Patterns of the co-use of alcohol, marijuana, and emerging tobacco products in a national sample of young adults
Patterns of the co-use of alcohol, marijuana, and emerging tobacco products in a national sample of young adults
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DOI：
10.1111/ajad.12456
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发表时间：
2016-12-01
影响因子：
3.7
通讯作者：
Villanti, Andrea C.
中科院分区：
文献类型：
--
作者：
Cohn, Amy M.;Johnson, Amanda L.;Villanti, Andrea C.
背景新出现的烟草产品使用在年轻人中呈上升趋势，并与酒精和大麻的使用有关。关于酒精、大麻和新兴烟草产品联合使用的哪种模式在这个年龄段最受欢迎，人们知之甚少。目的本研究调查了各种烟草产品在全国青少年样本中广泛使用大麻、酒精和烟草联合使用模式的流行率。方法数据来自18-24岁(未加权n=3,940)的子集，来自真相倡议青年队列的五次浪潮，这是一个18-34岁的全国样本。R中的一个用户生成的统计程序被用来评估过去30天饮酒、大麻、香烟、雪茄、电子烟、小雪茄/雪茄、水烟和其他烟草(烟斗、咀嚼、浸泡、鼻烟、溶解)的所有可能模式。结果过去30天没有任何物质的使用成为所有年份最受欢迎的模式(42%)，其次是过去30天饮酒(31%)，以及过去30天饮酒与香烟或大麻一起使用(5%)或大麻(4%)。随着时间的推移，单独使用大麻的受欢迎程度有所增加，但只有1%的人报告说，单独使用大麻而不结合酒精或烟草产品。电子烟的使用只是与酒精结合出现的，与其他模式相比，电子烟是最不受欢迎的共同使用模式。结论和科学意义模式强调酒精在年轻人中的重要性。成功的药物使用预防应该侧重于酒精与多种滥用物质的共同使用，而不是专注于单一的行为。(Am J Addit 2016；25：634-640)
BackgroundEmerging tobacco product use is on the rise in young adults and has been linked to alcohol and marijuana use. Little is known about which patterns of alcohol, marijuana, and emerging tobacco product co-use are most popular in this age group.ObjectivesThis study examined the prevalence of a broad spectrum of marijuana, alcohol, and tobacco co-use patterns across a variety of tobacco products in a national sample of young adults.MethodsData were analyzed from a sub-set of 18-24 year olds (unweighted n=3,940) from five waves of the Truth Initiative Young Adult Cohort, a national sample of 18-34 year olds. A user-generated statistical program in R was used to assess all possible patterns of past 30-day use of alcohol, marijuana, cigarettes, cigars, e-cigarettes, little cigars/cigarillos, hookah, and other tobacco (pipe, chew, dip, snus, dissolvables).ResultsNo past 30-day use of any substance emerged as the most popular pattern across all years (42%), followed by exclusive past 30-day alcohol use (31%), and past 30-day alcohol use with cigarettes (5%) or marijuana (4%). The popularity of exclusive marijuana use increased over time, but only 1% reported exclusive marijuana use without the combination of either alcohol or a tobacco product. E-cigarette use only emerged in combination with alcohol and was the least popular pattern of co-use relative to other patterns.Conclusions and Scientific SignificancePatterns stress the importance of alcohol among young people. Successful substance use prevention should focus on alcohol's co-use with a variety of substances of abuse, rather than focus on a single behavior. (Am J Addict 2016;25:634-640)