Smoking marijuana is detrimental to long-term health
Multiple systematic reviews and empirical studies indicate that long-term cannabis use is associated with adverse health outcomes, including respiratory symptoms, increased risk of anxiety disorders, structural brain changes in adolescents, and biomarkers of accelerated biological aging.
The retrieved literature contains several systematic reviews, meta-analyses, and empirical studies demonstrating consistent long-term health risks associated with cannabis use, spanning respiratory issues, mental health (anxiety), neurodevelopmental and brain structural alterations, and biomarkers of aging. No papers refute the claim that cannabis has detrimental long-term health effects; therefore, the balance of evidence clearly supports the claim.
Siqi Xue, M. I. Husain, Haoyu Zhao, Arun V. Ravindran. Cannabis Use and Prospective Long-Term Association with Anxiety: A Systematic Review and Meta-Analysis of Longitudinal Studies: Usage du cannabis et association prospective à long terme avec l’anxiété: une revue systématique et une méta-analyse d’études longitudinales. 2020. https://doi.org/10.1177/0706743720952251
This systematic review and meta-analysis indicates that cannabis use is significantly associated with increased odds of developing anxiety conditions over the long term.
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Georgakopoulou VE, Andreikos DA, Zhu W, Spandidos DA. Cannabis use and its impact on respiratory physiology and lung cancer risk: Mechanistic and epidemiological insights (Review).. 2025. https://doi.org/10.3892/br.2025.2058
This review highlights that chronic cannabis smoking is associated with respiratory symptoms resembling chronic bronchitis and impaired alveolar macrophage function, pointing to long-term pulmonary health concerns.
Wei K, Chen X. Current marijuana use is associated with lower circulating α-Klotho levels in US adults even after adjusting for tobacco use: A national cross-sectional analysis of NHANES.. 2025. https://doi.org/10.18332/tid/208001
This national cross-sectional analysis found that marijuana use is associated with lower circulating levels of the longevity-associated protein alpha-Klotho, suggesting a potential link to accelerated biological aging.
Ricci V, Sarni A, De Berardis D, Martinotti G, Maina G. How adolescent cannabis use reshapes the developing brain - a systematic review.. 2026. https://doi.org/10.3389/fpsyt.2026.1822300
This systematic review reports that adolescent cannabis use is associated with structural brain changes, elevated addiction risk, and various long-term cognitive and functional impairments.
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