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Consequences of Alcohol and Marijuana Use Among College Students: Prevalence Rates and Attributions to Substance-Specific Versus Simultaneous Use

机译:酒精和大麻使用的后果大学生:患病率和归因Substance-Specific和同时使用

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College students who use alcohol and marijuana often use them simultaneously, so that their effects overlap. The present study examined whether negative consequences experienced by simultaneous alcohol and marijuana (SAM) users vary from those experienced by individuals who use alcohol and marijuana concurrently but not simultaneously (CAM) or single-substance users. We considered 9 types of consequences: cognitive, blackout, vomiting, academic/occupational, social, self-care, physical dependence, risky behaviors, and driving under the influence (DUI). Further, we examined whether consequences experienced by SAM users are attributed to using alcohol, marijuana, or both simultaneously. The sample included past-year alcohol and marijuana users age 18-24 (N = 1,390; 62% female; 69% White; 12% Hispanic) recruited from 3 U.S. college campuses. SAM users experienced a greater overall number of consequences than CAM or alcohol-only users, even controlling for frequency and intensity of alcohol and marijuana use and potentially confounding psychosocial and sociodemographic factors. Experiencing specific consequences differed between simultaneous and concurrent users, but after adjusting for consumption and other covariates, only blackouts differed. In contrast, SAM users were more likely to experience each consequence than alcohol-only users, with strongest effects for DUI, blackouts, and cognitive consequences. Among SAM users, consequences were most likely to be attributed to alcohol and were rarely attributed to simultaneous use. Being a user of both alcohol and marijuana and using alcohol and marijuana together so that their effects overlap each contribute to risk, suggesting there is value in targeting the mechanisms underlying type of user as well as those underlying type of use.
机译:大学生使用酒精和大麻同时经常使用它们,所以,他们的影响重叠。是否经历负面后果同时酒精和大麻(SAM)的用户从那些有经验的人但不能同时使用酒精和大麻同时用户(CAM)或单一物质。我们认为9种后果:认知、停电、呕吐、学术/职业,社会、自我保健、身体依赖性,冒险行为,和酒后驾驶的影响(对话)。此外,我们检验的结果山姆所经历的用户使用酒精、大麻、或两者同时进行。示例包括去年酒精和大麻用户年龄18 - 24 (N = 1390;白色;大学校园。总数比凸轮或后果酒精只用户,甚至控制了频率和强度的酒精和大麻使用和潜在混杂的社会心理和社会人口因素。同时与不同后果并发用户,但在调整了消费和其他协变量,只有停电不同。比酒精只去体验每一个结果用户,对酒后驾车最强的影响,停电,和认知的结果。后果是最有可能归因于酒精和很少是归因于同时使用。和使用大麻和酒精和大麻重叠在一起,这样的影响导致风险,建议有价值针对机制类型的用户以及那些潜在的类型的使用。

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