Examining Sex and Racial/Ethnic Differences in Co-Use of Alcohol, Cannabis, and Cigarettes in a Community Sample of Adolescents

Details

• Alternative Title:
  Subst Use Misuse
• Personal Author:
  Purcell, Juliann B. ; Orihuela, Catheryn A. ; Elliott, Marc N. ; Emery, Susan Tortolero ; Schuster, Mark A. ; Mrug, Sylvie
• Description:
  Introduction:
  
  Although adolescents often co-use alcohol, cigarettes, and cannabis, little is known about sex and racial/ethnic differences in the co-use of these substances. Therefore, the present investigation examined sex and racial/ethnic differences in alcohol, cigarette, and cannabis co-use in a large and ethnically diverse.
  
  Methods:
  
  Participants were drawn from a large, multi-site study of adolescents from three regions in the United States (N=4,129; Mage=16.10 years, SD=0.59; 51% female, 49% male; 37% Black, 37% Hispanic, 25% White). Participants were categorized into 8 mutually exclusive groups based on their self-reported use of alcohol, cannabis, and cigarettes in the last 30 days.
  
  Results:
  
  Unadjusted multinomial logistic regression revealed that males were more likely than females to use cannabis-only and to co-use all three substances. Additionally, Black and Hispanic adolescents were more likely to use cannabis-only, while White adolescents were more likely than Black and Hispanic adolescents to co-use alcohol-and-cigarettes. After adjusting for other sociodemographic variables (age, household income, parental education, and parent marital status), males were more likely to use cannabis-only than females; White youth were more likely than Hispanic youth to use cigarettes-only and co-use cigarettes-and-alcohol. White youth were more likely than Black youth to co-use alcohol-and-cigarettes and co-use all three substances.
  
  Discussion:
  
  These results indicate sex and racial/ethnic differences in substance co-use that were not explained by socioeconomic factors. Results of the present work suggest potential strategies for targeted prevention efforts and underscore the importance of continued efforts to better understand patterns of alcohol and substance co-use.
  
  
• Subjects:
  Adolescent Black Or African American Cannabis Female Humans Male Substance-Related Disorders Tobacco Products United States White People
• Keywords:
  Adolescence Alcohol Use Cannabis Use Cigarette Use Polysubstance Use
• Source:
  Subst Use Misuse. 56(1):101-110
• Pubmed ID:
  33164639
• Pubmed Central ID:
  PMC11619460
• Document Type:
  Journal Article
• Funding:
  U19 DP002664/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP000046/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP000057/DP/NCCDPHP CDC HHSUnited States/ ; U19 DP002663/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP000056/DP/NCCDPHP CDC HHSUnited States/ ; R01 MH098348/MH/NIMH NIH HHSUnited States/ ; U19 DP002665/DP/NCCDPHP CDC HHSUnited States/ ; F31 AA027137/AA/NIAAA NIH HHSUnited States/
• Volume:
  56
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:d89f1817154fa7135a1a01b86d771816f6de8a6a2646ea2b3b611f27c72b48d05b06d3fb4b923ee2843b9cb7d584bf7166a8720894024e3509857f30446d3a26
• Download URL:
  https://stacks.cdc.gov/view/cdc/174544/cdc_174544_DS1.pdf
• File Type:
  [PDF - 383.58 KB ]