Cannabis Use Associations with Adverse Psychosocial Functioning among North American College Students

Bibliographic Data

ID21645706
AuthorsCarol Vidal (0000-0001-5104-2284, Johns Hopkins University School of Medicine, Baltimore, MD, USA, corresponding author), Patty Alvarez (University of Maryland Graduate School, Baltimore, MD, USA), Christopher J Hammond (0000-0002-3227-2620, Johns Hopkins University School of Medicine, Baltimore, MD, USA), Flavius R W Lilly (0000-0002-0959-6803, University of Maryland Graduate School, Baltimore, MD, USA)
Year2023
Volume58
Issue13
Pages1771-1779
Publication date2023-11-10
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2023.2247075
PMID37584421
OpenAlexW4385851018
LanguageEN
Citations received6
References cited41

Introduction: Adolescent-onset cannabis use (CU) (before age 18) is associated with multiple adverse psychosocial outcomes, but rates of CU peak between the ages of 18 and 22, coinciding with college matriculation. Whether CU among college-enrolled young adults is associated with similar psychosocial outcomes is poorly understood. In the present study, we examined relationships between CU and multiple psychosocial outcomes in North American college students. Methods: Data for this report come from N = 40,250 North American college students ages 18-to-25 years (mean age = 20.7 years, 69% female, 66% Caucasian) who participated in the Healthy Minds Study (HMS) 2016-17. HMS is a web-based annual survey querying multiple mental health, substance use, and psychosocial variables in representative student populations from 53 universities across North America. Student respondents were stratified in two groups based upon their self-report of past 30-day CU and compared on psychosocial variables. Results: Approximately 20% (n = 8,327) of student respondents reported past 30-day CU. After adjusting for socio-demographics, knowledge of campus services, and use of other drugs, the odds of depression (aOR = 1.3), suicidal thoughts and behaviors (aORs ∼1.4–1.7), anxiety (aOR = 1.2), eating disorders (aOR = 1.2), and violence victimization (aOR = 1.4) were all higher for CU students. Additionally, CU students had higher rates of other drug use and lower rates of perceived supportive relationships. Conclusion: Our results indicated that CU is common among North American college students and associated with adverse psychosocial consequences across multiple domains. Based upon these findings, colleges should consider expanding educational, prevention, and early-intervention programs for students who use cannabis

Anxiety · Cannabis · College health · Demographics · Family medicine · Matriculation · Mental health · Odds ratio · Psychiatry · Psychosocial · Cannabis and Cannabinoid Research · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Demography · Medicine · Psychology · Substance Abuse Treatment and Outcomes · Internal Medicine

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