Unplanned versus planned simultaneous alcohol and marijuana use in relation to substance use and consequences: Results from a longitudinal daily study.

Unplanned versus planned simultaneous alcohol and marijuana use in relation to substance use and consequences: Results from a longitudinal daily study.
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DOI:
10.1037/adb0000738
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发表时间:
2021-09
期刊:
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子:
--
通讯作者:
Lee CM
Lee CM
中科院分区:
其他
文献类型:
--
作者:
Fairlie AM;Graupensperger S;Duckworth JC;Patrick ME;Lee CM

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目前的研究扩展了同时使用酒精和大麻(SAM)的文献,重点关注非计划和计划的SAM使用之间的区别,以确定潜在的干预目标。这项研究探讨了计划外或计划外的SAM使用是否与酒精和/或大麻使用的差异及其后果有关。招募了最近饮酒和使用酒精饮料的社区年轻人(18-25岁)(N = 409,平均(SD) = 21.61(2.17)岁;50.9%的女性;48.2%非西班牙裔/拉丁裔白人)。参与者完成了5次为期2周的在线每日调查(2次/天;81.99%的上午和82.23%的下午完成了调查),并报告了药物使用意图和行为。描述性研究结果显示,在参与者报告使用SAM的日子中,41.85%的日子是计划外的SAM使用日子。基于多层模型的每日水平结果,在计划外使用SAM的日子里,与计划使用SAM的日子相比,年轻人报告的饮酒量更少,大麻高小时更少,主观中毒/高水平更低,因此表明计划使用SAM的风险更大。在考虑了饮酒次数或吸食大麻后的兴奋时间后,计划外的SAM使用与酒精或大麻相关的积极或消极后果没有显著关联。目前的研究结果表明,干预措施应该针对年轻人计划使用SAM的日子。未来的工作需要确定预测在特定场合计划使用SAM的因素,并理清计划外大量使用的潜在作用。
The current study expands the literature on simultaneous alcohol and marijuana (SAM) use by focusing on the distinction between unplanned and planned SAM use in order to identify potential intervention targets. This study explored whether unplanned or planned SAM use were associated with differences in alcohol and/or marijuana use and consequences. A community sample of young adults (ages 18–25) with recent alcohol and SAM use was recruited (N = 409; mean (SD) = 21.61 (2.17) years; 50.9% female; 48.2% non-Hispanic/Latinx White). Participants completed five 2-week bursts of online daily surveys (2x/day; 81.99% of morning and 82.23% of afternoon surveys completed) and reported on substance use intentions and behavior. Descriptive findings showed that among days on which participants reported SAM use, 41.85% of the days were unplanned SAM use days. Based on daily-level results from multilevel models, on days with unplanned SAM use, young adults reported consuming fewer drinks, fewer hours high from marijuana, and lower subjective intoxication/high, compared to planned SAM use days, thus indicating that planned SAM use was riskier. Unplanned SAM use was not significantly associated with positive or negative consequences related to alcohol or marijuana, after accounting for the number of drinks or hours high from marijuana. Current findings suggest that interventions should target days on which young adults are planning to engage in SAM use. Future work is needed to identify factors that predict planned SAM use on specific occasions and also to disentangle the potential role of unplanned heavy use.
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