ArticleAmerican journal of preventive medicine2022
Recreational Marijuana Legalization and Co-use With Alcohol Among Adolescents.
Article in American journal of preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Positive psychological interventions on alcohol use and consequences: Pilot randomized trial in a young adult cannabis-using sample.Journal of substance use and addiction treatment · 2024Trial
- Opportunities for Use: Explaining Associations Between Retail Availability and Use of Alcohol and Cannabis Among Youth.Drug and alcohol review · 2025Article
- Opportunities for alcohol and cannabis use among youth: psychometric properties of novel measures.BMC psychology · 2025Article
- Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education.Addiction science & clinical practice · 2024Article
- Emotion Recognition and Self-Reported Emotion Processing in Alcohol and Cannabis Co-Using Young Adults.Behavioral sciences (Basel, Switzerland) · 2024Article
- Feasibility and acceptability of a web-intervention to prevent alcohol and cannabis-impaired driving among adolescents in driver education.Research square · 2024Article
- Patterns of Simultaneous and non-Simultaneous Use of Cannabis and Alcohol Among American Indian Adolescents.Addiction research & theory · 2024Article
- Recreational Marijuana Legalization, Local Retail Availability, and Alcohol and Marijuana Use and Co-Use Among California High School Students.Journal of studies on alcohol and drugs · 2023Article
- Developmental trajectories of alcohol and cannabis concurrent use in a nationally representative sample of United States youths.Drug and alcohol dependence · 2023Article
- Cannabis Recreational Legalization and Prevalence of Simultaneous Cannabis and Alcohol Use in the United States.Journal of general internal medicine · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
introductionLittle is known about the possible impacts of recreational marijuana legalization on alcohol and marijuana co-use among underage youth. This study examines the association between recreational marijuana legalization in California in 2016 and alcohol and marijuana co-use among adolescents. Additional analyses investigate the associations between recreational marijuana legalization and co-use among past 30-day drinkers and marijuana users and the frequency of alcohol and marijuana use among co-users.
methodsThis study used annual cross-sectional data from 7th, 9th, and 11th graders (N=3,319,329) who participated in the California Healthy Kids Survey from 2010-2011 to 2018-2019. Measures included past 30-day alcohol and marijuana use and student demographic characteristics, survey year, pre-post recreational marijuana legalization, and urbanicity. Multilevel regression analyses were conducted in 2021.
resultsRecreational marijuana legalization was associated with greater odds of past 30-day alcohol and marijuana co-use in the total sample (OR=1.06, 95% CI=1.05, 1.07). Recreational marijuana legalization was more strongly associated with co-use among adolescents who reported past 30-day alcohol use (OR=1.58, 95% CI=1.52, 1.62) and heavy drinking (OR=1.25, 95% CI=1.21, 1.29) but was inversely related to co-use among past 30-day marijuana users (OR=0.76, 95% CI=0.74, 0.78). Among past 30-day co-users, there was a positive association with the frequency of marijuana use (β=0.36, SE=0.07).
conclusionsRecreational marijuana legalization may increase the risk of alcohol and marijuana co-use among adolescents. Greater restrictions on the numbers of alcohol and marijuana retail outlets and hours of operation and advertising and higher taxes on alcohol and marijuana products may help reduce the availability of these substances to adolescents.
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