Mary Mbaba, Troy A Kearse, Jenné Massie, Lisa Bowleg
{"title":"Binge alcohol and cannabis co-use associated with depression in Black men.","authors":"Mary Mbaba, Troy A Kearse, Jenné Massie, Lisa Bowleg","doi":"10.1037/adb0001158","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study examined the relationship between depression symptoms and co-use of cannabis and binge drinking by establishing substance use patterns in a sample of Black men. Center for Epidemiologic Studies-Depression Scale scores were compared across four mutually exclusive categories of past-30-day use: cannabis only, binge-drinking only, co-use, and nonuse. We hypothesized that men who engaged in both binge drinking and cannabis use would report the highest depression scores compared to other user groups.</p><p><strong>Method: </strong>Past 30-day substance use data were collected between 2015 and 2016 from 786 Black adult men (<i>M</i><sub>age</sub> = 30.4, <i>SD</i> = 8.0, range = 18-44) as part of <i>Menhood</i>, a cross-sectional observational study assessing the effects of neighborhood and individual-level factors on Black men's HIV risk.</p><p><strong>Results: </strong>Using both analysis of covariance and linear regression models, we found a significant main effect of depression scores regressed on substance user types (nonusers, cannabis only, binge-drinking only, and co-users; <i>F</i> = 12.96, <i>df</i> = 3, <i>p</i> < .001), controlling for age, employment status, previous incarceration, education, and income. Compared to nonuse, mean depression scores were statistically highest among past 30-day co-use (<i>M</i> = 1.02, <i>SE</i> = 0.05), followed by cannabis only (<i>M</i> = 0.84, <i>SE</i> = 0.04) and binge-drinking only (<i>M</i> = 0.75, <i>SE</i> = 0.06). Higher frequency of use of either substance, and co-use, was linked to greater depressive symptoms.</p><p><strong>Conclusions: </strong>As a between-subjects analysis, findings offer insight into population-level affect regulation patterns and may reconcile mixed evidence from within-person studies by highlighting stable risk associations in a structurally disadvantaged group. Results further underscore the need for culturally tailored mental health screening and intervention strategies for minoritized adult populations reporting co-use. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":48325,"journal":{"name":"Psychology of Addictive Behaviors","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286054/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology of Addictive Behaviors","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/adb0001158","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study examined the relationship between depression symptoms and co-use of cannabis and binge drinking by establishing substance use patterns in a sample of Black men. Center for Epidemiologic Studies-Depression Scale scores were compared across four mutually exclusive categories of past-30-day use: cannabis only, binge-drinking only, co-use, and nonuse. We hypothesized that men who engaged in both binge drinking and cannabis use would report the highest depression scores compared to other user groups.
Method: Past 30-day substance use data were collected between 2015 and 2016 from 786 Black adult men (Mage = 30.4, SD = 8.0, range = 18-44) as part of Menhood, a cross-sectional observational study assessing the effects of neighborhood and individual-level factors on Black men's HIV risk.
Results: Using both analysis of covariance and linear regression models, we found a significant main effect of depression scores regressed on substance user types (nonusers, cannabis only, binge-drinking only, and co-users; F = 12.96, df = 3, p < .001), controlling for age, employment status, previous incarceration, education, and income. Compared to nonuse, mean depression scores were statistically highest among past 30-day co-use (M = 1.02, SE = 0.05), followed by cannabis only (M = 0.84, SE = 0.04) and binge-drinking only (M = 0.75, SE = 0.06). Higher frequency of use of either substance, and co-use, was linked to greater depressive symptoms.
Conclusions: As a between-subjects analysis, findings offer insight into population-level affect regulation patterns and may reconcile mixed evidence from within-person studies by highlighting stable risk associations in a structurally disadvantaged group. Results further underscore the need for culturally tailored mental health screening and intervention strategies for minoritized adult populations reporting co-use. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
期刊介绍：
Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
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