TY - JOUR
T1 - Changes in cannabis, tobacco, and alcohol use among sexually active female adolescents and young adults over a twelve-year period ending in 2019
AU - Shyhalla, Kathleen
AU - Smith, Danielle M.
AU - Diaz, Angela
AU - Nucci-Sack, Anne
AU - Guillot, Mary
AU - Hollman, Dominic
AU - Goniewicz, Maciej L.
AU - O'Connor, Richard J.
AU - Shankar, Viswanathan
AU - Burk, Robert D.
AU - Schlecht, Nicolas F.
N1 - Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/10
Y1 - 2021/10
N2 - Background: The United States has experienced an increasing divergence in cannabis, tobacco, and alcohol use among adolescents and young adults (AYA). We assessed the changes in cannabis, tobacco and alcohol use in an inner-city population of predominantly minority AYA females attending a large adolescent-specific health center in New York City. Methods: This was a longitudinal study of AYA women recruited and followed over a twelve-year period between 2007 and 2019. Lifetime and past 30-day use were assessed by self-administered questionnaire every six months. In addition, we assessed associations with race, ethnicity, sexual behaviors, receipt of social services, living situation at home (e.g., with or without parents), and use of other drugs. Results: Participants included 1549 AYA females aged 13–21 at baseline, 95% of whom were youth of color. Use of cannabis increased significantly over the twelve-year period, with frequent cannabis use (≥20 times in 30-days) increasing almost 18% per year (OR = 1.18; 95%CI:1.13–1.23). In contrast, past 30-day tobacco use declined over the same period (OR = 0.86; 95%CI:0.83–0.89). Past 30-day cannabis use was more likely among African Americans (OR = 1.33; 95%CI:1.08–1.63), women who had sex with both men and women compared to with men only (OR = 1.44; 95%CI:1.18–1.75), recent users of tobacco (OR = 2.20; 95%CI:1.92–2.52) and alcohol (OR = 2.84; 95%CI:2.52–3.20), and ever users of other drugs (OR = 1.69; 95%CI:1.44–1.99), independent of age, time and living situation. Conclusions: Increasing rates of cannabis use and the association with concurrent tobacco and alcohol use in AYA females underscore the need to screen for unhealthy cannabis use, in addition to tobacco and alcohol, especially among inner-city AYA.
AB - Background: The United States has experienced an increasing divergence in cannabis, tobacco, and alcohol use among adolescents and young adults (AYA). We assessed the changes in cannabis, tobacco and alcohol use in an inner-city population of predominantly minority AYA females attending a large adolescent-specific health center in New York City. Methods: This was a longitudinal study of AYA women recruited and followed over a twelve-year period between 2007 and 2019. Lifetime and past 30-day use were assessed by self-administered questionnaire every six months. In addition, we assessed associations with race, ethnicity, sexual behaviors, receipt of social services, living situation at home (e.g., with or without parents), and use of other drugs. Results: Participants included 1549 AYA females aged 13–21 at baseline, 95% of whom were youth of color. Use of cannabis increased significantly over the twelve-year period, with frequent cannabis use (≥20 times in 30-days) increasing almost 18% per year (OR = 1.18; 95%CI:1.13–1.23). In contrast, past 30-day tobacco use declined over the same period (OR = 0.86; 95%CI:0.83–0.89). Past 30-day cannabis use was more likely among African Americans (OR = 1.33; 95%CI:1.08–1.63), women who had sex with both men and women compared to with men only (OR = 1.44; 95%CI:1.18–1.75), recent users of tobacco (OR = 2.20; 95%CI:1.92–2.52) and alcohol (OR = 2.84; 95%CI:2.52–3.20), and ever users of other drugs (OR = 1.69; 95%CI:1.44–1.99), independent of age, time and living situation. Conclusions: Increasing rates of cannabis use and the association with concurrent tobacco and alcohol use in AYA females underscore the need to screen for unhealthy cannabis use, in addition to tobacco and alcohol, especially among inner-city AYA.
KW - Adolescent and young adults, alcohol and drug use
KW - Adolescent health
KW - African American
KW - Cannabis or marijuana
KW - Hispanic
KW - Minorities
KW - Risk behaviors
KW - Tobacco smoking
UR - http://www.scopus.com/inward/record.url?scp=85107664820&partnerID=8YFLogxK
U2 - 10.1016/j.addbeh.2021.106994
DO - 10.1016/j.addbeh.2021.106994
M3 - Article
C2 - 34087767
AN - SCOPUS:85107664820
SN - 0306-4603
VL - 121
JO - Addictive Behaviors
JF - Addictive Behaviors
M1 - 106994
ER -