ArticleSleep2021
Daily-level effects of alcohol, marijuana, and simultaneous use on young adults' perceived sleep health.
Article in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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
30 citing papers in PubMed, 42 citations in OpenAlex.
- Leveraging Ecological Momentary Assessment to Examine Bi-directional Associations Between Sleep Quality, Adolescent/Young Adult Alcohol Craving and Use.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023Trial
- Daily-level associations between sleep hygiene, cannabis use, and sleep health outcomes.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- Associations of cannabis, alcohol, and tobacco use combinations with sleep health.Addictive behaviors reports · 2026Article
- The Prevalence of Sleep Disturbances and Anxiety Among Croatian University Students: Possible Association with Lifestyle Factors and COVID-19.Journal of clinical medicine · 2026Article
- Sleep Motives and Expectancies for Cannabis Use in Pregnancy.Cannabis (Albuquerque, N.M.) · 2026Article
- Sleep quality and duration following the use and co-use of alcohol and cannabis in the daily life of community adults.Drug and alcohol dependence · 2025Article
- Dynamic associations between cannabis use and sleep in adolescents and young adults during a cannabis intervention trial.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025Article
- A Meta-Analysis of Bi-Directional Associations between Sleep Health and Substance Use among U.S. Youth: Racial/Ethnic Differences.Current addiction reports · 2025Article
- Daily associations between sleep and alcohol use among veterans: Acute and cumulative effects.Addiction (Abingdon, England) · 2025Article
- Cannabis use and sleep problems among young adults by mental health status: A prospective cohort study.Addiction (Abingdon, England) · 2025Article
- Sleep quality and duration as predictors of alcohol and cannabis use motives in daily life.Addictive behaviors · 2025Article
- Exploring the relationship between sleep patterns, alcohol and other substances consumption in young adults: Insights from wearables and Mobile surveys in the National Consortium on alcohol and NeuroDevelopment in adolescence (NCANDA) cohort.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2025Article
- Proximal antecedents and acute outcomes of simultaneous alcohol and cannabis use: Systematic review of daily- and event-level studies.Alcohol, clinical & experimental research · 2025Review
- Obesity and the accelerated decline in total sleep time increases the self-reported diagnoses of diabetes.Frontiers in endocrinology · 2025Article
- Mental health, substance use, and a composite of sleep health in adults, 2018 Ohio behavioral risk factor surveillance system.Sleep medicine · 2024Article
- Bidirectional associations between sleep and cannabis and alcohol (co-)use in daily life.Alcohol, clinical & experimental research · 2024Article
- Alcohol use disorder as a moderator of the relationship between posttraumatic stress disorder and suicidality among military personnel.Alcohol, clinical & experimental research · 2024Article
- Daily diary study of associations between alcohol, cannabis, co-use and sleep quality in individuals with intentions to use cannabis to cope with anxiety.Drug and alcohol review · 2024Article
- Too Tired to Think: Within and Between-Person Relations Among Impulsive Traits, Sleep Duration, and Mental Health Outcomes.International journal of mental health and addiction · 2024Article
- Mental Health and Dispositional Predictors of Simultaneous Versus Concurrent Cannabis and Alcohol Use in a Canadian Context.Cannabis (Albuquerque, N.M.) · 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
7 authors at 2 institutions in 1 country.
Funding
Abstract
STUDY
objectivesSimultaneous alcohol and marijuana (SAM) use is increasingly prevalent among young adults but has adverse health consequences. The current study examined daily-level associations between perceived sleep health and SAM use, relative to non-substance-use days and alcohol- or marijuana-only days. We also estimated linear associations between alcohol/marijuana use and perceived sleep health and explored whether effects were moderated by combined use of alcohol and marijuana.
methodsA community sample of SAM-using young adults (N = 409; Mage = 21.61, SD = 2.17; 50.9% female; 48.2% White; 48.9% college students) completed twice-daily surveys for five 14-day sampling bursts. Daily measurements assessed substance use and perceived sleep health in terms of subjective sleep quality, negative impact of sleep on functioning, and symptoms of insomnia.
resultsMultilevel models indicated that, relative to non-substance-use days, participants reported poorer perceived sleep health on alcohol-only days, better perceived sleep health on marijuana-only days, and mixed evidence regarding SAM use (i.e. fewer perceived symptoms of insomnia, but poorer perceived next day functioning attributed to sleep). Daily-level estimates showed increased alcohol use was associated with poorer perceived sleep health, while stronger effects from marijuana were associated with better perceived sleep health. Across all indices of sleep health, only one linear association was moderated by combined use: The adverse association between alcohol and next day functioning was weaker on days alcohol was combined with marijuana.
conclusionsFindings provide additional evidence for daily-level effects of alcohol and marijuana use on perceived sleep health and address an important literature gap regarding potential adverse effects of SAM use.
Indexed as
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What OpenQuestion holds
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.