ArticleDrug and alcohol dependence2021
Ordering in alcohol and cannabis co-use: Impact on daily consumption and consequences.
Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Impact of the COVID-19 pandemic on cannabis use in young adults and general population: a systematic review].Revista espanola de salud publica · 2023Pooled it
- Acute Effects of Cannabis on Alcohol Craving and Consumption: A Randomized Controlled Crossover Trial.The American journal of psychiatry · 2026Trial
- Heterogeneity of Within-Day Simultaneous Alcohol and Cannabis Use Behaviors Among Young Adults: A Multilevel Latent Class Analysis.Journal of studies on alcohol and drugs · 2026Article
- Momentary cannabis effects on alcohol use among adults trying to quit or cut back on drinking.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- Effects of legal-market cannabis and alcohol on verbal learning and memory.Psychopharmacology · 2026Article
- Alcohol quantity mediates the association between daily alcohol and cannabis co-use and alcohol consequences.Drug and alcohol dependence · 2026Article
- Cannabis and Alcohol Co-Use And HIV Biomedical Intervention Engagement Among Black Sexual/Gender Minority People: A Day-Level Analysis.American journal of preventive medicine · 2026Article
- Simultaneous alcohol and cannabis use is associated with daily consequences reflective of alcohol use disorder symptoms.Drug and alcohol dependence · 2025Article
- Cannabis administration is associated with reduced alcohol consumption: Evidence from a novel laboratory co-administration paradigm.Drug and alcohol dependence · 2025Article
- Examining the relationship between cannabis use and drinking levels on co-use days.Alcohol, clinical & experimental research · 2025Article
- Affective reinforcement of simultaneous versus single use of alcohol and cannabis.Drug and alcohol dependence · 2025Article
- Elucidating the alcohol-sleep-hangover relationship in college students using a daily diary approach.Pharmacology, biochemistry, and behavior · 2025Article
- Within-episode relations among simultaneous alcohol and cannabis use and continued drinking: The role of momentary subjective responses, craving, and drinking context.Alcohol, clinical & experimental research · 2024Article
- Order of Cannabis and Alcohol Use on Pregaming and Non-Pregaming Days Among College Students.Journal of studies on alcohol and drugs · 2024Article
- The effects of simultaneous alcohol and cannabis use on subjective drug effects: A narrative review across methodologies.Alcohol, clinical & experimental research · 2024Review
- Sequencing hour-level temporal patterns of polysubstance use among persons who use cocaine, alcohol, and cannabis: A back-translational approach.Drug and alcohol dependence · 2024Article
- Doomscrolling: Prospective associations between daily COVID news exposure, internalizing symptoms, and substance use among sexual and gender minority individuals assigned female at birth.Psychology of sexual orientation and gender diversity · 2024Article
- Latent Classes of Simultaneous Alcohol and Cannabis Use and Associations with Consequences using Daily Data.Cannabis (Albuquerque, N.M.) · 2024Article
- Alcohol First, Cannabis Last: Identification of an Especially Risky Use Pattern among Individuals Who Co-Use Alcohol and Cannabis.Substance use & misuse · 2024Article
- Do Subjective Effects from Alcohol and Cannabis Predict Simultaneous Use During a Decision-Making Task?Substance use & misuse · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundCo-use of alcohol and cannabis is highly prevalent among young adults and college students. Between-person reports suggest that co-use is associated with the experience of more frequent consumption and related consequences, compared to single substance use. However, recent studies have found conflicting evidence regarding the impact of co-use use on consumption and consequences in daily or event-level investigations. Conflicting evidence may be due to understudied factors, such as the order in which alcohol and cannabis are used. The current study aimed to examine the effect of substance use order on a) alcohol consumption; b) cannabis consumption; and c) negative alcohol and cannabis consequences.
methodsData were collected from U.S. undergraduate college student alcohol and cannabis users (N = 258) who completed two 28-day longitudinal online assessment bursts examining alcohol and cannabis co-use patterns. Data were collected five times per day during both bursts (three months apart).
resultsControlling for between-person alcohol and cannabis use, within-person mixed-effects models indicated that using cannabis first within a co-use day was associated with lower daily alcohol consumption, but greater daily cannabis consumption. Substance use ordering was not linked to consequences, whereas between-person levels of alcohol consumption and within-person number of drinks in a day were positive predictors of consequences.
conclusionsOverall, results highlighted that order of substance use is a robust predictor of consumption on co-use days. Therefore, future research on co-use use should consider patterns of use in addition to level of use.
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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.