美国有子女和无子女成年人中使用大麻与粮食不安全风险的情况

Cannabis use & food insecurity risk among U.S. adults with & without children.

作者信息

Chakraborty Rishika, Headrick Gabby, Romm Katelyn F, Wang Yan, McCready Darcey, Cavazos-Rehg Patricia A, Schubel Laura C, Speer Morgan, Yang Y Tony, Berg Carla J

机构信息

Center for Health Policy and Media Engagement, School of Nursing, George Washington University, Washington, DC, USA.

Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.

出版信息

Am J Prev Med. 2025 Jun 3:107740. doi: 10.1016/j.amepre.2025.107740.

DOI:10.1016/j.amepre.2025.107740

PMID:40473080

Abstract

INTRODUCTION

The prevalence of cannabis use and food insecurity (FI) have increased in the United States, yet how cannabis use and FI interact, particularly among young parents, remains understudied. This study assessed associations between cannabis use and FI among young adults and differences based on parental status.

METHODS

The study analyzed two waves (W1-W2) of survey data from 2023-2024 among 3437 US young adults (ages 18-34; M=26.4, 61.6% female, 30.4% parents, 27.5% sexual minority, 12.5% Black). Logistic regressions examined W1 past-month cannabis use and W2 past-year FI, and W2 FI and W2 past-month cannabis use, cannabis expenditures, and impact of cannabis cost on amount used, separately, adjusting for sociodemographics and state non-medical cannabis laws. The moderating effect of parental status on each of the above associations was assessed.

RESULTS

At W1, 46.6% of participants reported cannabis use. At W2, 39.5% reported cannabis use, 48.2% FI, and 22.9% cannabis use and FI. W1 cannabis use was associated with greater odds of W2 FI (adjusted odds ratio [aOR]=1.62, 95%CI=1.39, 1.88). W2 FI was associated with greater odds of W2 cannabis use (aOR=1.44, 95%CI=1.24, 1.68), greater cannabis expenditures (aOR=1.44, 95%CI=1.17, 1.78), and greater impact of cannabis cost on use (aOR=1.92, 95%CI=1.57, 2.35). The associations between W2 FI and W2 cannabis use were stronger among parents compared to adults without children.

CONCLUSIONS

Socio-structural, economic, and individual interventions are needed to mitigate FI and address the dynamics between FI and cannabis use that could perpetuate disparities related to FI and cannabis use.

摘要

引言

在美国，大麻使用和粮食不安全（FI）的发生率有所上升，但大麻使用与FI之间如何相互作用，尤其是在年轻父母中，仍未得到充分研究。本研究评估了美国年轻人中大麻使用与FI之间的关联以及基于父母身份的差异。

方法

该研究分析了2023年至2024年期间对3437名美国年轻人（年龄18 - 34岁；平均年龄26.4岁，61.6%为女性，30.4%为父母，27.5%为性少数群体，12.5%为黑人）进行的两轮（W1 - W2）调查数据。逻辑回归分别检验了W1过去一个月的大麻使用情况与W2过去一年的FI情况，以及W2的FI情况与W2过去一个月的大麻使用情况、大麻支出和大麻成本对使用量的影响，并对社会人口统计学和州非医用大麻法律进行了调整。评估了父母身份对上述各关联的调节作用。

结果

在W1时，46.6%的参与者报告使用过大麻。在W2时，39.5%的人报告使用过大麻，48.2%的人存在FI，22.9%的人既使用过大麻又存在FI。W1时的大麻使用与W2时FI的较高几率相关（调整后的优势比[aOR]=1.62，95%置信区间[CI]=1.39，1.88）。W2时的FI与W2时大麻使用的较高几率相关（aOR=1.44，95%CI=1.24，1.68）、大麻支出较高（aOR=1.44，95%CI=1.17，1.78）以及大麻成本对使用量的影响较大（aOR=1.92，95%CI=1.57，2.35）。与没有孩子的成年人相比，父母中W2的FI与W2的大麻使用之间的关联更强。