Early and Late Adolescent Factors that Predict Co-use of Cannabis with Alcohol and Tobacco in Young Adulthood.

Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 100894724 Publication Model: Print Cited Medium: Internet ISSN: 1573-6695 (Electronic) Linking ISSN: 13894986 NLM ISO Abbreviation: Prev Sci Subsets: MEDLINE

Original Publication: New York, NY : Kluwer Academic/Plenum Publishers, c2000-

Adolescent Behavior* ; Alcohol Drinking*/epidemiology ; Marijuana Smoking*/epidemiology ; Tobacco Use*/epidemiology; Adolescent ; Adult ; California ; Cross-Sectional Studies ; Female ; Humans ; Male ; Risk Assessment ; Risk Factors ; Surveys and Questionnaires ; Young Adult

The changing legal landscape of cannabis in the USA has coincided with changes in how cannabis is used, including its co-use with other substances. This study analyzed 10 years of data from a diverse cohort of youth (N = 2429; 54% Hispanic, 16% Asian, 16% white, 3% black, 10% multiracial) to examine predictors in early and late adolescence of co-use of alcohol with cannabis (AC) and tobacco with cannabis (TC) at age 21. Two forms of co-use were examined: concurrent (use of both substances in past month) and sequential (use of one substance right after the other). Analyses focused on four predictor domains: individual (e.g., resistance self-efficacy), peer (e.g., time spent around peers who use), family (e.g., sibling use), and neighborhood (i.e., perceived alcohol and drug problems in neighborhood). For each co-use combination (AC or TC), we estimated parallel process piecewise latent growth models in a structural equation modeling framework using Mplus v8. The final AC and TC co-use models included all predictor variables from the four domains. Increases in positive expectancies and time spent around peers who use AC, as well as steeper decreases in resistance self-efficacy, were all related to a greater likelihood of AC co-use in young adulthood. Increases in sibling TC use and time spent around peers who use TC, as well as steeper decreases in resistance self-efficacy, were all related to a greater likelihood of TC co-use in young adulthood. Overall, findings highlight the importance of addressing peer influence in prevention programming during both early and late adolescence.

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R01 AA016577 United States AA NIAAA NIH HHS; R01 AA020883 United States AA NIAAA NIH HHS; R01 AA025848 United States AA NIAAA NIH HHS; R01AA016577; R01AA020883; R01AA025848 United States AA NIAAA NIH HHS

Keywords: Adolescents; Alcohol; Cannabis; Co-use; Functioning; Marijuana; Young adults

Date Created: 20200122 Date Completed: 20210510 Latest Revision: 20210510

20240104

PMC7470628

10.1007/s11121-020-01086-7

31960260