Opioid Use Dropped in States That Legalized Recreational Cannabis
- A study led by Boston University School of Public Health found that legalizing cannabis for both medical and recreational use is linked to a 9-to-11-percentage-point decline in daily opioid use among people who inject drugs in the U.S.
- States that allow adult recreational marijuana use in addition to medical use saw greater reductions in opioid consumption compared to states permitting only medical cannabis.
- Increased cannabis access may help users substitute opioids with a safer alternative, potentially lowering opioid-related harms and overdose deaths, especially since opioids account for over 75% of fatal drug overdoses in the U.S.
- The study is timely amid recent U.S. policy changes reducing cannabis classification risks and expanding legalization, particularly benefiting high-risk populations like people who inject drugs, who are central to the opioid crisis.
Legalizing cannabis for both medical and recreational use may lead to a decline in daily opioid use among people who inject drugs in the United States, according to a new study led by a Boston University School of Public Health researcher (BUSPH).
Published in the journal Drug and Alcohol Dependence, the study found that US states that legalized marijuana for medical and adult recreational use saw a 9-to-11-percentage-point decline in daily opioid use among this population, compared to states that legalized marijuana for medical use only.
While the harms and benefits of cannabis use and cannabis reform continue to be debated on the national stage, these findings highlight one major potential advantage of widespread access to marijuana: this increased access may enable people to substitute their use of the unstable and toxic opioid supply with comparatively safer cannabis and, thus, lower their chances of experiencing opioid-related harms or dying from an overdose. In the U.S., opioids contribute to more than 75 percent of fatal drug overdoses.
The study was published on the heels of a significant shift in US drug policy that will indeed lower restrictions on cannabis. Last December, President Donald Trump signed an executive order to downgrade cannabis from a Schedule 1 classification (assigned to drugs such as heroin and ecstasy) to a Schedule 3 classification, which refers to drugs that pose minimal to moderate risk of physical or psychological dependence. Nearly all US states and Washington, DC have legalized cannabis for medical use, while 48 percent of states allow cannabis for adult recreational use.
People who inject drugs are part of a population that is at the epicenter of the opioid crisis in America, and they stand to benefit the most from policies that increase access to cannabis. By focusing on this group, the study builds upon past research on cannabis use and opioid mortality that has primarily examined the general population—which has a lower risk of experiencing opioid-related harms—with mixed results.
Read the full article at Cannabis Equipment News