Behavioral economic interactions between cannabis and alcohol purchasing: Associations with disordered use.

Behavioral economic interactions between cannabis and alcohol purchasing: Associations with disordered use.
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DOI:
10.1037/pha0000397
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发表时间:
2022-04
影响因子:
2.3
通讯作者:
Johnson MW
Johnson MW
中科院分区:
医学3区
文献类型:
--
作者:
Dolan SB;Spindle TR;Vandrey R;Johnson MW

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随着大麻政策的变化,迫切需要了解大麻和酒精之间的相互作用。对过去一个月吸食大麻和酒精的711名成年用户进行了在线抽样调查,他们完成了大麻和酒精的单项假设购买任务,以及评估调整价格大麻和同时提供的固定价格酒精的跨商品购买任务,反之亦然。参与者提供了关于大麻和酒精使用模式的信息,并完成了酒精和大麻使用障碍识别测试(分别是审计和CUDIT)。集团数据显示,大麻和酒精起到补充作用(随着调整价格商品价格的上涨,这两种商品的消费量下降)。然而,个体数据显示出大量的可变性,具有非琐碎的比例,显示出互补、替代和独立的模式。固定价格大麻和酒精的负斜率越大(互补性越强),自我报告的药物消费量和CUDIT和审计得分就越高。交叉价格斜率与CUDIT/AUDIT评分之间的负相关关系表明,将大麻和酒精更多地视为补充物的个人更有可能出现使用障碍。根据这些跨商品购买数据,当大麻和酒精同时以低价出售时,两者都可能被大量使用,而限制一种商品的消费(例如通过提高价格)可能会减少另一种商品的消费。这些数据表明,审查个人参与者对药物相互作用行为经济学分析的重要性,并表明,操纵成本(例如,通过税收)或共同销售限制是减少酒精和大麻使用和吸毒行为的潜在公共卫生监管机制。
As cannabis policy changes, there is an urgent need to understand interactions between cannabis and alcohol couse. An online sample of 711 adult past-month cannabis and alcohol users completed both single-item hypothetical purchasing tasks for cannabis and alcohol and cross-commodity purchasing tasks assessing adjusting-price cannabis with concurrently available, fixed-price alcohol, and vice versa. Participants provided information about cannabis and alcohol use patterns, and completed the Alcohol and Cannabis Use Disorder Identification Tests (AUDIT and CUDIT, respectively). Group data showed that cannabis and alcohol served as complements (as the price of the adjusting-price commodity increased, consumption of both commodities decreased). However, individual data showed substantial variability with nontrivial proportions showing patterns of complementarity, substitution, and independence. More negative slopes (greater complementarity) for fixed-price cannabis and alcohol were both associated with greater self-reported drug consumption and CUDIT and AUDIT scores. The negative relation between cross-price slope and CUDIT/AUDIT score indicates that individuals who treat cannabis and alcohol more as complements are more likely to experience disordered use. Based on these cross-commodity purchasing data, when both cannabis and alcohol are concurrently available at low prices, both may be used at high levels, whereas limiting consumption of one commodity (e.g., through increased price) may reduce consumption of the other. These data show the importance of examining individual participant analyses of behavioral economic drug interactions and suggest that manipulation of cost (e.g., through taxes) or cosale restrictions are potential public health regulatory mechanisms for reducing alcohol and cannabis use and couse behaviors.
DOI: 10.1038/npp.2017.198
发表时间: 2018-01
期刊: Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology
影响因子: --
作者:
Hasin DS
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