Background

Adolescent cannabis use is perceived as a risky behavior, has been linked with many negative health outcomes, and is increasingly being connected with stigma.

Methods

The purpose of this study is to investigate how cannabis use is associated with potentially stigmatizing markers of identity among adolescents two waves of a repeat cross-sectional survey (2015 N = 12,110; 2017 N = 15,191) of high schools students in seven Canadian provinces. Students were asked about ever use of cannabis, as well as “stigma markers”, including their current living arrangement, mother’s education, and ethnicity. Multivariable logistic regression models were used to examine associations between cannabis use and stigma markers.

Results

After adjusting models for grade, gender, and province of residence, students who did not live with their mothers had higher odds of cannabis use relative to students living with their mothers [OR = 1.94, 95% CI 1.62–2.31]. Low maternal education was also significantly associated with cannabis use, as was ethnicity (students who identified as Indigenous had 3.38 (95% CI 2.29–4.99) times higher odds of using cannabis compared to students who identified as “white” in 2017). Findings related to attending school in a rural (vs. urban) area (2015 OR = 1.33 95% CI 0.99–1.78; 2017 OR = 1.44 95% CI 0.9 to −2.15) and low SES (2015 OR = 0.99, 95% 0.98–1.00; 2017 OR = 1.00, 95% CI 0.98–1.01) were more marginal.

Conclusions

Future research should explore cannabis initiation experiences among vulnerable groups to better understand potential stigma triggers.

中文翻译：

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加拿大高中生对大麻的使用和污名化：2015年和2017年青少年癌症风险评估的结果。

背景

青少年使用大麻被认为是一种危险行为，与许多负面的健康后果有关，并且越来越与耻辱联系在一起。

方法

这项研究的目的是调查大麻的使用如何与青少年中潜在的污名化身份标志相关联，两次浪潮是对加拿大七个省的高中学生进行的两次横断面调查（2015 N = 12,110; 2017 N = 15,191）。询问学生大麻的使用情况，以及“耻辱标记”，包括他们目前的生活安排，母亲的教育程度和种族。多变量逻辑回归模型用于检验大麻使用和柱头标记之间的关联。

结果

在调整了年级，性别和居住省份的模型之后，与母亲一起生活的学生相对于与母亲一起生活的学生使用大麻的几率更高[OR = 1.94，95％CI 1.62–2.31]。产妇受教育程度低也与大麻使用密切相关，种族也是如此（被识别为土著的学生使用大麻的几率是2017年被识别为“白人”的学生的3.38倍（95％CI为2.29–4.99）倍。与在农村地区（相对于城市地区）上学有关的发现（2015年OR = 1.33 95％CI 0.99-1.78; 2017年OR = 1.44 95％CI 0.9至-2.15）和低SES（2015 OR = 0.99，95％0.98 –1.00； 2017年OR = 1.00，95％CI 0.98–1.01）的边际利润更高。

结论

未来的研究应探索弱势群体中的大麻启动经验，以更好地了解潜在的污名触发因素。