Department of Public Health, Julia Jones Matthews School of Population and Public Health, Texas Tech University Health Sciences Center, Abilene, TX 79601, USA.
Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Jackson State University, Jackson, MS 39217, USA.
Int J Environ Res Public Health. 2024 Aug 22;21(8):1109. doi: 10.3390/ijerph21081109.
Cannabis is the most used illicit drug among youths in the United States. The objectives of this study were to identify the association between cannabis use and other risk behaviors, including suicidality, among high school students. This is a cross-sectional study using the 2021 Mississippi Youth Risk Behavior Surveillance System (YRBS). The 2021 YRBS data sets were combined for this study. The crude odds ratio (OR) and adjusted odds ratio (AOR) with a 95% confidence interval were generated using the survey packages in R to account for weights and the complex sampling design of the YRBS data. Univariate analysis identified seven risky behaviors that were significantly associated with current cannabis use, including carrying weapons on school campuses, suicidal attempts, electronic vapor use, current smoking, current drinking, sexual behaviors, and unsupervised children. In multivariable analysis, after adjusting for gender, race, students' grades, and other risky behaviors, statistically significant variables for cannabis use included current use of electronic vapor, current smoking, current drinking, and sexual behaviors. Cannabis use is evenly burdened between males and females and between all race categories among Mississippi high school students. The identified associations seem to indicate that electronic vapor, tobacco products, and alcohol use could be the forerunners for drug use and should be treated accordingly in drug use prevention programs.
大麻是美国青少年中使用最广泛的非法药物。本研究的目的是确定大麻使用与其他风险行为（包括自杀意念）之间的关联，这些行为在高中生中发生。这是一项使用 2021 年密西西比州青少年风险行为监测系统（YRBS）的横断面研究。本研究合并了 2021 年 YRBS 的数据集。使用 R 中的调查软件包生成了未经调整的比值比（OR）和调整后的比值比（AOR），并考虑了权重和 YRBS 数据的复杂抽样设计。单变量分析确定了七种与当前大麻使用显著相关的风险行为，包括在校园携带武器、自杀企图、电子蒸气使用、当前吸烟、当前饮酒、性行为和无人监督的儿童。在多变量分析中，在校正了性别、种族、学生成绩和其他风险行为后，与大麻使用相关的统计学显著变量包括当前使用电子蒸气、当前吸烟、当前饮酒和性行为。在密西西比州高中生中，大麻使用在男性和女性以及所有种族群体中负担均衡。确定的关联似乎表明，电子蒸气、烟草制品和酒精的使用可能是药物使用的先兆，因此应该在药物使用预防计划中进行相应的治疗。
