Fleming Charles B, Duckworth Jennifer C, Patrick Megan E, Fairlie Anne M, Abdallah Devon A, Lee Christine M
Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
Department of Human Development, Washington State University, Pullman, Washington.
J Stud Alcohol Drugs. 2021 Mar;82(2):169-177. doi: 10.15288/jsad.2021.82.169.
Alcohol use among adults varies by season, and drinking among 4-year college students has been linked to holidays and the academic calendar. Little research has assessed calendar-related variation in marijuana use. We examined calendar month variation in alcohol and marijuana use among a sample of young adults that was diverse with respect to college status and educational attainment.
Data were drawn from a community sample of 761 individuals (57% female; ages 18-23 at enrollment). Participants were surveyed monthly for 24 consecutive months. Multilevel models accounted for nesting of monthly data within individuals.
All measures of substance use showed evidence of variation by calendar month, with the exception of hours high in months when marijuana was used. Drinks per week and peak number of drinks were relatively elevated in summer months and in October and December; the prevalence of heavy episodic drinking was also elevated in October and December. Attending a 4-year college was associated with more drinking than not being enrolled in a 4-year college, regardless of whether a 4-year degree had been obtained. Students in a 4-year college reported more drinks per week than those not in a 4-year college in September and October, whereas the peak number of drinks converged across educational status in the summer months and in December. Across educational statuses, marijuana use was highest in April and December.
Findings may guide the targeting and timing of substance use prevention programs by focusing efforts before and during higher risk months.
成年人的酒精使用情况随季节变化,四年制大学生的饮酒行为与节假日和校历有关。很少有研究评估大麻使用与日历相关的变化情况。我们在一个在大学状态和教育程度方面具有多样性的年轻成年人样本中,研究了酒精和大麻使用的日历月变化情况。
数据来自一个包含761名个体的社区样本(57%为女性;入组时年龄在18 - 23岁)。参与者连续24个月每月接受调查。多层次模型考虑了个体内每月数据的嵌套情况。
除了使用大麻月份的兴奋时长外,所有物质使用指标均显示出随日历月变化的证据。每周饮酒量和饮酒峰值在夏季月份以及10月和12月相对较高;10月和12月重度暴饮的患病率也较高。无论是否获得四年制学位,就读四年制大学的人比未就读四年制大学的人饮酒更多。四年制大学的学生在9月和10月每周饮酒量比未就读四年制大学的学生多,而在夏季月份和12月,不同教育状态下的饮酒峰值趋于一致。在所有教育状态中,大麻使用在4月和12月最高。
研究结果可通过在高风险月份之前和期间集中努力,为物质使用预防项目的目标设定和时机选择提供指导。