Trends in Cannabis and Tobacco Use by Racial and Ethnic Groups Among U.S. Youth: 1991-2021.

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2026-04-01 Epub Date: 2025-02-17 DOI:10.1007/s40615-025-02284-1

Hongying Daisy Dai

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引用次数: 0

Abstract

Objectives: To examine the temporal trends of current cannabis use only, tobacco use only, and co-use of these two substances by racial and ethnic adolescent groups.

Methods: Data were drawn from the 1991-2021 Youth Risk Behavior Surveys (YRBS) (n = 234,572) to examine changes in cannabis and tobacco use among American Indian or Alaskan Native (AI/AN), Asian, Black, Hispanic/Latino (H/L), Native Hawaiian or other Pacific Islander only (NH/PI), White, and multi-racial high school students. Multivariable logistic regressions were performed to examine racial and ethnic disparities in current cannabis and tobacco use across four equal interval periods (i.e., 1991-1997, 1999-2005, 2007-2013, 2015-2021).

Results: During 2015-2021, Black (12.6% (95% CI11.3-13.9%)), H/L (9.0% (7.9-10.1%)), and multi-racial (8.8% (7.3-10.3%)) adolescent reported higher prevalences of cannabis-only use than whites (4.9% (4.4-5.5%)), while AI/AN (20.1% (15.1-25.2%)) reported higher prevalence of tobacco and cannabis co-use than whites (13.4% (12.2-14.5%)). The prevalence of cannabis-only use was highest among Black adolescents and increased from 10.8% (9.3-12.2%) in 1991-1997 to 12.6% (11.3-13.9%) in 2015-2021 (linear trend, p = .004), while AI/AN adolescents maintained the highest prevalences of cannabis and tobacco co-use across last three decades (p = .17) with 23.0% (16.6-29.4%) in 1991-1997 to 20.1% (15.1-25.2%) in 2015-2021. As compared to their White counterparts, Black and H/L adolescents consistently exhibited higher prevalences of reporting cannabis-only use, but lower tobacco-only use; AI/AN adolescents had higher cannabis-tobacco co-use and Asian adolescents reported lower cannabis and tobacco use.

Conclusions: These disparities highlight the importance of public health programs addressing diverse substance use behaviors across racial and ethnic groups. There is a need for early prevention and tailored interventions to reduce cannabis-only use among Black adolescents and tobacco-cannabis co-use among American Indian/Alaskan Native adolescents.

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美国青年中不同种族和族裔群体大麻和烟草使用趋势：1991-2021。

目的：研究种族和民族青少年群体目前仅使用大麻、仅使用烟草和共同使用这两种物质的时间趋势。方法：从1991-2021年青少年风险行为调查（YRBS）（n = 234,572）中提取数据，研究美国印第安人或阿拉斯加原住民（AI/AN）、亚洲人、黑人、西班牙裔/拉丁裔（H/L）、夏威夷原住民或其他太平洋岛民（NH/PI）、白人和多种族高中生中大麻和烟草使用的变化。采用多变量logistic回归来检验四个相等间隔期（即1991-1997年、1999-2005年、2007-2013年、2015-2021年）当前大麻和烟草使用中的种族和民族差异。结果：2015-2021年，黑人青少年（12.6% (95% CI11.3-13.9%)）、黑人青少年（9.0%(7.9-10.1%)）和多种族青少年（8.8%(7.3-10.3%)）仅使用大麻的患病率高于白人（4.9%(4.4-5.5%)），而AI/AN青少年（20.1%(15.1-25.2%)）报告的烟草和大麻混合使用的患病率高于白人（13.4%(12.2-14.5%)）。仅使用大麻的流行率在黑人青少年中最高，从1991-1997年的10.8%（9.3-12.2%）增加到2015-2021年的12.6%(11.3-13.9%)（线性趋势，p = 0.004），而AI/AN青少年在过去三十年中保持最高的大麻和烟草共同使用的流行率（p = 0.17），从1991-1997年的23.0%（16.6-29.4%）增加到2015-2021年的20.1%（15.1-25.2%）。与白人相比，黑人和H/L青少年一贯表现出更高的报告大麻使用的患病率，但较低的烟草使用；非洲/亚洲青少年大麻和烟草混合使用的比例较高，亚洲青少年报告的大麻和烟草混合使用比例较低。结论：这些差异突出了公共卫生计划解决不同种族和民族群体药物使用行为的重要性。需要进行早期预防和有针对性的干预，以减少黑人青少年只使用大麻和美洲印第安人/阿拉斯加土著青少年同时使用烟草和大麻。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.