Evidence mapPaperPMID 41101401Full record

ArticleAmerican journal of preventive medicine2026

Epidemiology of Cannabis Use Among Middle-Aged and Older Adults in the U.S.

Ofir Livne, Malka Stohl, Jodi Gilman, Terry E Goldberg, Melanie M Wall, Deborah S Hasin

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ofir LivneDepartment of Psychiatry, Columbia University Medical Center, New York, New York; New York State Psychiatric Institute, New York, New York. Electronic address: Ol2166@columbia.edu.
Malka StohlNew York State Psychiatric Institute, New York, New York.
Jodi GilmanDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Terry E GoldbergDepartment of Psychiatry, Columbia University Medical Center, New York, New York; New York State Psychiatric Institute, New York, New York.
Melanie M WallDepartment of Psychiatry, Columbia University Medical Center, New York, New York; New York State Psychiatric Institute, New York, New York.
Deborah S HasinDepartment of Psychiatry, Columbia University Medical Center, New York, New York; New York State Psychiatric Institute, New York, New York; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.

Funding

Cannabis use patterns and associations with cognitive impairment in older adultsK23DA057417 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Ofir Livne · 2023 to 2026
$586k
NIDA NIH HHS K23 DA057417
6 · The paper itself

Abstract

introductionThe prevalence of medical cannabis use, consumption methods, other key cannabis behaviors, and attitudes toward use is understudied, and associations with any cannabis use among U.S. middle-age and older adults is of particular interest because they are especially vulnerable to the adverse effects of cannabis.

methodsHealth and Retirement Study data (N=1,324) were analyzed, calculating weighted prevalence for cannabis measures, including past-year use, consumption methods, medical use, health conditions for which cannabis was used, healthcare provider recommendations, attitudes toward acceptability, risks, and legalization, by primary age groups (50-64 and ≥65 years) and specified older age groups (65-74 and ≥75 years) and sex. Associations with any cannabis use were evaluated using multivariable logistic regression, adjusting for sex, race/ethnicity, household income, and employment.

resultsPast-year cannabis use in the U.S. was reported by 18.5% and 5.9% of middle-age and older adults, respectively. Smoking was the primary consumption method in both groups. Approximately 25% of middle-aged adults and 20% of older adults who used cannabis consumed it for medical purposes, with ∼20% of those receiving a prescription or recommendation. Over 75% of individuals in both age groups viewed medical use as acceptable, and older adults were more likely to view cannabis as a gateway drug and to support restrictions of cannabis laws.

conclusionsCannabis use among both middle-aged and older U.S. adults is higher than previously reported in state- and national-level studies, with many engaging in cannabis behaviors associated with increased harm. Greater public health and clinical efforts are needed for tailored prevention and intervention strategies.

Indexed as

Marijuana SmokingMedical MarijuanaAgedAge FactorsFemaleHumansLogistic ModelsMaleMiddle AgedPrevalenceUnited StatesMedical Marijuana

Identifiers

PMID41101401
PMCPMC12922627

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.