MMWR Morb Mortal Wkly Rep. 2021 Oct 29;70(43):1505-1508. doi: 10.15585/mmwr.mm7043a3.
In Colorado, excessive alcohol use* contributed to $5 billion in economic costs in 2010 (1) and >1,800 deaths annually during 2011-2015 (2). The most common pattern of excessive drinking is binge drinking (consumption of four or more drinks on an occasion for women or five or more drinks for men) (3), which is associated with increased likelihood of using other substances, including marijuana (4). Retail (i.e., nonmedical) marijuana sales began in Colorado on January 1, 2014. The Colorado Department of Public Health and Environment (CDPHE) and CDC used data from Colorado's 2015-2019 Behavioral Risk Factor Surveillance System (BRFSS) to examine current use of marijuana (including hashish) by drinking patterns among 45,991 persons aged ≥18 years who responded to questions about alcohol and marijuana use. The age-standardized, weighted prevalence of current marijuana use among persons who reported binge drinking (34.4%) was significantly higher than the prevalence among current non-binge drinkers (14.8%) and nondrinkers (9.9%). Evidence-based strategies recommended by the Community Preventive Services Task Force to reduce excessive alcohol use and tobacco use (e.g., increasing prices or reducing access) can reduce alcohol- and tobacco-related harms. Similar strategies might be effective in reducing marijuana use and its potential harms as well.
在科罗拉多州，2010 年过度饮酒导致经济成本 50 亿美元（1），2011-2015 年期间每年有超过 1800 人死亡（2）。最常见的过度饮酒模式是 binge drinking（女性一次饮酒 4 杯或以上，男性 5 杯或以上）（3），这与使用其他物质（包括大麻）的可能性增加有关（4）。零售（即非医疗）大麻销售于 2014 年 1 月 1 日在科罗拉多州开始。科罗拉多州公共卫生与环境部（CDPHE）和疾病预防控制中心（CDC）利用科罗拉多州 2015-2019 年行为风险因素监测系统（BRFSS）的数据，调查了 45991 名年龄在 18 岁及以上、回答过有关酒精和大麻使用问题的人当前大麻（包括大麻脂）使用情况与饮酒模式的关系。报告 binge drinking 的人中，当前大麻使用率（34.4%）经年龄标准化加权后显著高于当前非 binge drinker（14.8%）和不饮酒者（9.9%）。社区预防服务工作组推荐的减少过度饮酒和烟草使用的循证策略（例如，提高价格或减少获取途径）可以减少与酒精和烟草相关的危害。类似的策略可能也有助于减少大麻使用及其潜在危害。
