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Co-Use of Alcohol and Cannabis

Longitudinal Associations with Mental Health Outcomes in Young Adulthood

Bibliographic Data

ID15469033
AuthorsKara Thompson (0000-0002-7441-0761, St. Francis Xavier University, corresponding author), Maria Holley (St. Francis Xavier University), Clea Sturgess (University of Victoria), Bonnie J Leadbeater (0000-0003-0236-6658, University of Victoria), Bonnie Leadbeater (University of Victoria)
Year2021
Volume18
Issue7
Pages3652-3652
Publication date2021-03-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18073652
PMID33807491
OpenAlexW3146106473
LanguageEN
Citations received13
References cited25

Increases in cannabis use among young people has heightened concern about the potential interactive health effects of cannabis with other drugs. We examined the longitudinal association between concurrent and simultaneous (SAM) co-use of alcohol and cannabis in young adulthood on mental health symptoms, substance use behaviors, and substance-related harms two years later. Data were drawn from Time 5 (T5; n = 464; 46% male) and 6 (T6; n = 478; 45% male) of the Victoria Healthy Youth Survey. At T5, 42% of participants used alcohol-only, 13% used concurrently, 41% used SAM, 1% were cannabis only users, and 3% abstained from cannabis and alcohol. Boys were more likely to use SAM. Higher T5 SAM use frequency was associated with heavier use of substances, more substance-related harms, and symptoms of psychosis and externalizing problems at T6. T5 Concurrent use was associated with conduct symptoms, illicit drug use, and alcohol use disorders at T6 relative to alcohol-only use. Cannabis is commonly used with alcohol and the findings suggest that any co-use (concurrent or simultaneous) may be problematic in young adulthood. Public health messages need to explicitly inform consumers about the possible consequences of using both alcohol and marijuana and the addictive pharmacological impact of using them together

Addiction · Alcohol · Cannabis · Drug · Environmental health · Injury prevention · Longitudinal study · Mental health · Poison control · Polysubstance dependence · Psychiatry · Substance use · Young adult · Cannabis and Cannabinoid Research · Clinical Psychology · Homelessness and Social Issues · Medicine · Psychology · Substance Abuse Treatment and Outcomes · Gerontology

  • Factors Associated with Simultaneous or Concurrent Use of Alcohol and Marijuana in Argentina

    Agustín Salguero, Angelina Pilatti et al.•Substance Use & Misuse•2022

  • Adding Nuance to Understanding the Effects of Cannabis Legalization by Using Policy Bundles

    Open Access•Shazib Altaf, Daniel J Mallinson et al.•Substance Use & Misuse•2025

  • Associations Between State Cannabis and Alcohol Policy Restrictiveness and College Students’ Cannabis Use, Binge Drinking and Co-Use

    Haley M Hummel, David C R Kerr•Substance Use & Misuse•2026

  • Concurrent Polysubstance Use Profiles in Young Nightlife Attendees in Argentina

    Open Access•Emilia Musso, Belén Del Valle Vera et al.•Substance Use & Misuse•2026

  • Simultaneous Cannabis and Alcohol Use among Medical Cannabis Patients

    Alexandra F Kritikos, Julie K Johnson et al.•Substance Use & Misuse•2024

  • Explaining Avoidance of Simultaneous Alcohol and Cannabis Use

    Open Access•Belén Del Valle Vera, Alberto Parrado‐González et al.•International Journal of Mental…•2025

  • Hazardous Drinking and Cannabis Use in Military Veterans

    Open Access•Jeremy L Grove, Jean C Beckham et al.•International Journal of Mental…•2025

  • Patterns of simultaneous and nonsimultaneous use of cannabis and alcohol among American Indian adolescents

    Morgan A Douglass, Linda R Stanley et al.•Addiction Research & Theory•2023

  • Hierarchical and mediated relations between internalizing symptoms, alcohol and cannabis co-use, and AUD

    Jack T Waddell•Addiction Research & Theory•2021

  • Trend analyses and comparison of characteristics of current-, former- and never-drinkers among young adults in France from 2000 to 2021

    Open Access•Julia de Ternay, Raphaël Andler et al.•BMC Public Health•2025

  • Associations between Alcohol-Free Sources of Reinforcement and the Frequency of Alcohol and Cannabis Co-Use among College Freshmen

    Open Access•Daiil Jun, Tera L Fazzino•International Journal of…•2023

  • Family Structure, Unstructured Socializing, and Heavy Substance Use among Adolescents

    Open Access•J P Hoffmann•International Journal of…•2022

  • Mental health problems, substance use, and perceived risk as pathways to current cannabis use among high school seniors in the United States

    Open Access•Guijin Lee, Danielle Hicks et al.•Children and Youth Services Review•2024

  • Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990–2014

    Open Access•Harry Man Xiong Lai, Michelle Cleary et al.•Drug and Alcohol Dependence•2015

  • Simultaneous Versus Concurrent Use of Alcohol and Cannabis in the National Alcohol Survey

    Open Access•Meenakshi S Subbaraman, William C Kerr•Alcoholism: Clinical and…•2015

  • Effects of Cannabis Use on Human Behavior, Including Cognition, Motivation, and Psychosis

    Nora D Volkow, James M Swanson et al.•JAMA Psychiatry•2016

  • Co-use of Alcohol and Cannabis

    Open Access•Ali M Yurasek, Elizabeth R Aston et al.•Current Addiction Reports•2017

  • Cutoff criteria for fit indexes in covariance structure analysis

    Li‐tze Hu, Peter M Bentler•Structural Equation Modeling: A…•1999

  • Latent Curve Models

    Open Access•K A Bollen, Patrick J Curran•Latent curve models•2005

  • Is the Sum Greater than its Parts? Variations in Substance-Related Consequences by Conjoint Alcohol-Marijuana Use Patterns

    Courtenay Cummings, Charlotte Beard et al.•Journal of Psychoactive Drugs•2019

Unique citing works13
Citations per year2,6
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 13

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