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The first social media analysis, which did not specify treatment type, returned 136 high-impact news stories referencing ‘cancer cure/therapy/treatment’. Of these, 51 (37.5%) were news stories claiming that alternative treatments cure cancer, 12 (23.5%) of which proposed cannabis as a cancer cure, which was the most common type of alternative cancer treatment represented, more than other alternative treatments such as other plants and physical activities that are claimed to cure cancer. The remaining included 45 (32.4%) news stories on other cancer treatments (chemotherapy, new cancer vaccines, etc.) and 40 (29.4%) irrelevant news stories.

Top news stories on cannabis use in cancer on social media

The false news of a cannabis cancer cure is consistent with a broader trend of false news spreading across social media. Use of social media has increased from 5% in 2005 to 69% in 2018 and is now prevalent across all ages and socio-economic groups [25]. Misleading medical news stories may not only cause delays in treatment but may also propagate public distrust in mainstream medicine [3]. Consistent with these findings, we found that among the ten most popular news stories on cannabis and cancer shared on social media, only one debunked the myth of cannabis as a cancer cure (Table  1 ). Furthermore, the most popular news story, ‘Cancer Institute Finally Admits Marijuana Kills Cancer,’ had 4.27 million engagements. The most popular news story debunking the myth only generated 0.036 million engagements, less than 1% of the engagements of the one claiming cannabis as a cancer cure.

Table 1

Online search activity

Impact of medical and recreational cannabis legalization on online search activity

The top false news story proposing cannabis as a cancer cure, ‘Cancer institute finally admits marijuana kills cancer,’ generated 4.26 million engagements. Snopes (, a fact-checking organization, published a report challenging this false news story [24], but this report generated only 2,207 total engagements. Similarly, the most popular accurate news story debunking the false news (‘Pot Doesn’t Cure Cancer and Stop Saying It Does, FDA Says’) generated only 36,000 total engagements.

Eighteen states did not have enough data on Google Trends, and were excluded from the analysis. Among the remaining 32 states and Washington D.C. with an RSV>0 included in our analysis, 22 states had legalized medical cannabis and seven states had legalized recreational cannabis at the time of our analysis. As Google provides state RSV data that is normalized to the total number of searches within that state, our analyses examined relative changes in RSV over time in each state to control for differing baseline state RSVs. Analysis of covariance (ANCOVA) was used to test between group differences based on their legalization group classification.