Elevated use of cannabis, nicotine among U.S. adults continues into 2025 - Report - MDSpire
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Increased Consumption of Cannabis and Nicotine Among U.S. Adults Persists Through 2025

  • August 12, 2026

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Clinical Report: Increased Consumption of Cannabis and Nicotine Among U.S. Adults Persists Through 2025

Overview

In 2025, cannabis use among U.S. adults reached near-record levels, while nicotine vaping among young adults continued to rise significantly.

Background

The Monitoring the Future (MTF) Longitudinal Panel Study provides insights into substance use trends among U.S. adults aged 19 to 65.

Data Highlights

Substance2024 Use (%)2025 Use (%)
Cannabis Daily Use (Ages 35-50)6.68.5
Nicotine Vaping (Past 30 Days, Young Adults)Tripled since 2017Nearly doubled since 2017
Heroin Use (Ages 19-30)0.20.6
Nonmedical Use of Sleeping Medications (Ages 19-30)2.03.0
Psychedelics Use (Ages 19-30)8.97.2

Key Findings

  • Cannabis use among adults reached high levels in 2025.
  • Daily cannabis use among adults aged 35-50 increased from 6.6% to 8.5%.
  • Nicotine vaping among young adults has increased significantly since 2017.
  • Heroin use among young adults rose from 0.2% in 2024 to 0.6% in 2025.
  • Nonmedical use of sleeping medications increased from 2.0% to 3.0% among young adults.
  • Psychedelics usage decreased from 8.9% to 7.2% among young adults.

Clinical Implications

Healthcare providers should be aware of the increasing trends in cannabis and nicotine use among adults, particularly in young adults. This information is vital for tailoring prevention and intervention strategies to address substance use effectively.

Conclusion

The rise in cannabis and nicotine use among U.S. adults is noted in the findings.

Related Resources & Content

  1. MDSpire News, 2026 -- Youth Nicotine Pouch Use Nearly Doubled, Study Shows
  2. the asco post, 2023 -- E-Cigarette Use Increased Significantly Among Younger U.S. Adults Between 2019 and 2021
  3. MDSpire News, 2026 -- Predictor of Tobacco Use Identified
  4. American Journal of Epidemiology, 2023 -- Examining the Link Between Nicotine Vaping and the Onset of Cannabis and Other Substance Use from Adolescence to Young Adulthood
  5. VA/DOD CLINICAL PRACTICE GUIDELINE FOR TOBACCO USE TREATMENT, 2026
  6. NIH Research Matters -- Smoking cessation pill may help youth quit vaping
  7. VA/DOD CLINICAL PRACTICE GUIDELINE FOR TOBACCO USE TREATMENT
  8. https://www.methodistcollege.edu/hubfs/Cannabis%20Use%20During%20Pregnancy%20and%20Lactation.pdf%20%28SECURED%29.pdf

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