Tobacco and marijuana use among adolescents and young adults: A systematic review of their co-use

被引:260
作者
Ramo, Danielle E. [1 ]
Liu, Howard [1 ]
Prochaska, Judith J. [1 ]
机构
[1] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94114 USA
关键词
Tobacco; Marijuana; Polysubstance use; Adolescence; Young adulthood; SUBSTANCE-USE BEHAVIORS; CANNABIS USE DISORDERS; DRUG-USE; CIGARETTE-SMOKING; NICOTINE DEPENDENCE; EARLY-ONSET; PSYCHIATRIC-DISORDERS; PHYSICAL-ACTIVITY; POLYSUBSTANCE USE; SCHOOL-STUDENTS;
D O I
10.1016/j.cpr.2011.12.002
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Tobacco (TOB) and marijuana (MJ) are the most widely used drugs among adolescents and young adults. The literature on their co-use, however, has not been systematically reviewed. We identified 163 English language articles published from 1999 to 2009 examining TOB and MJ co-use, correlates or consequences of co-use, or interventions for prevention or cessation of co-use with participants aging 13-25 years. Most studies (n = 114, 70%) examined TOB and MJ co-use, and 85% of relationships studied indicated a significant association. Fifty-nine studies (36%) examined correlates or consequences of co-use. Factors consistently associated with increased likelihood of co-use, defined as significant associations in at least four studies, were African-American ethnicity, mental and physical health characteristics (e.g., high-intensity pleasure temperament), and school characteristics (e.g., good grades). The only consistent consequence of co-use was exacerbation of mental health symptoms. Few studies examined prevention (n = 3) or cessation (n = 2) interventions for TOB and MJ co-use, and the findings were stronger for prevention efforts. A sufficient literature base has documented that TOB and MJ use are strongly related in young people, yet few consistent correlates and consequences of co-use have been identified to inform intervention targets. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:105 / 121
页数:17
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