Elevated use of cannabis, nicotine among U. S. adults continues into 2025

Survey suggests that use of. Alcohol, cigarettes, and other substances.

In 2025, adults in the United States reported using cannabis at or near record-high levels, continuing a long-term trend of increasing use. Among adults ages 19 to 65 supported by the National Institutes of Health (NIH) since its inception in 1976.

Some results bucked trends, however, such as a slight increase in self-reported heroin use among young adults aged 19 to 30, marking the first significant uptick and highest level in about 10 years. Adults in early midlife (35 to 50 years old) reported significantly higher rates of daily cannabis use than last year, increasing from 6.6% in 2024 to 8.5% in 2025.

Reported use of nicotine pouches over the past 12 months among all adults more than doubled since 2023 when the panel first included questions about these products. Rates of cigarette smoking over the past 30 days ranged from 8.3% of young adults to 10.6% of adults in late midlife (55 to 65 years old).

Among young adults, nearly all measures of drinking reached low levels, with past 12-month, past 30-day, and high-intensity drinking (defined as drinking 10 or more drinks in a row) all holding steady. The report identified a small but significant increase in the prevalence of heroin use over the past year in young adults, rising from 0.2% in 2024 to 0.6% in 2025, which is under the all-time high of 0.7% in 2013.

Likewise, nonmedical use of sleeping medications in the past 12 months for the same age group significantly increased from 2.0% in 2024 to 3.0% the following year.

Fonte