Here’s a surprising revelation: living closer to cannabis retail stores might make you more likely to use cannabis regularly, but it could also mean you’re less likely to drink heavily. But here’s where it gets controversial—does this trade-off actually benefit public health, or are we overlooking potential risks? A groundbreaking study of over 60,000 adults in Oregon sheds light on this complex relationship, sparking debates about accessibility, behavior, and age-specific impacts.
Led by Oregon State University researcher David Kerr, the study analyzed nine years of data from the Behavioral Risk Factor Surveillance System, a telephone survey overseen by the Oregon Health Authority. Published in the American Journal of Preventive Medicine, the findings reveal that Oregonians living near more cannabis retailers were significantly more likely to use cannabis 10 or more days per month. However, these same individuals reported lower rates of heavy drinking—defined by the CDC as eight or more drinks per week for women and 15 or more for men.
And this is the part most people miss—the effects were most pronounced in two distinct age groups: young adults aged 21–24 and seniors aged 65 and older. For the younger group, this is particularly concerning because their brains are still developing, and cannabis use during this period can increase the risk of cannabis use disorder. This disorder involves continued use despite negative consequences, such as social problems, unmet responsibilities, or dangerous behaviors like driving under the influence. Kerr emphasizes the need for age-specific prevention strategies, especially since cannabis marketing often targets young adults, who are more likely to live in areas with high retail access and purchase high-potency products.
On the other end of the spectrum, older adults may perceive cannabis as a safer alternative, particularly for managing chronic pain or other conditions. However, Kerr notes that this perception isn’t always backed by evidence and could introduce new health risks. Here’s the bold question—are we underestimating the long-term effects of cannabis use in older populations, especially when it’s not medically supervised?
Kerr clarifies that people likely aren’t choosing their neighborhoods based on nearby cannabis stores, but increased access may still influence their habits. Since Oregon legalized recreational cannabis sales in 2015, local governments have had the option to ban retail operations, though county bans only apply to unincorporated areas. This patchwork of regulations raises another question: how should policymakers balance accessibility with potential harms?
The study’s findings highlight the need for nuanced policies that address both the benefits and risks of cannabis legalization. While reduced alcohol consumption is a positive outcome, the rise in cannabis use—especially among vulnerable age groups—cannot be ignored. What do you think? Is the trade-off worth it, or are we stepping into uncharted territory without fully understanding the consequences? Share your thoughts in the comments—this is a conversation that needs more voices.
