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Investigating Relationships Between Alcohol and Cannabis Use in an Online Survey of Cannabis Users

A Focus on Cannabinoid Content and Cannabis for Medical Purposes

Bibliographic Data

ID15525784
AuthorsHollis C Karoly (0000-0002-1232-1202, Colorado State University, corresponding author), Raeghan L Mueller (0000-0001-5249-1532, University of Colorado Boulder), Chrysta C Andrade (University of Colorado Boulder), Kent E Hutchison (0000-0002-4805-9277, University of Colorado Boulder)
Year2020
Volume11
Pages613243-613243
Publication date2020-12-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.613243
PMID33408657
OpenAlexW3117031349
LanguageEN
Citations received3
References cited9

Cannabis is commonly used among people who drink alcohol, but findings are mixed regarding the direction of this relationship. The type of cannabis used [high-cannabidiol (CBD) vs. high-delta-9tetrahydrocannabinol (THC)] and motives for use (i.e., whether cannabis is used to treat a medical condition) may influence the relationship between cannabis and drinking. Specifically, CBD has shown preclinical promise in reducing alcohol consumption, and medical cannabis users report using cannabis to reduce drinking. This study leverages survey data from cannabis users who drink alcohol ( N = 533). Respondents were categorized as using cannabis to treat (CTT) a medical condition or as individuals whose cannabis use is not intended to treat (NCTT) a medical condition and grouped based on the THC/CBD ratio of the flower or edible cannabis they typically use (e.g., "High-THC/CBD," "Medium-THC/CBD" and "Low-THC/CBD"). The CTT group ( n = 412) reported drinking significantly less frequently than the NCTT group ( n = 121). Cannabinoid content of flower cannabis was associated with alcohol consumed on cannabis-use days, such that individuals in the High-THC/CBD group drink more on cannabis-use days compared to the Medium-THC/CBD group. Cannabinoid content of edible cannabis was associated with drinks per drinking occasion, such that the High-THC/CBD group consumed the most drinks and the Low-THC/CBD group consumed the fewest. For both edible and flower groupings, higher-THC/CBD cannabis was associated with more frequent co-use than lower-THC/CBD cannabis. Results suggest that whether someone uses cannabis to treat a medical condition may impact their drinking frequency, and the cannabinoid content in flower and edible cannabis impacts alcohol consumption

Alcohol · Cannabidiol · Cannabinoid · Cannabis · Dronabinol · Psychiatry · Tetrahydrocannabinol · Cannabis and Cannabinoid Research · Chemistry · Medicine · Psychedelics and Drug Studies · Substance Abuse Treatment and Outcomes · Internal Medicine

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Unique citing works3
Citations per year1,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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