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Comparative Effects of Recreational and Medical Marijuana Laws on Drug Use among Adults and Adolescents

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  • Alex Hollingsworth
  • Coady Wing
  • Ashley C. Bradford

Abstract

Thirty-four states have medical marijuana laws, and 10 states have recreational marijuana laws. Little research compares how these two types of laws affect drug consumption in the general population or in particular age groups. Using a difference-in-differences strategy, we find that recreational laws increase past-year marijuana use by 25 percent among adults and by 10 percent among adolescents. In contrast, medical laws increase adult use by only 5 percent and have a negligible effect on adolescent use. We also find that recreational marijuana dispensaries are an important driver of the increase in marijuana use for adults 26 and older. Our results suggest that medical laws succeed in mitigating recreational (nonmedical) use, that recreational laws produce large increases in marijuana use in the general population, and that underage marijuana use may be an important problem with existing implementations of recreational marijuana laws.

Suggested Citation

  • Alex Hollingsworth & Coady Wing & Ashley C. Bradford, 2022. "Comparative Effects of Recreational and Medical Marijuana Laws on Drug Use among Adults and Adolescents," Journal of Law and Economics, University of Chicago Press, vol. 65(3), pages 515-554.
    • Handle: RePEc:ucp:jlawec:doi:10.1086/721267
    DOI: 10.1086/721267
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    1. D. Mark Anderson & Daniel I. Rees, 2014. "The Legalization of Recreational Marijuana: How Likely Is the Worst‐Case Scenario?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 33(1), pages 221-232, January.
    2. Hollingsworth, Alex & Ruhm, Christopher J. & Simon, Kosali, 2017. "Macroeconomic conditions and opioid abuse," Journal of Health Economics, Elsevier, vol. 56(C), pages 222-233.
    3. Liana Jacobi & Michelle Sovinsky, 2016. "Marijuana on Main Street? Estimating Demand in Markets with Limited Access," American Economic Review, American Economic Association, vol. 106(8), pages 2009-2045, August.
    4. D. Mark Anderson & Benjamin Hansen & Daniel I. Rees, 2015. "Medical Marijuana Laws and Teen Marijuana Use," American Law and Economics Review, American Law and Economics Association, vol. 17(2), pages 495-528.
    5. Andrew Goodman-Bacon, 2018. "Difference-in-Differences with Variation in Treatment Timing," NBER Working Papers 25018, National Bureau of Economic Research, Inc.
    6. Benjamin Hansen & Keaton Miller & Caroline Weber, 2017. "Getting into the Weeds of Tax Invariance," NBER Working Papers 23632, National Bureau of Economic Research, Inc.
    7. Anna Choi & Dhaval Dave & Joseph J. Sabia, 2019. "Smoke Gets in Your Eyes: Medical Marijuana Laws and Tobacco Cigarette Use," American Journal of Health Economics, MIT Press, vol. 5(3), pages 303-333, Summer.
    8. Jeffrey M. Wooldridge, 2005. "Fixed-Effects and Related Estimators for Correlated Random-Coefficient and Treatment-Effect Panel Data Models," The Review of Economics and Statistics, MIT Press, vol. 87(2), pages 385-390, May.
    9. Rosalie L. Pacula & David Powell & Paul Heaton & Eric L. Sevigny, 2015. "Assessing the Effects of Medical Marijuana Laws on Marijuana Use: The Devil is in the Details," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 34(1), pages 7-31, January.
    10. Zhuan Pei & Jörn-Steffen Pischke & Hannes Schwandt, 2019. "Poorly Measured Confounders are More Useful on the Left than on the Right," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 205-216, April.
    11. Joseph J. Sabia & Jeffrey Swigert & Timothy Young, 2017. "The Effect of Medical Marijuana Laws on Body Weight," Health Economics, John Wiley & Sons, Ltd., vol. 26(1), pages 6-34, January.
    12. Friedman, Abigail S., 2015. "How does electronic cigarette access affect adolescent smoking?," Journal of Health Economics, Elsevier, vol. 44(C), pages 300-308.
    13. Powell, David & Pacula, Rosalie Liccardo & Jacobson, Mireille, 2018. "Do medical marijuana laws reduce addictions and deaths related to pain killers?," Journal of Health Economics, Elsevier, vol. 58(C), pages 29-42.
    14. Christopher J. Ruhm, 2018. "Deaths of Despair or Drug Problems?," NBER Working Papers 24188, National Bureau of Economic Research, Inc.
    15. repec:oup:alecon:v:17:y:2015:i:2:p:495-528. is not listed on IDEAS
    16. Evelina Gavrilova & Takuma Kamada & Floris Zoutman, 2019. "Is Legal Pot Crippling Mexican Drug Trafficking Organisations? The Effect of Medical Marijuana Laws on US Crime," The Economic Journal, Royal Economic Society, vol. 129(617), pages 375-407.
    17. Angela K. Dills & Sietse Goffard & Jeffrey Miron, 2017. "The Effects of Marijuana Liberalizations: Evidence from Monitoring the Future," NBER Working Papers 23779, National Bureau of Economic Research, Inc.
    18. Nathan W. Chan & Jesse Burkhardt & Matthew Flyr, 2020. "The Effects Of Recreational Marijuana Legalization And Dispensing On Opioid Mortality," Economic Inquiry, Western Economic Association International, vol. 58(2), pages 589-606, April.
    19. Wen, Hefei & Hockenberry, Jason M. & Cummings, Janet R., 2015. "The effect of medical marijuana laws on adolescent and adult use of marijuana, alcohol, and other substances," Journal of Health Economics, Elsevier, vol. 42(C), pages 64-80.
    20. Lynne-Landsman, S.D. & Livingston, M.D. & Wagenaar, A.C., 2013. "Effects of state medical marijuana laws on adolescent marijuana use," American Journal of Public Health, American Public Health Association, vol. 103(8), pages 1500-1506.
    21. Ashley C. Bradford & W. David Bradford, 2018. "The Impact of Medical Cannabis Legalization on Prescription Medication Use and Costs under Medicare Part D," Journal of Law and Economics, University of Chicago Press, vol. 61(3), pages 461-487.
    22. Hollingsworth, Alex & Wing, Coady, 2020. "Tactics for design and inference in synthetic control studies: An applied example using high-dimensional data," SocArXiv fc9xt, Center for Open Science.
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    Cited by:

    1. Thanh Lu, 2021. "Marijuana legalization and household spending on food and alcohol," Health Economics, John Wiley & Sons, Ltd., vol. 30(7), pages 1684-1696, July.
    2. Rahi Abouk & Keshar M. Ghimire & Johanna Catherine Maclean & David Powell, 2023. "Pain Management and Work Capacity: Evidence From Workers’ Compensation and Marijuana Legalization," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(3), pages 737-770, June.
    3. Borbely, Daniel & Lenhart, Otto & Norris, Jonathan & Romiti, Agnese, 2022. "Marijuana Legalization and Mental Health," IZA Discussion Papers 15729, Institute of Labor Economics (IZA).
    4. Shyam Raman & Johanna Catherine Maclean & W. David Bradford & Coleman Drake, 2023. "Recreational cannabis and opioid distribution," Health Economics, John Wiley & Sons, Ltd., vol. 32(4), pages 747-754, April.
    5. Dave, Dhaval & Liang, Yang & Pesko, Michael F. & Phillips, Serena & Sabia, Joseph J., 2023. "Have recreational marijuana laws undermined public health progress on adult tobacco use?," Journal of Health Economics, Elsevier, vol. 90(C).
    6. Hollingsworth, Alex & Wing, Coady, 2020. "Tactics for design and inference in synthetic control studies: An applied example using high-dimensional data," SocArXiv fc9xt, Center for Open Science.
    7. Mathur, Neil K. & Ruhm, Christopher J., 2023. "Marijuana legalization and opioid deaths," Journal of Health Economics, Elsevier, vol. 88(C).
    8. Mir M. Ali & Chandler McClellan & Ryan Mutter & Daniel I. Rees, 2023. "Recreational marijuana laws and the misuse of prescription opioids: Evidence from National Survey on Drug Use and Health microdata," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 277-301, February.
    9. Antonios M. Koumpias & Charles Courtemanche & Jordan W. Jones & Daniela Zapata, 2024. "Revisiting the connection between state Medicaid expansions and adult mortality," Southern Economic Journal, John Wiley & Sons, vol. 91(1), pages 187-212, July.
    10. Sabia, Joseph J. & Dave, Dhaval & Alotaibi, Fawaz & Rees, Daniel I., 2024. "The effects of recreational marijuana laws on drug use and crime," Journal of Public Economics, Elsevier, vol. 234(C).
    11. Smart, Rosanna & Doremus, Jacqueline, 2023. "The kids aren’t alright: The effects of medical marijuana market size on adolescents," Journal of Health Economics, Elsevier, vol. 87(C).
    12. Coleman Drake & Dylan Nagy & Matthew D. Eisenberg & David Slusky, 2024. "Medical Cannabis Availability and Mental Health: Evidence From New York’s Medical Cannabis Program," NBER Working Papers 32514, National Bureau of Economic Research, Inc.
    13. Coleman Drake & Jiebing Wen & Jesse Hinde & Hefei Wen, 2021. "Recreational cannabis laws and opioid‐related emergency department visit rates," Health Economics, John Wiley & Sons, Ltd., vol. 30(10), pages 2595-2605, September.
    14. Anderson, D. Mark & Rees, Daniel I., 2021. "The Public Health Effects of Legalizing Marijuana," IZA Discussion Papers 14292, Institute of Labor Economics (IZA).
    15. Shyam Raman & Ashley C. Bradford, 2022. "Recreational cannabis legalizations associated with reductions in prescription drug utilization among Medicaid enrollees," Health Economics, John Wiley & Sons, Ltd., vol. 31(7), pages 1513-1521, July.

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