Associations between Cannabis Use and Multiple Substance Use among High School Students in Jamaica

IF 0.2 4区医学 Q4 MEDICINE, GENERAL & INTERNAL West Indian Medical Journal Pub Date : 2017-10-26 DOI:10.7727/WIMJ.2017.213

D. Oshi, W. Abel, Tana F. Ricketts-Roomes, C. Agu, Sarah N. Oshi, Joy Harrison, K. Smith, U. Atkinson, P. Clarke, A. Bailey, P. Whitehorne-Smith

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引用次数: 3

Abstract

Objective: Cigarettes, alcohol, cannabis, inhalants and cocaine are the most commonly used substances among high school students in Jamaica. However, there is limited evidence on their co-use and whether the use of one drug predicts the use of the others (multiple substance use). This study aimed to determine whether cannabis use predicts the co-use of the other substances. Methods: We analysed data from the National Secondary School Survey 2013, Jamaica, using inferential statistics to determine associations. Results: Lifetime cannabis use was significantly associated with lifetime cigarette use for males (X2 = 282.72, p = 0.000) and females (X2 = 434.32, p = 0.000). Similarly, it was significantly associated with: (a) lifetime use of alcohol for males (X2 = 88.62, p = 0.000) and females (X2 = 99.48, p = 0.000); (b) lifetime use of inhalants for males (X2 = 13.28, p = 0.00) and females (X2 = 49.56, p = 0.00); and (c) lifetime cocaine use for males (X2 = 9.78, p = 0.00) and females (X2 = 64.54, p = 0.00). Past-month (recent) use of cannabis was significantly associated with past-month use of cigarettes and alcohol, but not inhalants, for males and females. Logistic regression results showed that lifetime cannabis use was a risk factor for lifetime use of cigarettes (adjusted odds ratio [AOR]: 11.38; 95% confidence interval [CI]: 9.02, 14.37) and alcohol (AOR: 5.84; 95% CI: 4.11, 8.30), but a strong protective factor against lifetime use of inhalants and cocaine. Past-month use of cannabis was a strong protective factor against pastmonth use of cigarettes and alcohol. Conclusion: Lifetime cannabis use was significantly associated with multiple substance use and was shown to be a risk factor for lifetime use of cigarettes and of alcohol. However, adolescents who reported recent (past-month) use of cannabis were less likely to report recent use of alcohol and cigarettes. These findings suggest the need for research to further explore the role cannabis plays in multiple drug use and offer more concrete explanations for its role.

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牙买加高中生使用大麻与多种物质使用之间的关系

目的:香烟、酒精、大麻、吸入剂和可卡因是牙买加高中生中最常用的物质。然而，关于它们的共同使用以及使用一种药物是否预示其他药物的使用(多种药物使用)的证据有限。这项研究旨在确定大麻的使用是否预示着其他物质的共同使用。方法:我们分析了牙买加2013年全国中学调查的数据，使用推论统计来确定关联。结果:男性(X2 = 282.72, p = 0.000)和女性(X2 = 434.32, p = 0.000)终生大麻使用与终生香烟使用显著相关。同样，它与:(a)男性(X2 = 88.62, p = 0.000)和女性(X2 = 99.48, p = 0.000)终生饮酒显著相关;(b)男性(X2 = 13.28, p = 0.00)和女性(X2 = 49.56, p = 0.00)终生吸入剂使用情况;(c)男性(X2 = 9.78, p = 0.00)和女性(X2 = 64.54, p = 0.00)终生可卡因使用情况。过去一个月(最近)使用大麻与男性和女性过去一个月使用香烟和酒精(但不使用吸入剂)显著相关。Logistic回归结果显示，终生使用大麻是终生使用香烟的危险因素(调整优势比[AOR]: 11.38;95%可信区间[CI]: 9.02, 14.37)和酒精(AOR: 5.84;95%可信区间:4.11,8.30)，但对终生使用吸入剂和可卡因有很强的保护作用。过去一个月使用大麻是防止过去一个月使用香烟和酒精的有力保护因素。结论:终生使用大麻与多种物质使用显著相关，并被证明是终生使用香烟和酒精的一个危险因素。然而，报告最近(过去一个月)使用大麻的青少年报告最近使用酒精和香烟的可能性较小。这些发现表明，需要进一步研究大麻在多种药物使用中的作用，并为其作用提供更具体的解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

West Indian Medical Journal 医学-医学：内科

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal is international in scope, with author and editorial contributions from across the globe. The focus is on clinical and epidemiological aspects of tropical and infectious diseases, new and re-emerging infections, chronic non-communicable diseases, and medical conditions prevalent in the Latin America-Caribbean region, and of significance to global health, especially in developing countries. The Journal covers all medical disciplines, as well as basic and translational research elucidating the pathophysiologic basis of diseases or focussing on new therapeutic approaches, and publishes original scientific research, reviews, case reports, brief communications, letters, commentaries and medical images. The Journal publishes four to six issues and four supplements annually. English is the language of publication but Abstracts are also duplicated in Spanish. Most of the articles are submitted at the authors’ initiative, but some are solicited by the Editor-in-Chief. Unless expressly stated, the Editorial Board does not accept responsibility for authors’ opinions. All papers on submission are reviewed by a subcommittee. Those deemed worthy for review are sent to two or three reviewers (one of the three might be a statistician if necessary). The returned papers with reviewer comments are reviewed by the Editor-in-Chief. Papers may be rejected, accepted or sent back to authors for revision. Resubmitted papers from authors are reviewed by the Editor-in-Chief and may be sent back to reviewers or a final decision made by Editor-in-Chief. The decision of the Editorial Board is final with regards to rejected articles. Rejected articles will not be returned to the authors. The editorial subcommittee has the right to return sub-standard manuscripts to the authors, rather than passing them on to the reviewers. This implies outright rejection of the manuscript.