Are Drinking Cognitions Associated with Marijuana and Concurrent Alcohol and Marijuana Use among Adolescents and Young Adults?
Are Drinking Cognitions Associated with Marijuana and Concurrent Alcohol and Marijuana Use among Adolescents and Young Adults?
复制标题
DOI：
10.26828/cannabis/2022.01.006
复制
发表时间：
2022-02-22
期刊：
影响因子：
--
通讯作者：
Lewis, Melissa A
中科院分区：
文献类型：
--
作者：
Pritschmann, Ricarda K;Gebru, Nioud Mulugeta;Litt, Dana M;Zhou, Zhengyang;Lewis, Melissa A
同时使用酒精和大麻（即，CAM使用）是青少年和年轻人中最常见的多种药物使用模式，并与负面结果相关。研究表明，原型意愿模型（PWM）饮酒认知与饮酒有关。进行二次分析以探索PWM饮酒认知、酒精、大麻和CAM使用之间的横断面关联。15-25岁的青少年和年轻人（N = 124，法师= 18.7）完成了基线评估，作为一项更大研究的一部分，包括酒精和大麻使用的问题，PWM饮酒认知。在社会反应途径，描述性规范，感知的脆弱性，原型的可识别性，但不愿意与更多的酒精使用，而在理性的途径的态度和意图与饮酒的频率，而禁令规范没有。当控制酒精使用频率时，饮酒的意愿和意图与大麻和CAM的使用有关。更大的饮酒意愿是大麻使用的唯一重要预测因素，只有描述性规范预测CAM的使用。然而，在理性途径内的认知中，对饮酒和饮酒意图的更大态度与更大的大麻和CAM使用有关。结果还表明，CAM用户显示出较高水平的某些风险认知比非用户或单一物质的用户。研究结果表明，特定的酒精认知与青少年和年轻人的酒精、大麻和CAM使用有关，从而支持并扩展了PWM的实用性。
Concurrent use of alcohol and marijuana (i.e., CAM use) is the most common poly-drug use pattern among adolescents and young adults and is associated with negative outcomes. Research indicates that Prototype Willingness Model (PWM) drinking cognitions are associated with alcohol use. This secondary analysis was conducted to explore cross-sectional associations between PWM drinking cognitions, alcohol, marijuana, and CAM use. Adolescents and young adults between 15-25 years (N = 124, Mage = 18.7) completed a baseline assessment as part of a larger study, including questions on alcohol and marijuana use, and PWM drinking cognitions. In the social reaction pathway, descriptive norms, perceived vulnerability, and prototype favorability, but not willingness were associated with greater alcohol use, whereas in the reasoned pathway attitudes and intentions were associated with frequency of drinking whereas injunctive norms were not. Both willingness and intention to drink were related to marijuana and CAM use when controlling for alcohol use frequency. Greater willingness to drink was the only significant predictor of marijuana use, and only descriptive norms predicted CAM use. However, of the cognitions within the reasoned pathway, greater attitudes toward drinking and drinking intention were related to greater marijuana and CAM use. Results also indicated that CAM users displayed higher levels of certain risk cognitions than non-users or single substance users. Findings support and extend the utility of the PWM by indicating that specific alcohol cognitions are associated with alcohol, marijuana, and CAM use in adolescents and young adults.