Patterns of same-day alcohol and cannabis use in adolescents and young adults with risky alcohol use.

Patterns of same-day alcohol and cannabis use in adolescents and young adults with risky alcohol use.
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DOI:
10.1080/16066359.2021.1936511
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发表时间:
2022
影响因子:
2.9
通讯作者:
Walton, Maureen A.
Walton, Maureen A.
中科院分区:
医学3区
文献类型:
--
作者:
Coughlin, Lara N.;Bonar, Erin E.;Bohnert, Amy S. B.;Blow, Frederic C.;Bauermeister, Jose A.;Cross, Yazmyn;Cunningham, Rebecca;Young, Sean D.;Walton, Maureen A.

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在青少年和年轻人中,当天饮酒和吸食大麻相对普遍,与单一物质使用相比,构成了更高的风险行为。然而,在联合使用日饮酒量和大麻使用之间的联系还没有得到充分的研究。我们用多水平回归分析研究了饮酒量和当天吸食大麻之间的关系,对有危险饮酒的年轻人(16-24岁)进行了调查。参与者报告在过去一个月中有一天或几天饮酒和吸食大麻(N=468)。大麻使用量在重度饮酒日最高[M=0.91g,SD=0.68],其次为中度饮酒日(M=0.78g,SD=0.63),最低为不饮酒日(M=0.74g,SD=0.64,p<0.001)。在对个体内部聚集进行调整的多水平模型分析中,特定一天饮酒量越大与大麻使用量越大相关(估计=0.03p<0.001)。当在同一天使用酒精和大麻时,更多的酒精使用与更多的大麻使用相关。预防大量使用多种物质的日子,特别是在有风险的饮酒者中,可能会补充解决联合使用问题的一般干预措施,以防止与物质相关的后果。
Same-day alcohol and cannabis use is relatively common in adolescents and young adults, constituting a higher-risk behavior relative to single-substance use. However, the association between quantity of alcohol and cannabis use on co-use days is understudied. We examined the association between the quantity of alcohol and same-day cannabis use with a multilevel regression analysis in a sample of youth (16–24 years old) with risky alcohol use. Participants reported one or more days of alcohol and cannabis over the past month (N = 468). Quantity of cannabis use was highest on heavy drinking days [M = 0.91 grams, SD = 0.68] followed by moderate drinking days (M = 0.78 grams, SD = 0.63), and lowest on days without alcohol use (M = 0.74 grams, SD = 0.64, p < 0.001). In multilevel modeling analyses, adjusted for clustering within individuals, greater quantity of drinking on a given day was associated with greater cannabis use (estimate = 0.03, p < 0.001). When using alcohol and cannabis on the same day, greater alcohol use was associated with greater cannabis use. Preventing days of heavy use of multiple substances, particularly among at-risk drinkers, may complement interventions addressing co-use generally to prevent substance-related consequences.
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