Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Addict Behav. 2021 Oct;121:106994. doi: 10.1016/j.addbeh.2021.106994. Epub 2021 May 24.
The United States has experienced an increasing divergence in cannabis, tobacco, and alcohol use among adolescents and young adults (AYA). We assessed the changes in cannabis, tobacco and alcohol use in an inner-city population of predominantly minority AYA females attending a large adolescent-specific health center in New York City.
This was a longitudinal study of AYA women recruited and followed over a twelve-year period between 2007 and 2019. Lifetime and past 30-day use were assessed by self-administered questionnaire every six months. In addition, we assessed associations with race, ethnicity, sexual behaviors, receipt of social services, living situation at home (e.g., with or without parents), and use of other drugs.
Participants included 1549 AYA females aged 13-21 at baseline, 95% of whom were youth of color. Use of cannabis increased significantly over the twelve-year period, with frequent cannabis use (≥20 times in 30-days) increasing almost 18% per year (OR = 1.18; 95%CI:1.13-1.23). In contrast, past 30-day tobacco use declined over the same period (OR = 0.86; 95%CI:0.83-0.89). Past 30-day cannabis use was more likely among African Americans (OR = 1.33; 95%CI:1.08-1.63), women who had sex with both men and women compared to with men only (OR = 1.44; 95%CI:1.18-1.75), recent users of tobacco (OR = 2.20; 95%CI:1.92-2.52) and alcohol (OR = 2.84; 95%CI:2.52-3.20), and ever users of other drugs (OR = 1.69; 95%CI:1.44-1.99), independent of age, time and living situation.
Increasing rates of cannabis use and the association with concurrent tobacco and alcohol use in AYA females underscore the need to screen for unhealthy cannabis use, in addition to tobacco and alcohol, especially among inner-city AYA.
美国青少年和青年（AYA）群体中，大麻、烟草和酒精的使用情况呈现出越来越大的差异。我们评估了在纽约市一家专门为青少年服务的大型医疗机构中，以少数族裔为主的城市内青少年女性群体中，大麻、烟草和酒精使用情况的变化。
这是一项对 2007 年至 2019 年期间 12 年内招募并跟踪的 AYA 女性进行的纵向研究。通过每六个月一次的自我管理问卷评估终生和过去 30 天的使用情况。此外，我们还评估了种族、族裔、性行为、接受社会服务、在家中的居住情况（例如，与父母同住或不同住）以及其他药物使用情况与这些因素的关联。
研究对象包括 1549 名基线年龄为 13-21 岁的 AYA 女性，其中 95%为有色人种青少年。在 12 年期间，大麻的使用量显著增加，过去 30 天内频繁使用大麻（≥20 次）的比例每年增加近 18%（OR=1.18；95%CI：1.13-1.23）。相比之下，同期内过去 30 天内的烟草使用量下降（OR=0.86；95%CI：0.83-0.89）。与仅与男性发生性关系的女性相比，过去 30 天内使用大麻的可能性更高（OR=1.33；95%CI：1.08-1.63），与男性和女性均发生性关系的女性（OR=1.44；95%CI：1.18-1.75），近期使用烟草（OR=2.20；95%CI：1.92-2.52）和酒精（OR=2.84；95%CI：2.52-3.20）的女性，以及曾经使用过其他药物（OR=1.69；95%CI：1.44-1.99）的女性，这种关联独立于年龄、时间和居住情况。
在 AYA 女性中，大麻使用率的上升以及与同时使用烟草和酒精的关联，突显了除了烟草和酒精之外，还需要筛查不健康的大麻使用情况，尤其是在城市内的 AYA 中。
