Older Americans are embracing cannabis in record numbers, according to a new study published in JAMA Internal Medicine. The research shows that cannabis use among U.S. adults aged 65 and older jumped more than 40% from 2021 to 2023, signaling a dramatic shift in perceptions and usage among the senior population.
The study analyzed data from 15,689 adults aged 65 or older and found that past-month cannabis use increased from 4.8% in 2021 to 7.0% in 2023. The findings point to growing acceptance and reliance on cannabis—particularly for medical or wellness purposes—in a demographic that was once the least likely to engage with the plant.
Who’s Driving the Surge?
The study highlights that the biggest increase in use was seen among:
- Women
- White individuals
- College-educated respondents
- Households earning $75,000 or more
- Married individuals
- Residents in states with legal medical cannabis
Interestingly, those with chronic illnesses—including cancer, diabetes, hypertension, and heart conditions—were more likely to report using cannabis, suggesting that many older adults may be turning to it for symptom management and relief.
“This demographic is clearly seeking out alternative treatments,” the researchers noted, adding that access to medical cannabis programs in 39 states may be a key factor in the trend.
From Stigma to Supplement
The findings underscore a dramatic shift in cultural attitudes toward cannabis. Once considered taboo among older generations, cannabis is now seen as a wellness tool, particularly for managing pain, sleep issues, anxiety, and inflammation—all common challenges in later life.
While younger age groups still lead in overall cannabis consumption, the spike in senior use is noteworthy and may influence future healthcare and policy conversations around geriatric cannabis care.
Co-Use with Alcohol and Tobacco Still a Concern
The researchers did express concern over high rates of concurrent use of tobacco and alcohol among older cannabis users. However, the study clarifies that the rate of co-use has not significantly changed over the two-year period.
Still, this could present potential public health challenges, especially when considering interactions between cannabis and other substances or medications often prescribed to seniors.
Legal Access Plays a Major Role
With 24 states and Washington, D.C. having legalized adult-use cannabis and 39 states offering medical access, more Americans—regardless of age—are exploring cannabis legally and safely. For seniors, this means greater access to regulated, lab-tested products and the ability to consult healthcare providers without fear of stigma or legal repercussions.
As the legal landscape continues to evolve, expect older consumers to remain an important and growing segment of the cannabis market.
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