Marijuana vs Alcohol: popular sentiment has long maintained that smoking cannabis is a relatively safe activity. However, marijuana may be more addictive than alcohol. According to new research, one in six teenagers who smoke cannabis will become dependent on it. It doubles their risk of developing psychotic disorders and can disrupt normal intellectual development if used regularly.
But how much is too much? Is marijuana less addictive than alcohol, the drug that many swap it for? The answer to these and other questions surrounding the safety of marijuana is “we don’t know yet.” Pot has been illegal for decades, so there’s less research on it, and the self-reported data of heavy smokers can be unreliable.
And it’s especially hard to measure marijuana’s addictive properties if people aren’t able to buy it as often as they buy alcohol.
Here’s what we do know: According to many studies, the lifetime risk of dependence—defined as a desire to use increasing amounts of a substance and suffering withdrawal symptoms if you don’t—is lower for marijuana than it is for most other drugs, including alcohol. Here’s one data series that several prominent researchers point to:
Of all the people who smoke pot, in other words, about 9 percent will become dependent. But of all the people who drink, about 16 percent will become alcoholics.
There are some major differences between pot and the other drugs, of course. Cocaine addiction tends to be explosive—users want to do it again right away. Marijuana dependence is more “insidious,” as one paper describes it. The chance of getting hooked if you smoke it for the first time after age 25 is essentially nil; dependence is far more likely for people who start as teens. The withdrawal symptoms for marijuana are also far less intense than those of, say, heroin. Nevertheless, many scientists say people who quit weed cold-turkey experience trouble sleeping, irritability, and anxiety.
But this is all based on the studies that were conducted during the age of prohibition. Historically, people haven’t been able to get marijuana easily, which skews the addiction statistics.
“A factor that is confounding is if it’s legal or not,” says Nora Volkow, director of the National Institute on Drug Abuse.
If you were at a party, she explained, someone might offer you cigarettes for the first time. You might try one, and if you were over 18, you could buy cigarettes the next day from a gas station. But if someone at the same party offered you cocaine, you could not pick some up at 7-11 the following day. You might have to wait several days, or weeks, before you used cocaine again, and thus you’d be less likely to get hooked. Cocaine, therefore, might seem in the medical literature to be less addictive than it actually is.
In the states with legal recreational marijuana, pot is now more like cigarettes.
“I predict that the [marijuana dependence] numbers may go up once the drug is more available,” Volkow said. “One of my concerns is that the legalization will make it more available.”
Other drug researchers, like Columbia psychiatrist Carl Hart, offered a very different take. Hart, who advocates for the decriminalization of all drugs, says research shows fewer people become dependent on drugs if they are given other options for recreation.
The idea that crack users who take one hit will get hooked, “comes from experiments conducted in the 1960s to 1970s,” he said in a TEDMED talk. “Laboratory animals, when given unlimited access to drugs like cocaine and methamphetamine, will repeatedly press a lever to receive intravenous injections of the drugs until it kills them.”
In those studies, the animals’ cages contained nothing other than the lever leading to the drug dispenser. But what happened when the animals were presented with an alternative, like a sexually receptive mate or a sweet treat?
“When given an option, animals do not self-administer drugs until death,” Hart said. “The animals will often take a non-drug alternative over the drug.”
He pointed to several studies he’s conducted in which hardened drug users, when offered the choice, willingly took $5 instead of smoking crack or $20 instead of a hit of meth. In fact, they chose the money over the drugs in at least half of all of the trials.
In other words, even when drugs are freely available (and being offered by researchers!), people don’t always take them.
It might be that marijuana will turn out to be as addictive as—or more addictive than—alcohol, once it becomes just as available. It also might turn out that other incentives and alternatives will trump both substances, despite their legality. Colorado and Washington are states with fairly low binge drinking rates. Maybe the mountain biking really is that good there.