A preliminary investigation of physical and mental health features of cannabis & nicotine co-use among adolescents and young adults by sex

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-05-14 DOI:10.1016/j.addbeh.2024.108064

Alexander L. Wallace , Kelly E. Courtney , Natasha E. Wade , Neal Doran , Everett L. Delfel , Rachel Baca , Laura E. Hatz , Courtney Thompson , Gianna Andrade , Joanna Jacobus

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Abstract

Introduction

Cannabis and nicotine/tobacco products (NTP) are commonly co-used in adolescence and young adulthood; however, limited research has been done on predictive health behaviors to co-use. The current study is a preliminary investigation into the relationships of modifiable health behaviors on cannabis and NTP co-use in adolescents and young adults.

Method

221 participants (ages 16–22) were characterized into cannabis use only (N = 55), NTP use only (N = 20), cannabis and NTP co-use (used cannabis and NTP; N = 96) and control (no use; N = 50) groups based on past 30-day use. Self-report measures for physical activity, sleep quality, mental health, and reward responsivity were utilized. Participants were given a comprehensive neurocognitive battery. Logistic regressions of self-report measures and fluid intelligence composite scores on substance use group status were run stratified by sex.

Results

Higher approach reward sensitivity traits were associated with increased likelihood of cannabis use only (Odds Ratio (OR) = 1.15, p = .036) in female participants. Increased aerobic activity was associated with decreased likelihood of cannabis use only (OR = 0.91, p = .047) and cannabis and NTP co-use (OR = 0.88, p = .007) in female participants. Higher anxiety was associated with increased likelihood of cannabis NTP co-use (OR = 1.51, p = 0.025) in male participants.

Discussion

Several health behaviors were linked with cannabis use and cannabis and NTP co-use in both females and male adolescents and young adults. Health markers differed by sex suggesting differing mechanisms of substance co-use. This study informs targetable health behaviors for prevention and intervention efforts.

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按性别分列的青少年和年轻成年人共同使用大麻和尼古丁的身心健康特征初步调查

导言大麻和尼古丁/烟草制品（NTP）在青少年和年轻成年人中经常被共同使用；然而，对共同使用大麻和尼古丁/烟草制品的健康行为预测研究却很有限。本研究是一项初步调查，旨在了解可改变的健康行为与青少年和年轻成年人共同使用大麻和 NTP 的关系。研究方法：根据过去 30 天的使用情况，将 221 名参与者（16-22 岁）分为仅使用大麻组（55 人）、仅使用 NTP 组（20 人）、大麻和 NTP 共同使用组（使用大麻和 NTP；96 人）和对照组（不使用；50 人）。采用的自我报告测量方法包括身体活动、睡眠质量、心理健康和奖赏反应性。参与者还接受了全面的神经认知测试。结果在女性参与者中，较高的奖赏敏感性与使用大麻的可能性增加有关（Odds Ratio (OR) = 1.15, p = .036）。在女性参与者中，有氧活动增加与仅吸食大麻（OR = 0.91，p = .047）以及吸食大麻和 NTP（OR = 0.88，p = .007）的可能性降低有关。在男性参与者中，焦虑程度越高，同时使用大麻和 NTP 的可能性越大（OR = 1.51，p = 0.025）。健康指标因性别而异，这表明共同使用药物的机制不同。这项研究为预防和干预工作提供了有针对性的健康行为信息。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.