ArticleAlcoholism, clinical and experimental research2022
Temporal trends in alcohol, cannabis, and simultaneous use among 12th-grade U.S. adolescents from 2000 to 2020: Differences by sex, parental education, and race and ethnicity.
Article in Alcoholism, clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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Who cites it
18 citing papers in PubMed.
- Selective Personality-Targeted Intervention and the Escalation of Substance Use During Adolescence: A Secondary Analysis of A Cluster-Randomized Clinical Trial.JAMA network open · 2025Trial
- Latent classes of substance use precursors predict positive alcohol and cannabis expectancies one year later in Black and Latino early adolescents in the ABCD study.Addictive behaviors · 2026Article
- Validation and measurement invariance of the Alcohol-Induced Blackout Measure-2 among noncollege young adults.Alcohol, clinical & experimental research · 2026Article
- Regular cannabis use and promotive attitudes among diverse adolescents in the United States: The role of age and intersecting social positions.Drug and alcohol dependence · 2025Article
- Sociodemographic characteristics on behavioural risk factors of noncommunicable diseases in adolescents in Luxembourg.BMC public health · 2025Article
- Cannabis Use and Clinical Outcomes in Adolescents and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- "If You Need to Light Up … You Gotta Do What You Gotta Do": A Qualitative Study of Adolescent Attitudes Towards Cannabis Use and Comparison with Alcohol Attitudes.Cannabis (Albuquerque, N.M.) · 2025Article
- Effectiveness of the guided self-change intervention for reducing alcohol use in adolescents with and without history of cannabis use.Frontiers in psychology · 2025Article
- An investigation of multimodal predictors of adolescent alcohol initiation.Drug and alcohol dependence · 2024Article
- Trends in use of tobacco and cannabis across different alcohol consumption levels in the United States, 2010-19.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Prevalence of and trends in current cannabis use among US youth and adults, 2013-2022.Drug and alcohol dependence reports · 2024Article
- Lifetime use of alcohol and cannabis among U.S. adolescents across age: Exploring differential patterns by sex and race/ethnicity using the 2019 NSDUH data.Drug and alcohol dependence reports · 2024Article
- Sex and Gender Differences in Simultaneous Alcohol and Cannabis Use: a Narrative Review.Current addiction reports · 2023Article
- Adolescent alcohol use: use of social network analysis and cross-classified multilevel modeling to examine peer group, school, and neighborhood-level influences.The American journal of drug and alcohol abuse · 2023Article
- Adolescent simultaneous use of alcohol and marijuana by trends in cigarette and nicotine vaping from 2000 to 2020.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
- Developmental trajectories of alcohol and cannabis concurrent use in a nationally representative sample of United States youths.Drug and alcohol dependence · 2023Article
- Mental health profiles of Finnish adolescents before and after the peak of the COVID-19 pandemic.Child and adolescent psychiatry and mental health · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundSimultaneous use of alcohol and cannabis to enhance each other's effect can cause potential harm. Time trends are diverging in adolescent use of alcohol, which is declining, and cannabis, which is increasing among certain subgroups. However, little is known about trends in their simultaneous and non-simultaneous use. Racial and socioeconomic disparities are emerging in cannabis use, which may portend consequences to public health.
methodsThe 2000 to 2020 Monitoring the Future surveys included approximately 38,000 U.S. 12th-grade students with information on simultaneous use and pertinent demographic factors. A 5-level alcohol/cannabis measure included past-year simultaneous use (i.e., alcohol and cannabis use at the same time), non-simultaneous alcohol and cannabis use, alcohol-use-only, cannabis-use-only, and no use. Multinomial logistic regressions estimated associations (adjusted relative risk ratios; aRRR) with time period (2000 to 2004, 2005 to 2009, 2010 to 2014, 2015 to 2020). Models were adjusted and included interactions with sex, race/ethnicity, and parental education.
resultsBetween 2000 and 2020, simultaneous alcohol/cannabis use among 12th graders decreased from 24.4% to 18.7%. From 2015 to 2020 compared to 2000 to 2004, the odds of simultaneous use (adjusted relative risk ratio (aRRR) vs. no use = 0.57, 95% CI [0.50, 0.66]) and alcohol-use-only (aRRR = 0.55, 95% CI [0.49, 0.61]) decreased, while cannabis-use-only odds increased (aRRR = 2.59, 95% CI [1.87, 3.59]). Notably, the prevalence of cannabis-use-only more than doubled from 2011 to 2019. The odds of simultaneous use, alcohol-use-only, and non-simultaneous use of alcohol and cannabis declined more rapidly among males than females, whereas the odds for cannabis-use-only increased faster for females than males. Increases in cannabis-use-only were faster for non-white adolescents.
conclusionSimultaneous use of alcohol and cannabis is declining among U.S. adolescents, but the decline is slower among females than males. Declines in simultaneous use are largely concomitant with historical declines in alcohol use, indicating that a continued focus on reducing alcohol use among adolescents and young adults has extended benefits to other adolescent substance use. However, cannabis use without any reported past-year alcohol use more than doubled in the last decade, a concerning trend.
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