Cannabis is mostly used recreationally or as a medicinal drug. It may also be used for religious or spiritual purposes. In 2013, between 128 and 232 million people used cannabis (2.7% to 4.9% of the global population between the ages of 15 and 65) In 2015, 43% of Americans had used cannabis which increased to 51% in 2016. About 12% have used it in the past year, and 7.3% have used it in the past month. This makes it the most commonly used illegal drug both in the world and the United States. The earliest recorded uses date from the 3rd millennium BC. Since the early 20th century, cannabis has been subject to legal restrictions. The possession, use, and sale of cannabis is illegal in most countries of the world. Medical cannabis refers to the physician-recommended use of cannabis, which is taking place in Canada, Belgium, Australia, the Netherlands, Spain, and 23 U.S. states. Cannabis use started to become popular in the US in the 1970s. Support for legalization has increased in the United States and several US states have legalized recreational or medical use.