Abstract
Marijuana is the most commonly used drug across all groups. A greater understanding of risk factors associated with recent use can inform health prevention messaging and behavioral interventions. Pooled data from the 2015–2018 National Survey on Drug Use and Health were utilized among 89,446 individuals ages 18–34. Weighted logistic regression analyses, controlling for covariates, were utilized to determine conditional associations to past-30-day use. A sizeable percentage (18.5%) of individuals reported smoking marijuana in the past 30 days. Individuals who identify as African American or multi-racial, gay/lesbian, bisexual, reported their health as poor, not covered by health insurance, reported prior drug use, or who had reported any thoughts/plans of suicide were at risk for use. Of concern, high rates of alcohol (14.7%) and cocaine (1.50%) were found among users. We believe our findings can inform harm reduction efforts and policy creation.
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References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. American Psychiatric Association.
Atakan, Z. (2012). Cannabis, a complex plant: Different compounds and different effects on individuals. Therapeutic Advances in Psychopharmacology, 2(6), 241–254.
Borges, G., Bagge, C. L., & Orozco, R. (2016). A literature review and meta-analyses of cannabis use and suicidality. Journal of Affective Disorders, 195, 63–74.
Boyd, C. J., Veliz, P. T., & McCabe, S. E. (2019). Severity of DSM-5 cannabis use disorders in a nationally representative sample of sexual minorities. Substance Abuse, 1–5.
Brook, J. S., Zhang, C., & Brook, D. W. (2011). Developmental trajectories of marijuana use from adolescence to adulthood: Personal predictors. Archives of Pediatrics & Adolescent Medicine, 165(1), 55–60.
Buckner, J. D., Ecker, A. H., & Cohen, A. S. (2010). Mental health problems and interest in marijuana treatment among marijuana-using college students. Addictive Behaviors, 35(9), 826–833.
Center for Behavioral Health Statistics and Quality. (2019). 2018 National Survey on Drug Use and Health: Methodological Resource Book (Section 2, Sample Design Report). Substance Abuse and Mental Health Services Administration.
Compton, W. M., Han, B., Jones, C. M., Blanco, C., & Hughes, A. (2016). Marijuana use and use disorders in adults in the USA, 2002–14: analysis of annual cross-sectional surveys. The Lancet Psychiatry, 3(10), 954–964.
Delforterie, M. J., Lynskey, M. T., Huizink, A. C., Creemers, H. E., Grant, J. D., Few, L. R., et al. (2015). The relationship between cannabis involvement and suicidal thoughts and behaviors. Drug and Alcohol Dependence, 150, 98–104.
Desai, R., Fong, H. K., Shah, K., Kaur, V. P., Savani, S., Gangani, K., Damarlapally, N., & Goyal, H. (2019). Rising trends in hospitalizations for cardiovascular events among young Cannabis users (18–39 years) without other substance abuse. Medicina, 55(8), 438.
Dierker, L., Selya, A., Lanza, S., Li, R., & Rose, J. (2018). Depression and marijuana use disorder symptoms among current marijuana users. Addictive Behaviors, 76, 161–168.
Dillon, P., Copeland, J., & Jansen, K. (2003). Patterns of use and harms associated with non-medical ketamine use. Drug and Alcohol Dependence, 69(1), 23–28.
Filbey, F. M., Aslan, S., Calhoun, V. D., Spence, J. S., Damaraju, E., Caprihan, A., & Segall, J. (2014). Long-term effects of marijuana use on the brain. Proceedings of the National Academy of Sciences, 111(47), 16913–16918.
Gary, F. A. (2005). Stigma: Barrier to mental health care among ethnic minorities. Issues in Mental Health Nursing, 26(10), 979–999.
Goldbach, J. T., Schrager, S. M., Dunlap, S. L., & Holloway, I. W. (2015). The application of minority stress theory to marijuana use among sexual minority adolescents. Substance Use & Misuse, 50(3), 366–375.
Hasin, D. S., Saha, T. D., Kerridge, B. T., Goldstein, R. B., Chou, S. P., Zhang, H., ... & Grant, B. F. (2015). Prevalence of marijuana use disorders in the United States between 2001-2002 and 2012-2013. JAMA Psychiatry, 72(12), 1235–1242.
Heeringa, S. G., West, B. T., & Berglund, P. A. (2017). Applied survey data analysis. Chapman and Hall/CRC
Kalechstein, A. D., Newton, T. F., Longshore, D., Anglin, M. D., van Gorp, W. G., & Gawin, F. H. (2000). Psychiatric comorbidity of methamphetamine dependence in a forensic sample. The Journal of Neuropsychiatry and Clinical Neurosciences, 12(4), 480–484.
Kan, E., Beardslee, J., Frick, P. J., Steinberg, L., & Cauffman, E. (2020). Marijuana use among justice-involved youths after California statewide legalization, 2015–2018. American Journal of Public Health, 110(9), 1386–1392.
Kecojevic, A., Jun, H. J., Reisner, S. L., & Corliss, H. L. (2017). Concurrent polysubstance use in a longitudinal study of US youth: Associations with sexual orientation. Addiction, 112(4), 614–624.
Kelly, B. C., Wells, B. E., Pawson, M., LeClair, A., & Parsons, J. T. (2014). Combinations of prescription drug misuse and illicit drugs among young adults. Addictive Behaviors, 39(5), 941–944.
King, K. A., Vidourek, R. A., & Yockey, R. A. (2019). Does the association of school experiences and marijuana use differ based on age of African American high school students? Journal of Substance Use, 24(5), 1–6.
Leri, F., Bruneau, J., & Stewart, J. (2003). Understanding polydrug use: Review of heroin and cocaine co-use. Addiction, 98(1), 7–22.
Lynskey, M. T., Agrawal, A., Bucholz, K. K., Nelson, E. C., Madden, P. A., Todorov, A. A., et al. (2006). Subtypes of illicit drug users: A latent class analysis of data from an Australian twin sample. Twin Research and Human Genetics, 9(4), 523–530.
Mantey, D. S., Yockey, R. A., & Barroso, C. S. (2021). Role of sex on the relationship between sexual minority status and past 30-day marijuana use among high school students (YRBS, 2015–2019). Addictive Behaviors, 106905
McHugh, R. K., Votaw, V. R., Sugarman, D. E., & Greenfield, S. F. (2018). Sex and gender differences in substance use disorders. Clinical Psychology Review, 66, 12–23.
Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.
Monte, A. A., Shelton, S. K., Mills, E., Saben, J., Hopkinson, A., Sonn, B., et al. (2019). Acute illness associated with cannabis use, by route of exposure: An observational study. Annals of Internal Medicine, 170, 531. https://doi.org/10.7326/M18-2809.
National Conference of State Legislatures. (2021a). State Medical Marijuana Laws. Retrieved from https://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx#2
National Conference of State Legislatures. (2021b). Marijuana Deep Dive | State Policy Updates. Retrieved from https://www.ncsl.org/bookstore/state-legislatures-magazine/marijuana-deep-dive.aspx
Pacek, L. R., Mauro, P. M., & Martins, S. S. (2015). Perceived risk of regular cannabis use in the United States from 2002 to 2012: Differences by sex, age, and race/ethnicity. Drug and Alcohol Dependence, 149, 232–244.
Quek, L. H., Chan, G., White, A., Connor, J. P., Baker, P., Saunders, J., & Kelly, A. B. (2012). Multiple drug use in adolescents and young adults. Drug and Alcohol Review, 31(Suppl. 1), 58–58.
Rogers, R. W., & Prentice-Dunn, S. (1997). Protection motivation theory. In D. S. Gochman (Ed.), Handbook of health behavior research 1: Personal and social determinants (pp. 113–132). Plenum Press.
Rudy, A. K., Barnes, A. J., Cobb, C. O., & Nicksic, N. E. (2020). Attitudes about and correlates of cannabis legalization policy among US young adults. Journal of American College Health, 1–8
Schauer, G. L., Berg, C. J., & Bryant, L. O. (2013). Sex differences in psychosocial correlates of concurrent substance use among heterosexual, homosexual and bisexual college students. The American Journal of Drug and Alcohol Abuse, 39(4), 252–258.
Shih, R. A., Rodriguez, A., Parast, L., Pedersen, E. R., Tucker, J. S., Troxel, W. M., Kraus, L., Davis, J. P., & D'Amico, E. J. (2019). Associations between young adult marijuana outcomes and availability of medical marijuana dispensaries and storefront signage. Addiction (Abingdon, England), 114(12), 2162–2170.
StataCorp. 2017. Stata Statistical Software: Release 15. College Station, TX: StataCorp LLC.
Substance Abuse and Mental Health Services Administration. (2019). Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health (HHS Publication No. PEP19–5068, NSDUH Series H-54). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved February 13, 2020, from https://www.samhsa.gov/data/
US Department of Health and Human Services. (2021) “Healthy People 2030”. Retrieved from https://health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use/reduce-proportion-adults-who-use-marijuana-daily-or-almost-daily-su-08/data. Accessed April 18, 2020
Vidourek, R. A., King, K. A., & Montgomery, L. (2017). Psychosocial determinants of marijuana use among African American youth. Journal of Ethnicity in Substance Abuse, 16(1), 43–65.
Weller, E. (2017). Daily marijuana use increasing among young adults. American Journal of Public Health, 47(9), e44.
Wen, H., Hockenberry, J. M., & Cummings, J. R. (2015). The effect of medical marijuana laws on adolescent and adult use of marijuana, alcohol, and other substances. Journal of Health Economics, 42, 64–80.
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Vidourek, R.A., Yockey, R.A., King, K.A. et al. Recent Marijuana Use Among Young Adults, 2015–2018, USA. Int J Ment Health Addiction 20, 3075–3085 (2022). https://doi.org/10.1007/s11469-021-00566-3
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DOI: https://doi.org/10.1007/s11469-021-00566-3