, stricter penalties for illicit distribution, and enhanced educational campaigns targeting youth. Future research should examine the effects of taxation and evolving public health strategies on teen consumption patterns.