Understanding the Acceptance of Medical Marijuana: A Cross-Sectional Study in Malaysia

Background: The acceptance of medical marijuana is controversial globally, with varying degrees of legalization and public acceptance associated by cultural and legal contexts. Understanding the level of public acceptance of medical marijuana is crucial for its effective integration into healthcare, considering its potential therapeutic benefits and the stringent drug policies in Malaysia. This study examined the prevalence and associated factors with medical marijuana acceptance among Malaysians, with a focus on behavioral lifestyles. Methods: This study utilized a cross-sectional design involving an online survey targeting Malaysian adults aged 18 years and above. A non-probability sampling method was employed, in which the survey link was distributed via email groups, WhatsApp groups, Facebook, and participants were also encouraged to share the link with others in their network. The self-administered questionnaire, available in both Malay and English, consisted of 42 items covering demographic information, lifestyle behaviors, and perceptions toward medical marijuana. Descriptive statistics and multivariable logistic regression analyses were performed using IBM SPSS Statistics version 28.0. Results: A total of 2,047 respondents participated. Medical marijuana acceptance was higher among males, n=1014 (72.9%) than among females, n=245 (37.3%). Additionally, individuals with lower educational levels exhibited higher medical marijuana acceptance. Smoking, n=552 (79.2%), previous drug use, n=656 (83.1%), and alcohol consumption, n=95 (67.4%) were associated with higher acceptance rates. Multivariable logistic regression analysis revealed that sex (male), higher levels of education, self-employment, and low perceived risk are significant predictors of acceptance. Conclusions: Behavioral lifestyle factors associate with the acceptance of medical marijuana in Malaysia. Individuals who smoke, use drugs, and consume alcohol are more inclined to accept medical marijuana. Understanding how these behavioral factors influence acceptance is essential for effectively integrating medical marijuana into Malaysia’s healthcare system.