The study analysed more than 8,000 Southern California middle school students and found that youth who reported seeing any ads for medical marijuana were twice as likely as peers who reported never seeing an ad to have used marijuana or report higher intentions to use the drug in the future.
Researchers said the study - the first to explore a link between marijuana advertising and youth behaviour - still cannot directly address whether seeing ads cause marijuana use.
"As prohibitions on marijuana ease and sales of marijuana become more visible, it's important to think about how we need to change the way we talk to young people about the risks posed by the drug," said lead author Elizabeth D'Amico, senior behavioural scientist at RAND (Research And Development) Corporation, a nonprofit research organisation.
"The lessons we have learned from alcohol - a substance that is legal, but not necessarily safe - may provide guidance about approaches we need to take toward marijuana," she said.
The students were asked each year about exposure to medical marijuana advertising, marijuana use and their intentions about whether to use marijuana in the future.
During the first survey, 22 per cent of the students reported seeing at least one advertisement for medical marijuana over the past three months and the rate jumped to 30 per cent the following year.
Seeing advertisements for medical marijuana was related to middle school adolescents' intentions to use marijuana and their actual marijuana use one year later.
Researchers said they could not determine whether adolescents who were predisposed to use marijuana paid more attention to marijuana advertising or whether the advertising may have influenced adolescents' attitudes toward the drug.
"Given that advertising typically tells only one side of the story, prevention efforts must begin to better educate youth about how medical marijuana is used, while also emphasising the negative effects that marijuana can have on the brain and performance," D'Amico said.
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