The New Landscape of Canadian Tobacco Smoking
The Impact of Cannabis Legalization on Cigarette Use – A Detailed Analysis
🇨🇦 On October 17, 2018, Canada became the first G7 nation to legalize recreational cannabis nationwide. A key public health question was whether this would “normalize” smoking in general, potentially slowing the long-term decline in cigarette use, or whether it would have no effect. This article provides a detailed analysis of how cannabis legalization has reshaped the landscape of tobacco smoking in Canada.
On the surface, this suggests that cannabis legalization has not slowed the rise of co-use. However, a deeper look reveals that legalization has not caused an overall increase in youth cannabis use, and the relationship between cannabis and tobacco is more complex than a simple substitution effect.
- 📈 Co-Use is Common: In 2020, 12.2% of Canadians (3.8 million) reported using at least two of: cigarettes, vaping products, inhaled cannabis, or alcohol [citation:2].
- 📉 Youth Use is Stable: Among Canadian students in grades 7–12, there was no overall change in past 12-month or past 30-day cannabis use following legalization [citation:7].
- 🚭 Cessation Challenges: Cannabis and tobacco co-use is associated with lower odds of successful cigarette smoking abstinence at 6-month follow-up [citation:1].
Research from the 2018 International Cannabis Policy Study, conducted immediately before Canadian legalization, provides a baseline. It found that co-use (use on separate occasions) and simultaneous use were most common in US states where cannabis was already legal, while Canada had the highest rates of mixing tobacco with cannabis [citation:4].
- 🌍 Cross-National Comparison: Among cannabis consumers, the proportion reporting co-use was similar in Canada and US illegal states, but lower in US legal states [citation:4].
- 🚬 Mixing is Common: Mixing cannabis with tobacco (e.g., in spliffs or blunts) was highest in Canada compared to US states, both legal and illegal [citation:4].
- 📉 Smoking Method Declines: Overall, the proportion of people in Canada who smoke cannabis is declining, though smoking remains the most common method (69% in 2024) [citation:3].
📊 Cannabis Legalization: Impact on Tobacco Indicators
| Indicator | Before Legalization (2015–2017) | After Legalization (2019–2024) | Key Change |
|---|---|---|---|
| Cannabis Use in Cessation Treatment Patients | ~20% [citation:1] | ~38% [citation:1] | ⬆ Increased (linear trend) |
| Youth Cannabis Use (Grades 7–12) | ~20-25% [citation:7] | ~20-25% [citation:7] | ➡ No significant change |
| Smoking as Cannabis Consumption Method | Most common | 69% (still most common, but declining) [citation:3] | ⬇ Declining |
| Polysubstance Use (Cannabis + Tobacco) | ~10-12% [citation:2] | ~12% [citation:2] | ⬆ Slight increase |
| Cessation Success (with co-use) | ~29% (tobacco only) [citation:1] | ~24% (with cannabis) [citation:1] | ⬇ Lower success with co-use |
The impact of legalization has not been uniform across Canada. Quebec, for example, provides a case study:
- 📉 Quebec Trends: After increasing between 2018 and 2021, cannabis use in Quebec is now on a downward trend [citation:8].
- 🧑🤝🧑 Youth Decline: Among Quebecers aged 15–20, cannabis use actually decreased from 28% in 2018 to 19% in 2025 [citation:8].
- 📈 Adult Increase: Among those aged 35 and over, cannabis use has remained above pre-legalization levels [citation:8].
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