Age-related Changes in Past-Month Alcohol, Cannabis, and Simultaneous Use in a Statewide Sample of Young Adults in Washington State.

IF 2.4 3区 医学 Q2 PSYCHOLOGY Journal of studies on alcohol and drugs Pub Date : 2024-08-10 DOI:10.15288/jsad.24-00065
Anne M Fairlie, Brian H Calhoun, Charles Fleming, Miranda L M Delawalla, Griselda Martinez, Max A Halvorson, Isaac C Rhew, Jason R Kilmer, Katarina Guttmannova
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Abstract

Objective: It is unknown whether age-related decreases in substance use (maturing out) are observed in the legalized cannabis context. This study evaluated age-related changes in past-month alcohol use frequency, cannabis use frequency, and any simultaneous alcohol and marijuana/cannabis (SAM) use among young adults who engaged in the respective substance use behavior.

Method: Young adults, residing in Washington State at enrollment (N=6,509; 68.3% female; ages 18-25), provided 3-5 years of annual data in a longitudinal, cohort-sequential design from 2015 to 2019, a period after nonmedical cannabis was legalized and implemented. Multilevel growth models were conducted; post-stratification weights were applied to make the sample more similar to the Washington young adult general population in demographic characteristics.

Results: Among those who reported alcohol use at 1+ timepoints, days of alcohol use increased from age 18 to approximately age 25 and then decreased until age 30. Among those who reported cannabis use at 1+ timepoints, days of cannabis use increased from age 18 until approximately age 23 and then decreased until age 30. Among those who reported SAM use at 1+ timepoints, the probability of SAM use increased from age 18 until approximately age 24 and then decreased until age 30. Age-related changes in SAM use were largely explained by concurrent changes in alcohol and cannabis use frequency.

Conclusions: Maturing out was observed for alcohol, cannabis, and SAM use among those who used each respective substance, with evidence that age-related changes in SAM use were tied to alcohol and cannabis use frequency.

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华盛顿州全州青少年样本中上月酒精、大麻和同时使用情况的年龄相关变化。
目的:在大麻合法化的背景下,是否会观察到与年龄相关的药物使用减少(成熟淘汰)尚不清楚。本研究评估了过去一个月酒精使用频率、大麻使用频率以及同时使用酒精和大麻/大麻(SAM)的年轻成年人中与年龄相关的变化:注册时居住在华盛顿州的青壮年(N=6,509;68.3% 为女性;年龄在 18-25 岁之间),在非医用大麻合法化并实施后的 2015 年至 2019 年期间,以纵向、队列序列设计的方式提供了 3-5 年的年度数据。研究采用了多层次增长模型;应用了后分层加权法,以使样本在人口特征方面与华盛顿州的年轻成年人总体更为相似:在报告 1 个以上时间点饮酒的人中,饮酒天数从 18 岁增加到 25 岁左右,然后在 30 岁之前有所减少。在报告使用大麻 1 个以上时间点的人群中,使用大麻的天数从 18 岁到大约 23 岁有所增加,然后到 30 岁有所减少。在那些报告在 1 个以上时间点使用过 SAM 的人中,使用 SAM 的概率从 18 岁开始增加,直到大约 24 岁,然后减少,直到 30 岁。酒精和大麻使用频率的同时变化在很大程度上解释了吸食苯丙胺类兴奋剂与年龄有关的变化:结论:在使用酒精、大麻和 SAM 的人群中,可以观察到他们对每种物质的使用逐渐减少,有证据表明 SAM 使用的年龄相关变化与酒精和大麻的使用频率有关。
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来源期刊
CiteScore
4.80
自引率
5.90%
发文量
224
审稿时长
3 months
期刊介绍: The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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