In an ideal world, with rigorously regulated dispensaries and organic pot at shoppers' disposal, would a healthy person be healthier if she used marijuana?
Balancing
24 credits, marching band, sorority council meetings, and a part-time
job was taking a toll on Cali G., then a 21-year-old University of
Missouri student. Overwhelmed, she turned to alcohol to mellow out.
"My
responsibilities became unbearable. I would come home from class, grab a
beer, and chug my way into a fog," she says. After one particularly
brutal hangover, Cali swore off hard drinking. Then, on a camping trip
with friends, she had a pot epiphany.
"My
friends told me that smoking weed is safer for your lungs than
cigarettes," says Cali, who is now 24 and living in southern California.
"After learning how to do it, I sank into a state of relaxation I'd
rarely felt before. It was like I'd been wearing a weighted vest but now
it was lifted off."
The next morning, Cali watched as
campers who had gotten drunk staggered out of their tents. "I was
munching on Goldfish crackers, thinking, Damn, I'm glad I missed out,"
she recalls. "That went against what I'd believed before: Weed is bad,
and alcohol is legal. There's a reason for that, right?"
Long-held beliefs about pot are
shifting fast. Fifty- three percent of Americans (and 68 percent of
millennials) support legalization, according to a March 2015 survey by
the Pew Research Center. It's already fine to use medicinally in 23
states and DC—prescribed for pain, nausea, insomnia, PTSD, and more—and
you can light up recreationally in Colorado, Washington, Oregon, and
Alaska. Which means plenty of people may be wondering the same thing as
Cali: Might pot be better for you than alcohol?
In the Pew survey, about 7 out of 10 respondents said drinking is the more damaging habit.
They seem to be right. Last year, researchers compared the deadliness of 10 substances for a study published in Scientific Reports.
Booze and tobacco were among the top four. Alcohol abuse is linked to 1
in 10 deaths among 20- to 64-year-olds annually, including car
accidents, homicides, and suicides. Smoking cigarettes kills more than
200,000 women each year from heart attack, stroke, lung cancer, and
emphysema.
Marijuana, meanwhile, was last on the list—about 114 times
less fatal than alcohol.
"In modest amounts, marijuana
doesn't cause terrible harm to anyone's health," says Igor Grant, MD,
director of the Center for Medicinal Cannabis Research, at the
University of California at San Diego. Still, he and other experts argue
that more research is needed before we endorse pot as a health
positive.
But because the federal government categorizes marijuana in
the most dangerous class of drugs, it's incredibly difficult to get the
approval and supplies necessary to conduct a gold-standard study that
might show weed's benefits. Pot may turn out to be a more virtuous vice
than booze, but that doesn't mean getting baked is good for you.
Pot & Your Body
It's
no news flash that marijuana use affects coordination, time perception,
and memory. It can hinder your ability to pay attention and alter your
judgment, says Nora Volkow, MD, director of the National Institute on
Drug Abuse. "Sometimes, I do get to that point where I can't focus and
realize I've smoked too much," says Annie D., 25, who works in
e-commerce in Washington. Teens and young adults, in particular, may not
be able to learn as much while high, Dr. Grant says. And Dr. Volkow
points out that the brain is still developing until age 24 or 25.
Marijuana
can affect mood disorders and mental health too. In some, it can cause
or exacerbate anxiety and depression. And those with a genetic
predisposition might be at risk of developing schizophrenia if they use
pot, a 2012 study in Biological Psychiatry concluded. Longtime users may experience withdrawal symptoms like unease, restless- ness, and irritability if they quit.
Scary,
yes, but such effects aren't that different from what drinkers
experience. A few drinks can impair memory, the National Institute on
Alcohol Abuse and Alcoholism (NIAAA) states. And withdrawal symptoms
from heavy, long-term alcohol use are much more alarm- ing:
hallucinations or delusions.
There's some evidence pot
may have negative effects on your heart, including case reports of
heart attacks and strokes among recent or heavy users. But little is
known about the link, says David Goff, Jr., MD, PhD, dean of the
Colorado School of Public Health at the University of Colorado at
Aurora.
One study from 2013 shows that pot may decrease fertility,
because it can lower levels of the luteinizing hormone, needed for
ovulation. And smoking pot isn't great for your lungs. It can't compare
to the health effects of tobacco, partly because, as Dr. Goff notes,
"people don't smoke a pack of joints a day." Still, he says,
"voluntarily putting smoke into your lungs is dumb." Dr. Grant adds,
"When you smoke marijuana, you bring in tars that can cause lung
cancer." Using a vaporizer may reduce your tar exposure.
Pot & Your Safety
Tori
C., a student at a large southern university, skips alcohol and smokes
pot usually. She feels it keeps her safer. In the fall of 2014, she was
sexually assaulted after a party where she and her attacker had been
drinking.
It happens way too often: More than 690,000
college students are assaulted each year by someone who has been
drinking, NIAAA statistics estimate. The annual number of victims of
alcohol- related sexual assaults, specifically, is 97,000. Pot,
meanwhile, tends to lessen aggressive behavior. Moderate and high doses
may even suppress violence and reduce irritability and hostility in
group settings, according to a review of research in Addictive Behaviors.
Evidence of this is emerging outside
the lab. Compared with the first six months of 2013, the murder rate in
Denver, Colorado, dropped by 38 percent in 2014, the first year you
could lawfully buy pot. The rate of forcible sex offenses dropped by
almost 19 percent. Critics caution, however, that it may be a case of
correlation, not causation.
Tori knows the only person
to blame for her rape is her rapist. Still, she says, "I was too drunk
to fight back. Drinking inhibits my ability to function more than pot.
When I smoke, I stay in control."
She feels the same
way about driving high. She tries not to drive under the influence of
anything, she says, "but if I had to, I could drive stoned. There's no
way I could operate a vehicle drunk." She's not way off base. A 2010
study published in the American Journal
on Addictions found that drivers under the influence of alcohol underestimate how impaired they are, while participants who smoke pot drive cautiously to compensate. Drunk drivers also have more trouble keeping a car in its lane than marijuana users do.
None of which endorses drugged driving. Pot-related road fatalities appear to be rising: About 12 percent of U.S. drivers in
fatal accidents in 2010 had cannabinoids in their system, up from 4.2 percent in 1999. "If you're high, you shouldn't be driving,"
says Dr. Grant. "One could argue that drunk driving is worse, but that
doesn't mean pot is safe."
Pot & the Bottom Line
This
debate is far from over, so maybe take it slow. Legalization opponents
worry there isn't enough education and regulation to keep users safe.
Denver has seen a rise in ER visits after people ingested large amounts
of pot- laced goodies, which can cause anxiousness and hallucinations.
In one tragic case, a visiting college student jumped off a balcony and
died. "When I bought weed from a dispensary, I asked, 'What are the side
effects? What's the correct dose?'" says Carla Lowe, founder of
Citizens Against Legalizing Marijuana. They were very unhelpful and
blasé, she says.
Most states have agencies intended to
provide some level of oversight on how dispensaries operate, but Paul
Armentano, deputy director of the National Organization for the Reform
of Marijuana Laws, notes that there are no agreed-upon safety
regulations of any kind: no supervision of testing facilities, and tests
for contaminants aren't standardized. "People are used to buying weed
on the black market with no idea about quality," he says. "As consumers
get more sophisticated, they'll demand higher quality and better
testing."
So in an ideal world, with rigorously
regulated dispensaries and organic pot at shoppers' disposal, would a
healthy person be healthier if she used marijuana? Probably not. Studies
show the most support for marijuana's ability to relieve pain and
muscle spasms, per a review published in the Journal of the American Medical Association in
2015. Evidence of other benefits is unclear.
And if weed has protective
qualities that might help healthy women, it remains to be seen. It's
still illegal for recreational use in nearly every state, of course. In
those places where it is legal, it's up to individuals to decide if pot
is lifting them up or holding them back.
For Tori C.,
marijuana became a crutch instead of a cure. After the trauma of her
sexual assault, she admits she abused pot for months, getting high
several times a day to "be numb." Her best friend set her straight: "She
told me to stop smoking all the time and do my homework. I found a
therapist, and my grades got better. Smoking so much just put a Band-Aid
on what was really bothering me."
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