Teenagers have gotten the message about tobacco, but their attitudes about the dangers of marijuana have softened considerably, according to an annual survey by the National Institute of Drug Abuse (NIDA).
For the first time since the Monitoring the Future survey began nearly 40 years ago, the majority of high school seniors — 60 percent — do not see regular marijuana use as harmful. In the past two decades, the percentage of seniors who have reported smoking marijuana every day has risen from 2.4 to 6.5 percent.
"In the following couple of years, this surely means we can anticipate an increase in marijuana use. That certainly is worrisome. Adolescents with their brains being developed and behaviors being shaped don't need drugs to be part of the mix, including marijuana," said Dr. Wilson Compton, NIDA deputy director.
Conversely, cigarette use among teenagers is at an all-time low, this year's survey found. Fewer than 10 percent of eighth-, 10th- and 12th-graders reported smoking cigarettes in the past 30 days. The survey, done in the first half of this year, polled 42,000 students in 390 public and private schools.
Twenty years ago, 24.7 percent of teens in the same grades reported smoking at least once in the time period.
"We've seen a long-term drop in cigarette use, and that is really good news because tobacco is the leading preventable cause of death in the United States, with 450,000 premature deaths every year from tobacco-related illnesses," Compton said.
"We think it's more than messaging. As best as we can tell, lower rates of smokers are related to several factors; the No. 1 is that people no longer approve of smoking tobacco, and that is a very powerful way to shape behavior."
It also showed drops in teen use of alcohol, prescription pain pills like Vicodin and OxyContin, and record-low usage of inhalants. But the use of prescription stimulants like Ritalin and Adderall, used to treat hyperactivity, shows troubling rises. And the number of high school seniors using hookahs — water pipes used to vaporize and inhale tobacco — rose 3 percent over 2012 results to 21.4 percent, wiping out some of the gains over tobacco.