ArticleAlcohol, clinical & experimental research2023
A qualitative examination of the decision-making process of simultaneous alcohol and cannabis use: Intentions and willingness.
Article in Alcohol, clinical & experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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
8 citing papers in PubMed.
- When are bystanders more likely and confident to act: Validation of the Bystanders to Alcohol Risk Scales-Willingness and self-efficacy.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- Factors associated with lower-risk cannabis use in adults in their mid-thirties.Journal of cannabis research · 2025Article
- Mutual age-varying influences of binge drinking and cannabis use during emerging adulthood in the NCANDA cohort.Alcohol, clinical & experimental research · 2025Article
- Examining the relationship between cannabis use and drinking levels on co-use days.Alcohol, clinical & experimental research · 2025Article
- Early-day psychosocial predictors of later-day simultaneous alcohol and cannabis use among college-attending young adults.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025Article
- Does cannabis substitute or complement alcohol after recreational cannabis legalization in the Washington State? A three-level mixed-effects modeling.Addictive behaviors · 2025Article
- Theory-based correlates of cannabis use and intentions among US and Israeli adults: a mixed methods study.Substance abuse treatment, prevention, and policy · 2023Article
- Applying the prototype willingness model to day-level simultaneous alcohol and cannabis use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAlcohol and cannabis use are common among young adults and most young adults who use both substances have used them simultaneously (i.e., using both substances so their effects overlap). Because simultaneous use is associated with a greater number and severity of consequences than single substance use, research is needed to examine the decision-making process of engaging in this high-risk behavior. We conducted a qualitative examination of intentions (i.e., plans) and willingness (i.e., one's openness to engage in the behavior if an opportunity presents itself) to engage in simultaneous use from the perspective of young adults who frequently report this substance use behavior.
methodsWe recruited 36 young adults who reported simultaneous use and heavy drinking (4+/5+ drinks for women/men; 64% women, ages 18 to 25) to participate in semi-structured interviews. All interviews were double coded for thematic analysis and both novel and a priori themes were found.
resultsYoung adults distinguished between intending to engage in simultaneous use and being willing to engage in simultaneous use. They reported that intentions and willingness varied from occasion to occasion. They also reported that context and alcohol consumption influenced their willingness to engage in simultaneous use. Peer pressure or offers increased their willingness to use cannabis while drinking and having current or next-day responsibilities decreased their willingness to engage in simultaneous use. Additionally, planned simultaneous use occasions were characterized as being special events where young adults consumed more substances, but were more likely to monitor their use than unplanned occasions.
conclusionsIntentions and willingness may be important proximal predictors of simultaneous use of alcohol and cannabis. Building off this qualitative work, quantitative research should identify which factors influence the decision-making process to engage in simultaneous use and determine when intentions and willingness are most predictive of risky simultaneous use behavior.
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Registered trials
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