Longitudinal patterns of alcohol and cannabis use among US young adults: Correlates and implications for problematic health outcomes

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2024-08-09 DOI:10.1016/j.addbeh.2024.108123

Katelyn F. Romm , Craig T. Dearfield , Carla J. Berg

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引用次数: 0

Abstract

Introduction

Alcohol and cannabis use are common during young adulthood. Less is known regarding correlates of alcohol-cannabis use patterns and related problematic health outcomes.

Methods

Using longitudinal survey data (Fall 2018, 2019, 2020) from 2,194 young adults (YAs; ages 18–34), bivariate analyses and multivariable logistic regressions examined: (1) Wave 1 (W1) sociodemographics and psychosocial factors (i.e., adverse childhood experiences [ACEs], depressive symptoms, personality traits, parent and peer alcohol and cannabis use) in relation to W3 past-month use group (i.e., use of neither, alcohol only, cannabis only, both/co-use); and (2) W3 use group in relation to W5 problematic alcohol use (Alcohol Use Disorder Identification Test), problematic cannabis use (Cannabis Use Disorder Identification Test), and depressive/anxiety symptoms (Patient Health Questionnaire – 4 item).

Results

Overall, 42.3% reported W3 alcohol-only use, 34.9% co-use, 17.8% no use, and 5.0% cannabis-only use. Those reporting W3 co-use reported greater W1 extraversion, openness, friend alcohol/cannabis use, and were more likely to report parent cannabis use (vs. no use); reported less conscientiousness, greater friend cannabis use, and were more likely to report depressive symptoms and parent cannabis use (vs. alcohol-only use); and reported greater friend alcohol use, and were more likely to report parent alcohol use (vs. cannabis-only use). W3 co-use was associated with higher odds of W5 problematic alcohol use (vs. alcohol-only use) and problematic cannabis use (vs. cannabis-only use).

Conclusions

Substance use messaging and interventions should consider YAs’ alcohol-cannabis co-use and the unique correlates of such use.

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美国青少年使用酒精和大麻的纵向模式：问题健康结果的相关因素和影响。

简介酗酒和吸食大麻是青年时期的常见现象。人们对酒精和大麻使用模式的相关性以及相关的健康问题结果知之甚少：利用 2,194 名年轻成年人（YAs；18-34 岁）的纵向调查数据（2018 年秋季、2019 年秋季和 2020 年秋季），双变量分析和多变量逻辑回归研究了：(1) 第 1 波（W1）社会人口统计学和心理社会因素（即不良童年经历 [ACE]、抑郁症状、人格特质、父母和同伴的酒精和大麻使用情况）与第 3 波上月使用群体（即：既不使用也不使用、仅使用酒精、仅使用大麻）的关系、(2) W3 使用组与 W5 有问题的酒精使用（酒精使用障碍鉴定测试）、有问题的大麻使用（大麻使用障碍鉴定测试）和抑郁/焦虑症状（患者健康问卷 - 4 项）的关系：总体而言，42.3%的人只使用 W3 酒精，34.9%的人共同使用，17.8%的人不使用，5.0%的人只使用大麻。那些报告 W3 级共同使用的人报告了更高的 W1 级外向性、开放性、朋友饮酒/吸食大麻，并且更有可能报告父母吸食大麻（与不使用相比）；报告了更低的自觉性、更多的朋友吸食大麻，并且更有可能报告抑郁症状和父母吸食大麻（与只饮酒相比）；报告了更多的朋友饮酒，并且更有可能报告父母饮酒（与只吸食大麻相比）。W3共同使用与W5问题性饮酒（与仅饮酒相比）和问题性使用大麻（与仅使用大麻相比）的几率更高相关：药物使用信息和干预措施应考虑到青少年酒精和大麻的共同使用以及这种使用的独特相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.