Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA; Injury Prevention Center, University of Michigan, Ann Arbor, MI, USA.
Drug Alcohol Depend. 2023 Oct 1;251:110915. doi: 10.1016/j.drugalcdep.2023.110915. Epub 2023 Aug 9.
Emerging adults' (EAs; ages 18-25) perceived risk of cannabis-related harms has decreased in recent decades, potentially contributing to their high prevalence of cannabis consumption. With the changing cannabis policy and product landscape, it is critical to understand perceived risk related to different consumption methods (e.g., smoking, dabbing). We examined differences in cannabis risk perceptions by method and consumption patterns.
EAs recruited from an emergency department (N=359, 71.3% female, 53.5% Black) completed assessments on individual characteristics, cannabis/other substance use, and perceived risk of cannabis-related harm for four different methods (smoking, vaping, dabbing, ingestion) and two use frequencies (occasional, regular). Analyses examined associations between variables of interest and three mutually exclusive groups: no cannabis use, smoking-only, and multiple/other methods.
Forty-two percent of EAs reported no past 3-month cannabis use, 22.8% reported smoking only, and 35.1% reported consumption via multiple/other methods. Among all participants, the methods and frequency with the largest number of EAs endorsing any perceived risk from cannabis were dabbing and vaping cannabis regularly; smoking occasionally had the smallest number of EAs endorsing perceived risk. A greater proportion of EAs in the no use group viewed vaping cannabis regularly as having the most risk (63.6%), whereas the largest proportion of EAs in the smoking-only (64.6%) and multiple/other methods (47.2%) groups perceived dabbing regularly as having the most risk.
This work shows that EAs vary in perceptions of risk across methods of cannabis use and can inform potential directions for public health and policy efforts.
近年来,成年早期(18-25 岁)对大麻相关危害的感知风险有所降低,这可能是他们大麻消费率高的原因之一。随着大麻政策和产品格局的变化,了解不同使用方法(如吸烟、点吸)与感知风险的关联至关重要。我们研究了不同使用方法和消费模式下对大麻风险感知的差异。
我们从急诊室招募了成年早期被试(N=359,71.3%为女性,53.5%为黑人),他们完成了关于个人特征、大麻/其他物质使用以及对四种不同方法(吸烟、蒸气吸入、点吸、摄入)和两种使用频率(偶尔、经常)的大麻相关危害感知风险的评估。分析考察了感兴趣变量与三个互斥群体之间的关联:无大麻使用、仅吸烟以及多种/其他方法。
42%的被试报告过去 3 个月没有吸食大麻,22.8%报告仅吸烟,35.1%报告通过多种/其他方法吸食大麻。在所有参与者中,最受被试认可存在大麻风险的方法和频率是定期点吸和蒸气吸入大麻;偶尔吸烟的方式风险最小。在无使用组中,更多的被试认为定期蒸气吸入大麻风险最大(63.6%),而在仅吸烟组(64.6%)和多种/其他方法组(47.2%)中,最大比例的被试认为定期点吸大麻风险最大。
这项研究表明,成年早期对大麻使用方式的风险感知存在差异,这为公共卫生和政策努力提供了潜在的方向。