Background

Cannabis is the most popular illicit drug among adolescents in developed countries, including Finland. The aim of this study was to estimate 1) how cannabis experimentation among Finnish adolescents changed between 2003 and 2019, and 2) whether the associations between cannabis experiments and factors related to it, especially the use of tobacco and nicotine products, changed during the same time period.

Methods

The analyses are based on the European School Survey Project on Alcohol and Other Drugs data, collected from Finnish adolescents aged 15 to 16 in 2003, 2007, 2011, 2015, and 2019 (N=20,630).

Results

Experimentation with cannabis among Finnish adolescents has increased since the beginning of our follow-up. At the same time, alcohol use and smoking have decreased markedly, and attitudes toward cannabis use have become more relaxed. The association between smoking and cannabis experimentation has become weaker over time. However, the use of tobacco and nicotine products, especially polytobacco, is still a strong risk factor for experimentation with cannabis. The higher the number of tobacco or nicotine products used, the higher the probability for cannabis experimentation.

Conclusions

Experimentation with cannabis has previously been concentrated predominantly on adolescents who smoke, but recently non-smokers are increasingly trying cannabis. It is possible that alternative ways of using cannabis may have increased its use. Despite the strict cannabis policy in Finland, its use has increased, which may be an indication that youth cultures and images of different substances play a significant role in adolescents experimenting with cannabis.

中文翻译：

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空气中的烟雾——15-16 岁在校学生尝试大麻与使用烟草和尼古丁产品之间的关联

 背景

大麻是包括芬兰在内的发达国家青少年中最流行的非法药物。本研究的目的是估计 1) 2003 年至 2019 年间芬兰青少年的大麻实验发生了怎样的变化，以及 2) 大麻实验与相关因素（尤其是烟草和尼古丁产品的使用）之间的关联是否在同一时期发生了变化时间段。

 方法

这些分析基于欧洲学校酒精和其他药物调查项目数据，该数据于 2003 年、2007 年、2011 年、2015 年和 2019 年从芬兰 15 至 16 岁青少年中收集（N = 20,630）。

 结果

自我们的后续行动开始以来，芬兰青少年尝试大麻的情况有所增加。与此同时，饮酒和吸烟明显减少，对吸食大麻的态度也变得更加宽松。随着时间的推移，吸烟和大麻实验之间的关联变得越来越弱。然而，使用烟草和尼古丁产品，尤其是复合烟草，仍然是大麻实验的一个强大风险因素。使用的烟草或尼古丁产品数量越多，进行大麻实验的可能性就越高。

 结论

大麻的实验以前主要集中在吸烟的青少年身上，但最近不吸烟的人越来越多地尝试大麻。使用大麻的替代方式可能会增加其使用量。尽管芬兰实行严格的大麻政策，但其使用量有所增加，这可能表明青年文化和不同物质的形象在青少年尝试大麻方面发挥着重要作用。