Recreational Cannabis Legislation and Binge Drinking in U.S. Adolescents and Adults

Details

• Alternative Title:
  Int J Drug Policy
• Personal Author:
  Goncalves, Priscila Dib ; Bruzelius, Emilie ; Levy, Natalie S. ; Segura, Luis E. ; Livne, Ofir ; Gutkind, Sarah ; Boustead, Anne E. ; Hasin, Deborah S. ; Mauro, Pia M. ; Silver, Diana ; Macinko, James ; Martins, Silvia S.
• Description:
  Background:
  
  Recreational cannabis laws (RCLs) may have spillover effects on binge drinking. Our aims were to investigate binge drinking time trends and the association between RCLs and changes in binge drinking in the United States (U.S.)
  
  Methods:
  
  We used restricted National Survey on Drug Use and Health data (2008–2019). We examined trends in the prevalence of past-month binge drinking by age groups (12–20, 21–30, 31–40, 41–50, 51+). Then, we compared model-based prevalences of past-month binge drinking before and after RCL by age group, using multi-level logistic regression with state random intercepts, an RCL by age group interaction term, and controlling for state alcohol policies.
  
  Results:
  
  Binge drinking declined overall from 2008 to 2019 among people aged 12–20 (17.54% to 11.08%), and those aged 21–30 (43.66% to 40.22%). However, binge drinking increased among people aged 31+ (ages 31–40: 28.11% to 33.34%, ages 41–50: 25.48% to 28.32%, ages 51+: 13.28% to 16.75%). When investigating model-based prevalences after versus before RCL, binge drinking decreased among people aged 12–20 (prevalence difference=−4.8%; adjusted odds ratio (aOR)=0.77, [95% confidence interval (CI) 0.70–0.85]), and increased among participants aged 31–40 (+1.7%; 1.09[1.01–1.26]), 41–50 (+2.5; 1.15[1.05–1.26]) and 51+ (+1.8%; 1.17[1.06–1.30]). No RCL-related changes were noted in respondents ages 21–30.
  
  Conclusions:
  
  Implementation of RCLs was associated with increased past-month binge drinking in adults aged 31+ and decreased past-month binge drinking in those aged < 21. As the cannabis legislative landscape continues to change in the U.S., efforts to minimize harms related to binge drinking are critical.
  
  
• Subjects:
  Adolescent Adult Alcohol Drinking Binge Drinking Cannabis Ethanol Hallucinogens Humans Prevalence United States
• Keywords:
  Adolescence Binge Drinking Recreational Cannabis Laws (RCLs) State Alcohol Policies
• Source:
  Int J Drug Policy. 118:104085
• Pubmed ID:
  37329666
• Pubmed Central ID:
  PMC10527765
• Document Type:
  Journal Article
• Funding:
  R49 CE003094/CE/NCIPC CDC HHSUnited States/ ; R01 DA048860/DA/NIDA NIH HHSUnited States/ ; K01 DA045224/DA/NIDA NIH HHSUnited States/ ; R49 CE002096/CE/NCIPC CDC HHSUnited States/ ; T32 DA031099/DA/NIDA NIH HHSUnited States/ ; R01 DA037866/DA/NIDA NIH HHSUnited States/ ; K23 DA057417/DA/NIDA NIH HHSUnited States/
• Volume:
  118
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:c8cb7a37d9442f34b095eef1fb35ae905a8c28f6c21a8c9a547fc7b664ec33c4e95c1e8531117e51fd276292337316f1b279fcc9fbf80ae1cedb0fecb8fa78cc
• Download URL:
  https://stacks.cdc.gov/view/cdc/133493/cdc_133493_DS1.pdf
• File Type:
  [PDF - 283.56 KB ]