Cannabis use outcomes by past-month binge drinking status in the general United States population

Vijapur, Sushupta M.; Levy, Natalie S.; Martins, Sílvia S.

doi:10.1016/j.drugalcdep.2021.108997

Cited by 6 publications

(3 citation statements)

References 44 publications

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“…Similarly, excess alcohol use on its own has been shown extensively to be associated with negative health consequences for older adults, including cardiovascular disease, liver disease, cancer, falls and other injuries, and impaired physical and cognitive function ( Han & Moore, 2018 ; Moore, Endo, & Carter, 2003 ; Ng Fat, Bell, & Britton, 2020 ; Ortolá et al, 2022 ). Prior studies have demonstrated an increased risk of cannabis use among younger people who engage in binge drinking, as well as negative health consequences related to co-use of these substances ( DiNitto & Choi, 2011 ; Vijapur et al, 2021 ). Currently, the health outcomes of concurrent use among older adults are not clearly understood, and the rise in prevalence of both current binge drinking and cannabis use signals a need for urgency in addressing this knowledge gap.…”

Section: Discussionmentioning

confidence: 99%

“…While a cross-sectional study demonstrated that adults aged ≥35 who use cannabis were 3.7 times more likely to binge drink than those who did not report cannabis use ( Vijapur, Levy, & Martins, 2021 ), other studies have shown that cannabis initiation is associated with a reduction in alcohol use in some populations. For example, a large Canadian study found that alcohol frequency and the number of drinks consumed decreased after medical cannabis initiation ( Lucas, Boyd, Milloy, & Walsh, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Past-month binge drinking and cannabis use among middle-aged and older adults in the United States, 2015–2019

Kepner¹,

Han²,

Nguyen³

et al. 2023

Alcohol

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Past-month binge drinking and cannabis use among middle-aged and older adults in the United States, 2015–2019

Kepner¹,

Han²,

Nguyen³

et al. 2023

Alcohol

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“…Creamer et al [10] demonstrated that using various tobacco products corresponds to heightened risk behavior. Additionally, a correlation exists between cannabis use, drinking-related risk behavior [11], and the frequency of alcohol-related consequences [12]. Given the known drinking motives among adolescents, prevention programs anchored in concepts like inoculation theory [13] and social learning theory [14] advocate for skill enhancement that strengthens resilience against social influences, such as peer pressure for risky behavior.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Risky Drinking Decisions in a Virtual Reality Alcohol Prevention Simulation: Structural Equation Model

Hrynyschyn,

Guldager,

Schulze

et al. 2024

JMIR XR Spatial Comput

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Background Risky alcohol consumption among adolescents is a significant public health concern in most Western countries. Various motives and factors (eg, sensation seeking, gender, reduced self-efficacy) known in the literature are associated with risky drinking decisions in real life. Efforts to tackle risky drinking decisions in real life through skills training to deal with social pressures have been successful. However, interventions of this nature require significant resources. Technological solutions, such as virtual reality (VR), offer advantages, as they enable immersive experiences that replicate real-life scenarios. However, a question persists pertaining to the fidelity of real-world behaviors within virtual environments. Objective This study is exploratory and aims to ascertain if the established drinking motives and factors for risky drinking decisions are transferrable to the virtual environment in the simulation game VR FestLab and to uncover determinants linked to risky drinking decisions within the simulation. Methods The study analyzed data from the intervention arm of a cluster-randomized study of 161 Danish students aged 14-18 years who tested the virtual alcohol prevention simulation VR FestLab. At baseline and before playing VR FestLab, independent variables such as age, gender, alcohol consumption, use of other drugs, sensation seeking, drinking refusal skills, knowledge of blood alcohol concentration, and refusal communication skills were recorded. The dependent variable, virtual risk decisions, was measured immediately after the gameplay. Confirmatory factor analysis and structural equation modeling were used to examine the latent variables in relation to virtual risk decisions. Moderation analyses for age and gender in relation to the latent characteristics and the primary outcome were also conducted. Results The data indicate that 73.9% (119/161) of the participants engaged in binge drinking at least once in their lifetime. The confirmatory factor analysis demonstrated a good fit of the items for their respective constructs; therefore, they were adopted without modification in the structural equation model. The data suggest that individuals with prior alcohol experience are 4 times more likely to engage in virtual risk decisions within the simulated environment (odds ratio 4.31, 95% CI 1.70-10.84; P=.01). Knowledge and awareness of blood alcohol concentration were associated with a lower chance to engage in virtual risk decisions (odds ratio 0.32, 95% CI 0.11-0.93; P=.04). However, no significant associations were found between virtual risk decisions and other latent variables. Gender and age did not moderate the associations. Conclusions The immersive and lifelike properties of VR partially reflected risk-related decisions. However, it remains unclear which factors favor the mapping of real-world behaviors in virtual simulations. Therefore, future research should address the mechanisms underlying behavioral dynamics in virtual simulations and explore the translation of virtual behaviors into real behaviors to gain a comprehensive understanding of the potential of virtual simulations for alcohol prevention.

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Recreational cannabis legislation and binge drinking in U.S. adolescents and adults

Gonçalves

Bruzelius

Levy

et al. 2023

International Journal of Drug Policy

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Cannabis use outcomes by past-month binge drinking status in the general United States population

Cited by 6 publications

References 44 publications

Past-month binge drinking and cannabis use among middle-aged and older adults in the United States, 2015–2019

Past-month binge drinking and cannabis use among middle-aged and older adults in the United States, 2015–2019

Factors Associated With Risky Drinking Decisions in a Virtual Reality Alcohol Prevention Simulation: Structural Equation Model

Recreational cannabis legislation and binge drinking in U.S. adolescents and adults

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