Older Adults’ Perspectives on and Experiences with Cannabis Use: Results From the 2024 National Poll on Healthy Aging

TL;DR

A national poll shows that 21% of older adults used cannabis in the past year, often for relaxation, sleep, or pain, but many didn't discuss it with doctors and showed signs of cannabis use disorder.

Contribution

The study provides new insights into the prevalence, motives, and health provider communication gaps of cannabis use among older adults in the U.S.

Findings

21% of older adults reported past-year cannabis use, with 12% using it at least monthly.

Common motives included relaxation (81%), sleep (68%), and pain (63%).

44% of monthly users had not discussed cannabis use with healthcare providers, and many showed signs of cannabis use disorder.

Abstract

Cannabis use is increasing among older adults, concurrent with regulations allowing medical and/or recreational consumption, increases in the THC potency of cannabis products, and declining public perceptions of cannabis-related risks. Using a nationally representative poll of 3,379 adults age 50 and older, we described the prevalence of cannabis use and associated characteristics (e.g., motives for consumption, cannabis use disorder [CUD] symptoms, discussions with healthcare providers). One-fifth (21%) of older adults reported past-year cannabis use (once/twice: 9%, at least monthly: 12%). Frequently endorsed motives for consumption included: relaxation (81%), sleep (68%), enhancement (i.e., enjoyment, celebration, feel good; 64%), pain (63%), and mental health/mood (53%). Among respondents who consumed cannabis at least monthly, 44% had not discussed their use with healthcare providers and many reported CUD symptoms including tolerance (17-22% across items) and craving (13%). Greater understanding of older adults’ motives for and experiences with cannabis use can guide recommendations and interventions.