Center for Alcohol and Addiction Studies.
Department of Psychology.
Psychol Addict Behav. 2021 Sep;35(6):691-697. doi: 10.1037/adb0000739. Epub 2021 May 20.
Simultaneous alcohol and cannabis (i.e., marijuana [SAM]) use is highly prevalent among young adults and college students and associated with a number of negative consequences compared to single substance use. The current study examined socio-contextual factors (e.g., physical, situational, social) associated with SAM use versus cannabis-only versus alcohol-only use. Data were collected from college student SAM users ( = 313, 53% women, age = 19.79; 74% White; 10% Hispanic/Latinx) who completed two bursts (28 days) of online repeated daily surveys (RDS). RDS were collected five times per day during both bursts (3 months apart). Results suggested that odds of being at home were greater for cannabis-only use compared to SAM and SAM compared to alcohol-only use. Odds of being at a friend's place were greater for SAM compared to alcohol-only and cannabis-only use. Odds of being at a party were greater for SAM compared to alcohol-only use and odds of being at a bar or restaurant were greater for alcohol-only compared to SAM use. Results also suggested that odds of having more people in a location consistently were greater for SAM compared to cannabis-only use, and alcohol-only compared to cannabis-only use. Physical and social contexts (parties, friend's homes, and being around more people) are significantly associated with SAM use occasions. These findings are well-aligned with a social-ecological framework and suggest intervention and prevention efforts should take a comprehensive approach to reduce harms associated with SAM use. Future work is needed to examine these associations in diverse samples. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
同时使用酒精和大麻(即大麻[SAM])在年轻人和大学生中非常普遍,与单一物质使用相比,会导致许多负面后果。本研究考察了与 SAM 使用、大麻使用和酒精使用相比,与社会环境因素(例如身体、情境、社会)相关的因素。数据来自大学生 SAM 用户(n=313,53%为女性,年龄=19.79;74%为白人;10%为西班牙裔/拉丁裔),他们完成了两次(28 天)在线重复日常调查(RDS)。RDS 在两次爆发期间(相隔 3 个月)每天收集五次。结果表明,与 SAM 和 SAM 相比,在家的可能性更大,与大麻相比,在家的可能性更大。与 SAM 相比,在朋友家的可能性更大,与 SAM 相比,在朋友家的可能性更大,与 SAM 相比,在朋友家的可能性更大,与 SAM 相比,在朋友家的可能性更大。与 SAM 相比,在聚会上的可能性更大,与 SAM 相比,在酒吧或餐馆的可能性更大。结果还表明,与大麻相比,SAM 所处地点的人数更多,与大麻相比,酒精所处地点的人数更多。物理和社会环境(聚会、朋友的家以及更多人在场)与 SAM 使用情况密切相关。这些发现与社会生态框架一致,表明干预和预防措施应采取综合方法来减少与 SAM 使用相关的危害。需要进一步的工作来检查这些在不同样本中的关联。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。