Concurrent and Simultaneous Use of Cannabis and Tobacco and Its Relationship with Academic Achievement amongst University Students

Hernández-Serrano, Olga; Gras, Maria Eugènia; Font‐Mayolas, Sílvia

doi:10.3390/bs8030031

Cited by 37 publications

(27 citation statements)

References 49 publications

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“…According to the risk categories proposed by the WHO, 6.9% of the students can be considered hazardous drinkers (AUDIT ≥8). This prevalence is high for adult students belonging to higher educational levels, and moreover studying university degrees in health sciences, and supports the findings of recent studies developed among university students regarding the use of alcohol [30][31][32][33], cannabis [31,33,34], and other illicit drugs [31][32][33][34][35]. A study performed among Mexican university students suggested different factors associated with changes in role and status, friendship, and increased autonomy as reasons for alcohol use after entering university [32].…”

Section: Discussionsupporting

confidence: 82%

Alcohol and Drug Use in European University Health Science Students: Relationship with Self-Care Ability

Colomer-Pérez

Chover-Sierra

Navarro-Martínez

et al. 2019

IJERPH

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Background: Drug abuse in university students is an emerging social and health issue. The present study assesses alcohol and abuse of other illicit drugs and the adverse consequences related to such use and its relationship with self-care agency among European university students. Methods: A multicenter cross-sectional study was performed among 592 European students from different health science degrees. The screening of alcohol abuse was evaluated with the Alcohol Use Disorder Test (AUDIT), and the screening for substance-related risks and problems was conducted with the Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) screening test. We analyzed the relationship of substance abuse with self-care agency, assessed by the Appraisal of Self-Care Agency Scale (ASA). Results: 51.4% of the surveyed students reported alcohol intake, 16.6% of the students consumed both alcohol and cannabis, 1.6 % reported alcohol and other illicit drugs, and 3.7% consumed alcohol, marijuana, and other illicit drugs (73.3% of students reported alcohol intake alone or together with cannabis/hashish and/or other illicit drugs). The self-care agency scores were significantly different among groups in relation to certain sociodemographic factors such as gender (p = 0.008) and country of residence (p = 0.031). The self-care agency scores significantly correlated (p = 0.001) with the personal motivations and consequences related to the consumption of drugs of abuse evaluated by the CRAFFT screening tool. Within the ASA domains, the most significant effects were observed regarding the subdomains of resources, awareness, and health behaviors. Conclusions: Self-care agency should be promoted to counteract the health and social consequences of the consumption of drugs of abuse among university students who will be future health care professionals.

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Section: Discussionsupporting

confidence: 82%

Alcohol and Drug Use in European University Health Science Students: Relationship with Self-Care Ability

Colomer-Pérez

Chover-Sierra

Navarro-Martínez

et al. 2019

IJERPH

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“…This finding was consistent with those of prior studies [18,29], which reported that the combined effect of both drugs is a significant predictor of lower GPA. Similar results have been obtained in studies of the co-consumers of tobacco, cannabis and alcohol which were studied in a university population [65] and a secondary school [28]. One potential explanation for these results is that co-consumption may be a greater risk factor for adverse academic outcomes than the risk posed by cannabis use alone [14].…”

Section: Discussionsupporting

confidence: 80%

Binge Drinking, Cannabis Co-Consumption and Academic Achievement in First Year University Students in Spain: Academic Adjustment as a Mediator

Páramo¹,

Cadaveira²,

Tinajero³

et al. 2020

IJERPH

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Little is known about how binge drinking or the combination of binge drinking and cannabis consumption affect academic achievement in students during the transition to university, or about the mechanisms that mediate this relationship. The purpose of this study was to evaluate the association between this pattern of alcohol/cannabis consumption and academic achievement, considering academic adjustment as a possible mediator. A total of 258 Spanish, first-year university students (145 females and 113 males), enrolled in undergraduate degree courses, were categorized into three groups on the basis of their patterns of alcohol/cannabis consumption: control, binge drinkers and co-consumers. The findings showed a significant effect of the combined binge drinking/cannabis consumption, but not of binge drinking alone, upon academic achievement and academic adjustment. Grade point average (GPA) and academic adjustment were lower in the co-consumers than in the other groups. Regarding the mediation effect, 34.33% of the impact of combined alcohol/cannabis use on GPA was mediated by academic adjustment. The combined consumption of alcohol and cannabis led to difficulties in adaptation to academic life, which in turn contributed to poorer performance at university. The implications of the findings are discussed.

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“…Furthermore, although powerful behavioral economic models allow comparisons across drug classes, these experiments must be designed with consideration of different scales of intake and indifference points for drug valuation in order to accurately model parameters and interpret data (Newman and Ferrario, 2019). As these factors, coupled with the interplay of socioeconomic background, social environment, and access strategies, affect frequency and susceptibility to polydrug use (Gjersing et al, 2013;Hernández-Serrano et al, 2018), encompassing these influences in preclinical models is crucial for translational relevance of findings.…”

Section: Resultsmentioning

confidence: 99%

One Is Not Enough: Understanding and Modeling Polysubstance Use

et al. 2020

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Substance use disorder (SUD) is a chronic, relapsing disease with a highly multifaceted pathology that includes (but is not limited to) sensitivity to drug-associated cues, negative affect, and motivation to maintain drug consumption. SUDs are highly prevalent, with 35 million people meeting criteria for SUD. While drug use and addiction are highly studied, most investigations of SUDs examine drug use in isolation, rather than in the more prevalent context of comorbid substance histories. Indeed, 11.3% of individuals diagnosed with a SUD have concurrent alcohol and illicit drug use disorders. Furthermore, having a SUD with one substance increases susceptibility to developing dependence on additional substances. For example, the increased risk of developing heroin dependence is twofold for alcohol misusers, threefold for cannabis users, 15fold for cocaine users, and 40-fold for prescription misusers. Given the prevalence and risk associated with polysubstance use and current public health crises, examining these disorders through the lens of co-use is essential for translatability and improved treatment efficacy. The escalating economic and social costs and continued rise in drug use has spurred interest in developing preclinical models that effectively model this phenomenon. Here, we review the current state of the field in understanding the behavioral and neural circuitry in the context of co-use with common pairings of alcohol, nicotine, cannabis, and other addictive substances. Moreover, we outline key considerations when developing polysubstance models, including challenges to developing preclinical models to provide insights and improve treatment outcomes.

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Concurrent and Simultaneous Use of Cannabis and Tobacco and Its Relationship with Academic Achievement amongst University Students

Cited by 37 publications

References 49 publications

Alcohol and Drug Use in European University Health Science Students: Relationship with Self-Care Ability

Alcohol and Drug Use in European University Health Science Students: Relationship with Self-Care Ability

Binge Drinking, Cannabis Co-Consumption and Academic Achievement in First Year University Students in Spain: Academic Adjustment as a Mediator

One Is Not Enough: Understanding and Modeling Polysubstance Use

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