{"title":"Serious psychological distress and higher associations with tobacco and cannabis use among college students in the United States","authors":"Nan Wang , Melanie S. Dove , Elisa K Tong","doi":"10.1016/j.ypmed.2024.108041","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To examine associations between serious psychological distress (SPD) and tobacco and cannabis use among college students in the United States.</p></div><div><h3>Methods</h3><p>This cross-sectional study included 257,626 college students from the 2019–2022 National College Health Assessment survey. SPD was defined as having symptoms in the past month. Current tobacco (i.e., cigarettes, e-cigarettes) and cannabis use was defined as past month use. Multiple product use was categorized for single, dual, or triple products. Adjusted logistic regression models were used to examine associations between SPD, tobacco, cannabis, and multiple product use.</p></div><div><h3>Results</h3><p>SPD increased over time (18.4% to 23.8%) among students and nearly 30% of tobacco or cannabis users reported SPD. Cigarette, e-cigarette, or cannabis use was associated with about a 50–60% increased likelihood of reporting SPD than non-current use of each product, with the highest associations in Fall 2020. Triple product users had double the likelihood of reporting SPD, followed by dual users at 70% and single users at 47%, relative to non-current users. Daily users also had nearly twice the likelihood of reporting SPD, followed by non-daily users at 13–35%, relative to non-current users.</p></div><div><h3>Conclusions</h3><p>College students have an increasing burden of SPD which is significantly associated with tobacco and cannabis use. There is a dose-response relationship between the number of tobacco and cannabis products used, as well as the frequency of use, and SPD among U.S. college students. Colleges addressing student mental health should prioritize the implementation of screening and treatment support for tobacco, cannabis, and multiple product use.</p></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Preventive medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0091743524001968","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
To examine associations between serious psychological distress (SPD) and tobacco and cannabis use among college students in the United States.
Methods
This cross-sectional study included 257,626 college students from the 2019–2022 National College Health Assessment survey. SPD was defined as having symptoms in the past month. Current tobacco (i.e., cigarettes, e-cigarettes) and cannabis use was defined as past month use. Multiple product use was categorized for single, dual, or triple products. Adjusted logistic regression models were used to examine associations between SPD, tobacco, cannabis, and multiple product use.
Results
SPD increased over time (18.4% to 23.8%) among students and nearly 30% of tobacco or cannabis users reported SPD. Cigarette, e-cigarette, or cannabis use was associated with about a 50–60% increased likelihood of reporting SPD than non-current use of each product, with the highest associations in Fall 2020. Triple product users had double the likelihood of reporting SPD, followed by dual users at 70% and single users at 47%, relative to non-current users. Daily users also had nearly twice the likelihood of reporting SPD, followed by non-daily users at 13–35%, relative to non-current users.
Conclusions
College students have an increasing burden of SPD which is significantly associated with tobacco and cannabis use. There is a dose-response relationship between the number of tobacco and cannabis products used, as well as the frequency of use, and SPD among U.S. college students. Colleges addressing student mental health should prioritize the implementation of screening and treatment support for tobacco, cannabis, and multiple product use.
目的: 研究美国大学生严重心理困扰(SPD)与吸烟和吸食大麻之间的关系:研究美国大学生严重心理困扰(SPD)与烟草和大麻使用之间的关联:这项横断面研究纳入了 2019-2022 年全国大学生健康评估调查中的 257626 名大学生。SPD的定义是在过去一个月内出现症状。当前烟草(即香烟、电子烟)和大麻的使用被定义为过去一个月的使用情况。多种产品的使用分为单一产品、双重产品或三重产品。调整后的逻辑回归模型用于研究 SPD、烟草、大麻和多种产品使用之间的关联:随着时间的推移,学生中的 SPD 有所增加(18.4% 至 23.8%),近 30% 的烟草或大麻使用者报告了 SPD。使用香烟、电子烟或大麻比不经常使用每种产品的学生报告 SPD 的可能性增加了约 50%-60%,其中 2020 年秋季的相关性最高。与非经常使用者相比,三重产品使用者报告 SPD 的可能性增加了一倍,其次是双重使用者,增加了 70%,单一使用者增加了 47%。每日用户报告 SPD 的可能性也几乎是非经常用户的两倍,其次是非每日用户,占 13-35%:大学生的 SPD 负担越来越重,这与吸烟和吸食大麻有很大关系。美国大学生使用烟草和大麻产品的数量以及使用频率与 SPD 之间存在剂量反应关系。解决学生心理健康问题的高校应优先实施针对烟草、大麻和多种产品使用的筛查和治疗支持。
期刊介绍:
Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.