Cronce Jessica M, Bittinger Joyce N, Di Lodovico Cory M, Liu Junny
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
J Adolesc Health. 2017 May;60(5):528-533. doi: 10.1016/j.jadohealth.2016.10.021. Epub 2016 Dec 20.
Gambling is prevalent among college students and can be associated with significant negative consequences. Students who report gambling also tend to report use of alcohol and cannabis, but little research has explored the associated risks of using these substances in relation to gambling episodes. This study explored associations between the independent and co-occurring use of alcohol and cannabis before/during gambling episodes and gambling outcomes.
Students (n = 1,834) completed an online survey that included measures of gambling frequency, amount lost, negative gambling consequences, gambling problem severity, and substance use.
As hypothesized, individuals who reported using either alcohol or cannabis alone or both substances before/while gambling endorsed greater gambling quantity, frequency, negative consequences, and problem severity than individuals who used alcohol and cannabis in general but denied use of either substance before/while gambling. Use of both substances compared to use of alcohol alone was associated with greater gambling quantity, frequency, and negative consequences, although these groups did not differ on gambling problem severity. Cannabis use alone was no different on any outcome than use of both substances, and alcohol use alone was no different than cannabis use alone on any outcome.
Use of cannabis alone before/while gambling may confer the same level of risk for negative gambling outcomes as use of both cannabis and alcohol. Prevention efforts may, therefore, benefit from targeting cannabis use in relation to gambling. Additional investigation is needed in light of recent and upcoming state legislation on the legalization of cannabis.
赌博在大学生中很普遍，且可能会带来严重的负面后果。报告有赌博行为的学生往往也会报告饮酒和吸食大麻的情况，但很少有研究探讨在赌博期间使用这些物质的相关风险。本研究探讨了在赌博事件之前/期间单独或同时使用酒精和大麻与赌博结果之间的关联。
学生（n = 1834）完成了一项在线调查，其中包括赌博频率、输钱金额、负面赌博后果、赌博问题严重程度和物质使用情况的测量。
正如所假设的那样，与一般使用酒精和大麻但在赌博之前/期间否认使用任何一种物质的个体相比，报告在赌博之前/期间单独使用酒精或大麻或同时使用这两种物质的个体认可更高的赌博量、频率、负面后果和问题严重程度。与单独使用酒精相比，同时使用这两种物质与更高的赌博量、频率和负面后果相关，尽管这些组在赌博问题严重程度上没有差异。单独使用大麻在任何结果上与同时使用这两种物质没有差异，单独使用酒精在任何结果上与单独使用大麻也没有差异。
在赌博之前/期间单独使用大麻可能会带来与同时使用大麻和酒精相同程度的负面赌博结果风险。因此，预防措施可能会受益于针对与赌博相关的大麻使用。鉴于近期和即将出台的关于大麻合法化的州立法，需要进行更多的调查。
