Alcohol, tobacco, and marijuana consumption is associated with increased odds of same-day substance co- and tri-use

•Alcohol consumption increased odds of same-day cigarette or marijuana co-use.•Cigarette smoking increased the odds of same-day alcohol or marijuana co-use.•Marijuana use increased the odds of same-day alcohol or cigarette co-use.•The co-use of two substances generally increased the likelihood of a...

Full description

Saved in:
Bibliographic Details
Published in:Drug and alcohol dependence 2019-07, Vol.200, p.40-49
Main Authors: Roche, D.J.O., Bujarski, S., Green, R., Hartwell, E.E., Leventhal, A.M., Ray, L.A.
Format: Article
Language:English
Subjects:
Additives
Adult
Alcohol
Alcohol Drinking - epidemiology
Alcohol Drinking - psychology
Alcohol Drinking - trends
Alcohol use
Alcohols
Cannabis
Cigarettes
Co-use
Comorbidity
Drug use
Ecological Momentary Assessment
Ecological monitoring
Etiology
Female
Health services utilization
Help seeking behavior
Humans
Male
Marijuana
Marijuana Use - epidemiology
Marijuana Use - psychology
Marijuana Use - trends
Medical treatment
Men
Polydrug abuse
Same day
Sex differences
Smoking
Substance abuse
Substance use
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Tobacco
Tobacco Smoking - epidemiology
Tobacco Smoking - psychology
Tobacco Smoking - trends
Women
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:•Alcohol consumption increased odds of same-day cigarette or marijuana co-use.•Cigarette smoking increased the odds of same-day alcohol or marijuana co-use.•Marijuana use increased the odds of same-day alcohol or cigarette co-use.•The co-use of two substances generally increased the likelihood of a using a third.•Co-use of alcohol and marijuana produced sub-additive effects on cigarette tri-use. Little is known about event-level patterns of marijuana co- or tri-use with alcohol and tobacco. Thus, the study goal was to examine patterns of same-day alcohol, cigarette, and marijuana co- and tri-use at the individual level in non-treatment-seeking alcohol users. Participants (N = 551) completed an in-person interview for alcohol, cigarette, and marijuana use over the previous 30 days, and the event-level substance use patterns of n = 179 participants who reported using each of these substances at least once per month were analyzed. The use of alcohol, marijuana, or cigarettes independently increased the probability of subsequent, simultaneous co-use of one of the two remaining substances. The co-use of alcohol with cigarettes and marijuana with cigarettes produced generally additive effects on the odds of same day tri-use of marijuana and alcohol, respectively. Conversely, the co-use of alcohol and marijuana produced sub-additive effects on likelihood of cigarette use. Sex moderated several of the observed patterns of co- and tri-use: the relationship between alcohol or cigarette use predicting marijuana co-use was stronger in men, whereas the observed additive relationships between drug co-use leading to tri-use was stronger in women. The presented results may aid in the understanding of how simultaneous co-use of marijuana with alcohol and/or tobacco relates to the etiology, maintenance, and treatment of comorbid and trimorbid substance use disorder. Replication and extension of the results in treatment seeking populations using more fine-grained analysis approaches, e.g. ecological momentary assessment, is needed.
ISSN:0376-8716
1879-0046
DOI:10.1016/j.drugalcdep.2019.02.035