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Illustration of a group of teens behind a marijuana leaf Marijuana, is it safe?
 
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Marijuana use by Canadian teens among the highest in the world

Although the "legal" drugs, alcohol and tobacco, are more popular, marijuana is the most commonly used illegal drug by young people around the world. Marijuana use represents about 90% of all illicit drug use among students in the US and Australia, and almost 95% in Europe. Nowhere is marijuana more popular among students than in Canada. Canadian youth (along with youth in Australia, France, Ireland, UK and the US) are among the highest consumers of marijuana in the world.

Ontario, Canada Australia USA Europe - high(France) Europe - low(Romania)
Lifetime (ever) 42.7% 42.8% 40.9% 35% 1%
Recent (past year) 36.4% 35.25% 32.1 31% 1%

A small percentage (3%) of Ontario students reported using marijuana daily in 2001; this translates into more 27,000 students. In the same survey, more than half of all marijuana users, representing about 20% of all students, reported that they had experienced at least one of three indicators of dependence.

Information on marijuana use among students outside Ontario is sketchy. Use of marijuana in the past year in the Atlantic Provinces ranged from 22% to 38% in 1998, while in Manitoba, 39% of students reported past year use. From these figures, it is clear that many young people in Canada and elsewhere in the world try marijuana at least once in high school and many students have used it recently.

Percentage of high school students using Marijuana in the past year in several provinces
Province %
Newfoundland
30%
Nova Scotia
38%
Prince Edward Island
23%
New Brunswick
30%
Ontario
30%
Manitoba
38%

Do possession laws make a difference to young people?

In Canada and a number of other countries, there is much discussion around reducing penalties for simple possession (small amounts for personal use) of marijuana products. The thinking is that the penalties (i.e. a criminal record) should not represent a greater harm than the effects stemming from the use of the drug itself. Under current legislation, the offence of simple possession of 30g or less of marijuana (a typical joint contains between 0.5and 1g of marijuana) will not typically result in a criminal record, whereas possession of larger amounts could.

According to a Canadian study, police exercise a great deal of discretion when apprehending young people for marijuana possession. For small amounts, police are reported to generally throw out the marijuana, warn the young person or detain them briefly before releasing them. To the extent that this is the case, a change in laws toward a fine for marijuana possession, as is often proposed, would in practical terms increase the penalty. It appears that the most important impact of this type of change would be to "clarify the rules" for everyone, providing police with clear guidance, and a clear message to young people that possession is not acceptable and will be dealt with in a consistent way.

At any rate, marijuana laws appear to have limited impact with young people. It is not completely clear because studies have generally not looked at arrest rates along with laws (one study that did look at arrest rates showed that increased arrest rates resulted in slightly less use among adults, and no effect with adolescents).


Factors that influence the effects of marijuana

The way it is prepared and used: Marijuana, the leafy preparation of the marijuana plant, has less tetrahydrocannabinol (THC) than the resin (hashish) or oil (hash oil). Marijuana that is eaten (for example, in baked goods) will have one-half to one-third the effect of the same amount smoked. Mental effects start within minutes of smoking and 30-90 minutes after eating. Most effects are gone within 3-4 hours (4-8 hours after eating).

The size of the dose: It is very difficult to determine the amount of THC that is actually consumed by each person when a joint is passed around. THC amounts vary greatly and other factors also come into play, including the number of puffs, time between puffs, holding time (in the lungs) and lung capacity. Much has been made of the fact that the marijuana of today is far more potent than in the past. It is, in fact, generally quite a bit stronger; however, potency of seized marijuana varies widely and the enforcement community and media tend to highlight the most extreme cases. The effects of marijuana will ultimately be determined by the amount taken in and users can adjust their dose of THC by changing the volume of smoke they inhale with each puff.

The circumstances surrounding use: Vitally important, this refers to the setting, the motives and expectations, and whether it is combined with some other intoxicant.


Negative effects

Physical effects

It appears that marijuana has no clinically relevant chronic effects on any part of a healthy body, except for the lungs. This is mainly due to the effects of combustion rather than marijuana itself (marijuana smoke contains about 50% more of certain carcinogens than the same amount of unfiltered tobacco). Long-term, heavy use results in increased symptoms of bronchitis, coughing, and wheezing.

There is no evidence of effects on the human gastrointestinal, endocrine (regulating hormones and reproduction), or immune systems. Over the years, studies of marijuana have shown various physical effects, but these tend to be slight and are associated with doses that are higher than usual human doses (often in animal studies). THC can cause cardiac problems in patients already suffering from high blood pressure or heart disease; however, this potential risk is much lower than with amphetamines and cocaine.

Mental effects

In some people who are apparently mentally healthy, psychotic symptoms can be triggered (such as, delusions, paranoid feelings and hallucinations), but these disappear as the effects of the drug itself wear off. Heavy, prolonged use is more likely to produce these symptoms on an ongoing basis (as is the case with alcohol and most other drugs). In these cases, recovery generally occurs within a week of abstinence - in cases where the condition does not improve, it is usually because of an underlying vulnerability that is triggered by the marijuana use.

Ongoing, heavy marijuana use (indeed, drug use generally) is often seen in persons with various mental health problems, such as anxiety, depression, mood disorders, bipolar disorders, and schizophrenia. Whether use actually triggers these conditions or whether marijuana is being used to self-medicate these problems is the subject of much debate; however, there is little doubt that marijuana use could potentially worsen these conditions. Heavy marijuana use can impair motivation, but an "amotivational syndrome", described as a loss of energy and the urge to work, has not been clearly distinguished.

The hallmarks of physical dependence are tolerance and withdrawal, and they have been demonstrated in human beings. Withdrawal symptoms include aggressive behaviour, increased anxiety, restlessness, sleep disturbance, downturns in mood, and loss of appetite. An actual diagnosis of marijuana dependence involves other criteria, such as continuing to use knowing the harm that may result from it, and devoting much time to acquiring, using and recovering from use.

Marijuana dependence does occur, but is not likely to occur in the usual patterns of social use (that is, when doses are small or infrequent). The addictive potential of marijuana is considered weaker than that of many other drugs, including alcohol and tobacco, and dependence disrupts the user's ability to function less than with other substances. That said, marijuana dependence among young people does occur, and can represent a very significant barrier to a young person's development.
 
  Date published: May 15, 2003
  CreditArticle prepared by Gary Roberts for the Canadian Centre on Substance Abuse - CHN Substance Use / Addictions Affiliate.

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