Development of the Alcohol and Cannabis Simultaneous Use Scale (ACSUS) in College Students.

Pub Date : 2024-01-01 Epub Date: 2023-02-26 DOI:10.1080/14659891.2023.2183149
Haley Kolp, Sarah Horvath, Paula J Fite, Jane Metrik, Gregory L Stuart, Krista M Lisdahl, Ryan C Shorey
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Abstract

Background: Despite the prevalence and negative outcomes associated with simultaneous alcohol and cannabis use (i.e., marijuana [SAM] use; i.e., so that the effects of both alcohol and cannabis overlap) among college students, there is no comprehensive measure of SAM use, with past research relying on single items. The present studies aimed to develop the Alcohol and Cannabis Simultaneous Use Scale (ACSUS), a comprehensive self-report measure of SAM use frequency, quantity, and problems in college students.

Methods: College students at two Midwestern universities who used alcohol and cannabis (Study 1: N=534; Mean age=19; 71% female; 88% White; Study 2: N=258; Mean age=21; 81% female; 85% White) completed the newly developed ACSUS.

Results: Exploratory factor analysis (Study 1) revealed the ACSUS fit best with 9-items representing two factors: Factor 1 measures frequency and quantity of SAM use, and Factor 2 measures associated problems with SAM use. Confirmatory factor analysis (Study 2) supported the two-factor structure of the ACSUS which was positively associated with measures of alcohol use, cannabis use, simultaneous use motives, and impulsivity.

Conclusions: These data provide initial support for the ACSUS, developed to investigate the frequency, quantity, and associated problems with SAM use in college students.

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大学生酒精和大麻同时使用量表的编制
背景:尽管在大学生中同时使用酒精和大麻(即使用大麻;即酒精和大麻的作用重叠)的现象很普遍,而且会产生不良后果,但目前还没有关于同时使用酒精和大麻的综合测量方法,过去的研究主要依赖于单个项目。本研究旨在开发酒精和大麻同时使用量表(ACSUS),这是一种对大学生使用酒精和大麻的频率、数量和问题进行综合自我报告的测量方法:中西部两所大学中使用酒精和大麻的大学生(研究 1:人数=534;平均年龄=19;71%为女性;88%为白人;研究 2:人数=258;平均年龄=21;81%为女性;85%为白人)完成了新开发的 ACSUS:探索性因子分析(研究 1)显示,ACSUS 与代表两个因子的 9 个项目最为匹配:因子 1 衡量使用 SAM 的频率和数量,因子 2 衡量使用 SAM 的相关问题。确认性因子分析(研究 2)支持 ACSUS 的双因子结构,该结构与酒精使用、大麻使用、同时使用动机和冲动性的测量结果呈正相关:这些数据为 ACSUS 提供了初步支持,开发 ACSUS 的目的是调查大学生使用 SAM 的频率、数量和相关问题。
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