Cannabis use was lower among cancer survivors compared to individuals with no history of cancer (7.57% vs. 10.83%) However, a higher proportion of survivors reported use for medical purposes (82.23%) after adjusting for state-level policy, biological sex, age, educational attainment, self-reported race/ethnicity, home ownership, mental health status and physical health . Findings support the urgent need for ongoing cannabis research, as well as the development of high-quality standardized education materials and clinical practice guidelines .