Evidence map›Paper›PMID 38896945›Full record

ArticleDrug and alcohol dependence2024

Trends in marijuana and heavy alcohol use by cigarette smoking status among US adults: An analysis of the 2002-2019 NSDUH.

Jacob James Rich, Sudie E Back, Thanh C Bui, Eden Y Bernstein, Phuc Le

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Cannabis use frequency and driving safety: Associations between cannabis use frequency and driving perceptions and behaviors.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jacob James RichCenter for Value-Based Care Research, Primary Care Institute, Cleveland Clinic, Cleveland, OH, United States; Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, United States.
Sudie E BackDepartment of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC, United States.
Thanh C BuiTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Department of Family and Preventive Medicine, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States.
Eden Y BernsteinDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
Phuc LeCenter for Value-Based Care Research, Primary Care Institute, Cleveland Clinic, Cleveland, OH, United States. Electronic address: lep@ccf.org.

Funding

Using patient-level decision modeling to improve use of treatments for alcohol use disorderR01AA030970 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · PI Phuc Le · 2023 to 2026
$2.6M
NIAAA NIH HHS R01 AA030970
6 · The paper itself

Abstract

backgroundPolysubstance use is associated with adverse health outcomes, yet little research has measured changes in polysubstance use. We aimed to 1) estimate trends in marijuana and heavy alcohol use by cigarette smoking and demographic subgroups, and 2) examine patient factors associated with concurrent use among adults who were smoking.

methodsWe conducted a repeated cross-sectional analysis of 687,225 non-institutionalized US adults ≥18 years from the 2002-2019 National Survey on Drug Use and Health. Participants were stratified into current, former, and never smoking groups. Main outcomes were prevalence of heavy alcohol use, marijuana use, and concurrent use of both substances.

resultsFrom 2002-2019, heavy alcohol use declined from 7.8 % to 6.4 %, marijuana use rose from 6.0 % to 11.8 %, and concurrent use of alcohol and marijuana remained stable. Among adults who were smoking from 2005 to 2019, higher education was associated with higher odds of heavy alcohol use, while older ages, female gender, non-White race/ethnicity, and government-provided health insurance were associated with lower odds. The odds of marijuana use decreased in females, older ages, and higher incomes while increasing in people with poorer health status, higher education, government-provided or no health insurance, and serious mental illness. Compared to White adults who were smoking, Black counterparts had higher odds of marijuana use (OR=1.23; 95 %CI: 1.15-1.29), while Hispanic (OR=0.68; 95 %CI: 0.63-0.72) and other racial/ethnic identities (OR=0.83; 95 %CI: 0.77-0.90) had lower odds.

conclusionsOur study suggests marijuana use might not be sensitive to changes in the use of tobacco and alcohol.

Indexed as

Cigarette SmokingAdolescentAdultAgedAlcohol DrinkingAlcoholismCross-Sectional StudiesFemaleHealth SurveysHumansMaleMarijuana SmokingMarijuana UseMiddle AgedPrevalenceUnited StatesAlcoholCannabisMarijuanaNSDUHPolysubstance useSmoking

Identifiers

PMID38896945
PMCPMC11632672

What OpenQuestion holds

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Registered trials

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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.