It’s a claim we’ve all heard marijuana opponents make: “You can’t legalize marijuana, because it’s a gateway drug.  Once teens start using marijuana, it’s only a matter of time before they graduate to harder drugs like heroin, meth, and cocaine.”  But is Cannabis really a gateway drug, or is that just another marijuana myth politicians use as a scare tactic?  By evaluating peer-reviewed medical research, we can clear away the smoke and identify the real gateway drug parents should be worried about.

Marijuana Leads to Hard Drug Abuse: Fact or Myth?

bigstock Marijuana Background 113090756 - Is it True that Marijuana is a Gateway Drug?

Political figures who oppose the legalization of marijuana have been demonizing Cannabis as a “gateway drug” for decades.  Despite its age, the term is still used on a regular basis.  New Jersey Governor Chris Christie used the phrase in a radio interview early last year, telling listeners, “I believe that this is a gateway drug into other more serious drugs, I think it sends a wrong message to our kids and I don’t think it makes anybody a better or more productive person.”

A few months later, Boston Mayor Marty Walsh told the Boston Globe, “I’ve seen too many lives ruined by starting to smoke weed and then, eventually, going to other types of drugs.”

At a hearing in November, State Senator Mike Doherty of Washington, which has some of the nation’s most relaxed marijuana legislation, said, “I think marijuana is a gateway drug.  I think it sends the wrong message to our youth.”

There’s a clear pattern in these statements, but repeating something doesn’t make it true.  Research, not rhetoric, is the real gauge to follow – and studies have shown that, despite claims to the contrary, marijuana is not the gateway drug we should be worrying about.

Studies Show Cigarettes, Alcohol Are the Real Gateway Drugs, Not Cannabis

bigstock 133566188 - Is it True that Marijuana is a Gateway Drug?

Ironically, the term “gateway drug” was never supposed to describe marijuana.  Dr. Denise Kandel, who is now a professor of sociomedical sciences at Columbia University, coined the phrase during the 1970s to describe nicotine.  According to Dr. Kandel’s research, which was published in Science in 1975, marijuana is actually the third type of drug in a four-drug sequence.  Does that sound like any “gate” you’ve ever heard of?

According to Kandel’s study, “Two longitudinal surveys based on random samples of high school students… indicate four stages in the sequence of involvement with drugs: beer or wine, or both; cigarettes or hard liquor; mari[j]uana; and other illicit drugs.”  So while it’s technically true that marijuana use generally precedes hard drug use, smoking and drinking generally precede marijuana use.  That makes alcohol and cigarettes the real gateway drugs.

We’ve known this for over 40 years, yet proponents of the “gateway drug” theory have conveniently excluded it from their argument.  And they might be forgiven for forgetting an obscure paper from 1975, if not for the fact that newer studies have published similar data in recent years.

Take, for example, a 2012 study published in the Journal of School Health.  Researchers set out “to determine which drug (alcohol, tobacco, or marijuana) was the actual ‘gateway’ drug leading to additional substance use among a nationally representative sample of high school seniors.”  Despite the wide gulf of time between the studies, the School Health findings proved almost identical to Kandel’s findings four decades earlier: the gateway drug was identified as alcohol, followed by nicotine, and then marijuana.  In both instances, marijuana was the third drug in a sequence that began with cigarettes or alcohol.

When the same journal followed up on its findings in a separate study in 2016, the results didn’t change.  The 2016 study showed that, among a nationally representative sample of 2,835 high school seniors, “Alcohol is the most commonly used substance, and the majority of polysubstance using respondents consumed alcohol prior to tobacco or marijuana initiation.”

Interestingly, when alcohol was isolated, age was also shown to be an important factor.  To quote the study, “Respondents initiating alcohol use in sixth grade reported significantly greater lifetime illicit substance use… and more frequent illicit substance use than those initiating alcohol use in ninth grade or later.”

Yet it isn’t just the sequence of drug use, or even the user’s age, that matters.  It’s also the motivation behind it, which is something politicians tend to gloss over.

From listening to proponents of the “gateway drug” theory, you would think marijuana possessed some sinister ability to flip a switch telling users to try harder drugs.  Though some research has shown that adolescent marijuana use can curb impulse control, which may factor into decision-making about drug use, the real issue at hand is often the user’s mental state.  If a teenager is using marijuana as a way to cope with depression, he or she may eventually turn to other substances for the same reason – but not because of some quality inherent to the marijuana itself.  If politicians are truly concerned about drug abuse among adolescents, they’d do better to call for increased research into mental health – not simply use Cannabis as a scapegoat.

Consult with a Boston Medical Marijuana Doctor About Your Health Needs

Medical Cannabis can help to alleviate the symptoms of conditions including but not limited to chronic pain, arthritis, ALS, MS, chronic insomnia, cancer, glaucoma, depression, anxiety, and HIV/AIDS.  To discuss whether medical marijuana could be a suitable treatment option for you, call Inhale MD at (617) 477-8886 today.

Now Offering Virtual Telemedicine Consultations

Now Offering Virtual TeleMedicine Consultations

Due to COVID-19, and for the foreseeable future, all of our appointments are being done by telemedicine. As it turns out, this has been wonderfully successful — patients love not having to take time away from work, fight traffic, or worry about parking. For us, telemedicine is like doing old-fashioned home visits — we get to see people in their own environments. What started out as an adaptation to the current crisis has transformed into a better way of providing healthcare.

Telemedicine, using Zoom, is easy to do with just a few clicks. It's also safe and secure.

Schedule a Telemedicine Visit