ArticlePrevention science : the official journal of the Society for Prevention Research2019
When Marijuana Is Used before Cigarettes or Alcohol: Demographic Predictors and Associations with Heavy Use, Cannabis Use Disorder, and Other Drug-related Outcomes.
Article in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 54 citations in OpenAlex.
- Lessons learned: challenges in recruiting and engaging people with heavy cannabis use for online interventions in Canada.Journal of cannabis research · 2026Article
- Using machine learning to identify unique predictors of alcohol and cannabis impaired driving.Alcohol, clinical & experimental research · 2026Article
- Depressive Symptoms Predict Cannabis Initiation Among Mexican American Young Adults.Substance use & misuse · 2026Article
- Article
- Frequency is not enough: Characterizing heterogenous patterns of cannabis use intensity among reservation-area American Indian youth.The International journal on drug policy · 2024Article
- Initiation of high-intensity drinking and subsequent substance use in young adulthood.Addictive behaviors · 2024Article
- Explanatory factors of polydrug use in mid-late teens and the relevance of information sources: Correlational and configurational assessment in Tarragona (Spain).AIMS public health · 2024Article
- Experimenter administered ΔPharmacology, biochemistry, and behavior · 2023Article
- Associations of polygenic risk scores for smoking heaviness and lifetime cannabis use with tobacco and cannabis co-use trajectories among African Americans.Drug and alcohol dependence · 2023Article
- Socio-demographic Correlates of Electronic Cigarette and Cannabis Co-use Among Naïve and Tobacco Adolescent Users.Journal of prevention (2022) · 2023Article
- Prevalence and correlates of substance use among school-going adolescents (11-18years) in eight Sub-Saharan Africa countries.Substance abuse treatment, prevention, and policy · 2023Article
- Understanding cannabis use in Singapore: profile of users and drug progression.Singapore medical journal · 2023Article
- E-cigarettes: A continuing public health challenge in India despite comprehensive bans.Preventive medicine reports · 2023Article
- Cannabis-only use in the USA: prevalence, demographics, use patterns, and health indicators.Journal of cannabis research · 2022Article
- Cross-substance patterns of alcohol, cigarette, and cannabis use initiation in Black and White adolescent girls.Preventive medicine · 2022Article
- Changes in alcohol use by cannabis use status among adolescents and young adults in the United States: Emerging evidence for both substitution and complementarity.Alcoholism, clinical and experimental research · 2021Article
- Changes in cannabis, tobacco, and alcohol use among sexually active female adolescents and young adults over a twelve-year period ending in 2019.Addictive behaviors · 2021Article
- Traditional risk and cultural protection: Correlates of alcohol and cannabis co-use among African-American adolescents.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021Article
- Cigarette Use and Cannabis Use Disorder Onset, Persistence, and Relapse: Longitudinal Data From a Representative Sample of US Adults.The Journal of clinical psychiatry · 2021Article
- Three As of American Indian adolescent marijuana use: Availability, acceptability, and approval.Drug and alcohol dependence · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
Recent loosening of state and federal policy restrictions on marijuana, along with changes in social norms regarding marijuana use and decreases in prevalence of other types of substance use, may lead to increases in youth initiating marijuana before other types of substances such as alcohol and tobacco. We investigated predictors and potential consequences of initiating marijuana before other drugs for youth aged 12-21-years in the USA. Nationally representative, cross-sectional survey data from the US National Survey on Drug Use and Health supplied self-reported age of first marijuana, cigarettes, alcohol, other tobacco, and other illegal drug use among 12-21-year-old samples from 2004 to 2014 (n = 275,559). We first examined the degree to which initiating marijuana use first was associated with sex, age, race/ethnicity, and survey year. Then, we examined whether using marijuana first predicted heavy marijuana use, cannabis use disorder (CUD), alcohol use disorder (AUD), nicotine dependence (ND), or lifetime use of other illegal drugs. Among all survey youth (substance users and non-users), the proportion using marijuana first increased from 4.8 to 8.8% from 2004 to 2014. Those using marijuana first (vs. alcohol or cigarettes first) were more likely to be male and older and Black, American Indian/Alaskan Native, multiracial, or Hispanic than White or Asian. Among substance users and adjusting for age of onset and the number of substances used, using marijuana first was associated higher odds of heavy current marijuana use and CUD. In recent years, youth have been increasingly likely to use marijuana as their first drug and sequence of initiation is associated with race/ethnicity, gender, and age. Using marijuana first might increase the chance of heavy use and CUD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.