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

Purcell, Juliann B.; Orihuela, Catheryn A.; Elliott, Marc N.; Emery, Susan Tortolero; Schuster, Mark A.; Mrug, Sylvie

doi:10.1080/10826084.2020.1843056

Cited by 13 publications

(20 citation statements)

References 46 publications

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“…Only one recent study examined the interactive effects of sex and race/ethnicity in adolescent substance co-use. Although this study did not find significant interactions between sex and race/ethnicity in a community sample of 16-year-old adolescents (Purcell et al, 2021), additional studies are necessary to better understand the potential interactive effects of sex and race/ethnicity in different youth populations.…”

Section: Introductioncontrasting

confidence: 54%

“…Some studies find that racial/ethnic minority youth are more likely to use cannabis only or to co-use cannabis and alcohol (Banks et al, 2017; Moss et al, 2014). However, a more recent investigation controlling for age and several sociodemographic factors found that racial/ethnic minority youth were no more likely to use cannabis only than their White peers (Purcell et al, 2021). Differences in study design, participant age, other sample characteristics, and covariates included in analyses likely contribute to the heterogeneity of findings pertaining to racial/ethnic differences.…”

Section: Introductionmentioning

confidence: 99%

“…Several recent investigations have focused on examining patterns of adolescent alcohol, tobacco, and cannabis co-use. Most of these studies find that males are more likely to be members of all co-use groups compared to females (Banks, Rowe, Mpofu, & Zapolski, 2017; Kokkevi et al, 2014; Moss, Chen, & Yi, 2014; Purcell et al, 2021). In contrast, there have been fewer investigations examining racial/ethnic differences in adolescent alcohol and substance co-use and findings have been variable.…”

Section: Introductionmentioning

confidence: 99%

“…Previous research also indicates that other factors, in addition to sex, and race/ethnicity, are related to adolescent alcohol and substance use; one of these is growing up in a single-parent household. The limited prior research in this area indicates that children from single-parent households are at an increased risk of engaging in alcohol, tobacco, and cannabis use during adolescence (Flewelling & Bauman, 1990; Hemovich, Lac, & Crano, 2011; Purcell et al, 2021). Despite this evidence, studies that focus on examining the interaction between sex, race/ethnicity, and substance co-use patterns in adolescents born to single-parent families are scarce.…”

Section: Introductionmentioning

confidence: 99%

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The Intersection Between Sex and Race in Understanding Substance Co-Use Patterns in Adolescents From the Fragile Families Study

Gajos

Purcell

Mrug

2021

Journal of Drug Issues

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The current study examined the prevalence of alcohol, cigarette, and cannabis co-use among a longitudinal cohort of youth predominately born to single-parent families. Data were drawn from wave six of the Fragile Families and Child Wellbeing Study ( N = 2976; M age = 15.6; 49% female; 53% non-Hispanic Black, 27% Hispanic, 20% White). Adolescents’ reports of their past 30-day use of alcohol, cigarettes, and cannabis were used to construct eight mutually exclusive use groups. Multinomial logistic regressions adjusting for sociodemographic factors revealed that Black adolescents were at lower relative risk of using Alcohol Only compared to White adolescents. Black males were at greater relative risk of using Cannabis Only than both White males and Black females. Finally, Hispanic males were at a marginally increased relative risk of co-using Alcohol and Cannabis compared to White males. Prevention efforts targeting Black and Hispanic males’ use of cannabis (both alone and in combination with alcohol) may be beneficial.

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Section: Introductioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Intersection Between Sex and Race in Understanding Substance Co-Use Patterns in Adolescents From the Fragile Families Study

Gajos

Purcell

Mrug

2021

Journal of Drug Issues

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“…Similarly, respondents to our survey reported physical activity as a common coping mechanism. We observed no differences in reported coping strategies by cancer survivor status, which may be explained by the increased use of cannabis for non-medical purposes across the U.S. [ 46 , 47 ].…”

Section: Discussionmentioning

confidence: 81%

Cannabis Use among Cancer Survivors amid the COVID-19 Pandemic: Results from the COVID-19 Cannabis Health Study

Camacho-Rivera

Islam

Rodriguez

et al. 2021

Cancers

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Clinical indications for medicinal cannabis use include those with cancer, a subgroup advised to avoid exposure to COVID-19. This study aims to identify changes to cannabis use, methods of cannabis delivery, and coping strategies among cancer survivors since the pandemic by cancer status. Chi-squared tests were used for univariate comparisons of demographic characteristics, cannabis use patterns, COVID-19 symptoms, and coping behaviors by cancer survivor status. Data included 158 responses between 21 March 2020 and 23 March 2021, from medicinal cannabis users, categorized as cancer survivors (n = 79) along with age-matched medicinal cannabis users without a history of cancer (n = 79). Compared to adults without a history of cancer, cancer survivors were more likely to report use of cannabis as a way of managing nausea/vomiting (40.5% versus 20.3%, p = 0.006), headaches or migraines (35.4% versus 19.0%, p = 0.020), seizures (8.9% versus 1.3%, p = 0.029), and sleep problems (70.9% versus 54.4%, p = 0.033), or as an appetite stimulant (39.2% versus 17.7%, p = 0.003). Nearly 23% of cancer survivors reported an advanced cannabis supply of more than 3 months compared to 14.3% of adults without a history of cancer (p = 0.002); though the majority of cancer survivors reported less than a one-month supply. No statistically significant differences were observed by cancer survivor status by cannabis dose, delivery, or sharing of electronic vaping devices, joints, or blunts. Cancer survivors were more likely to report a fear of being diagnosed with COVID-19 compared to adults without a history of cancer (58.2% versus 40.5%, p = 0.026). Given the frequency of mental and physical health symptoms reported among cancer survivors, clinicians should consider conversations about cannabis use with their patients, in particular among cancer survivors.

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Tobacco and alcohol co‐use: Lifestyle and sociodemographic factors, and personality aspects as potential predictors in the “Seguimiento Universidad de Navarra” cohort

Neddermann‐Carrillo,

Abidi,

Gea

et al. 2024

Research in Nursing & Health

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Tobacco and alcohol co‐use are two major lifestyle modifiable risk factors. Understanding the determinants of both behaviors helps to develop interventions to prevent these exposures. However, previous studies have focused on predictors of individual tobacco or alcohol use. This study aims to explore the potential predictors of tobacco and alcohol co‐use among Spanish university graduates from the “Seguimiento Universidad de Navarra” (SUN) cohort study. A total of 7175 participants who were co‐users of tobacco and alcohol were selected for this cross‐sectional analysis. Their mean age was 39.1 years (12.04 SD) and 57.3% were women. Univariate regression models were used to select the potential predictors of tobacco and alcohol co‐use, and the areas under the ROC curves (AUC) were calculated. Multivariable logistic regression models were used to create a predictive model. Baseline potential predictors included sociodemographic factors, lifestyle habits, and perceived personality aspects. In the multivariable model, the main significant potential predictors of tobacco and alcohol co‐use were driving under the influence of alcohol (odds ratio [OR] = 1.65 [1.43–1.90]), drinking 1–2 cups of coffee daily (OR = 1.50 [1.24–1.84]), and drinking three or more cups of coffee daily (OR = 1.61 [1.35–1.91]) when compared with the reference group. Conversely, those who were married (OR = 0.87 [0.75–0.99], ate at home 7 days a week (OR = 0.69 [0.60–0.80]), did more physical activity than recommended (OR = 1.18 [1.02–1.34]), or had a high perceived level of competitiveness (OR = 0.83 [0.72–0.95]) had a lower risk of co‐use (AUC 0.61 [confidence interval 95% 0.59–0.63]), compared to the reference group. These results could be used by healthcare professionals, especially nurses, to effectively assess patients at higher risk of tobacco and alcohol co‐use.

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

Cited by 13 publications

References 46 publications

The Intersection Between Sex and Race in Understanding Substance Co-Use Patterns in Adolescents From the Fragile Families Study

The Intersection Between Sex and Race in Understanding Substance Co-Use Patterns in Adolescents From the Fragile Families Study

Cannabis Use among Cancer Survivors amid the COVID-19 Pandemic: Results from the COVID-19 Cannabis Health Study

Tobacco and alcohol co‐use: Lifestyle and sociodemographic factors, and personality aspects as potential predictors in the “Seguimiento Universidad de Navarra” cohort

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