Evidence map›Paper›PMID 41623211›Full record

ArticleJournal of studies on alcohol and drugs2026

Heterogeneity of Within-Day Simultaneous Alcohol and Cannabis Use Behaviors Among Young Adults: A Multilevel Latent Class Analysis.

Ashley N Linden-Carmichael, Stephanie T Lanza, Alexander W Sokolovsky, Helene R White, Kristina M Jackson

Abstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Ashley N Linden-CarmichaelCollege of Education, University of Oregon, Eugene, Oregon.
Stephanie T LanzaCollege of Health and Human Development, The Pennsylvania State University, University Park, Pennsylvania.
Alexander W SokolovskyDepartment of Behavioral and Social Sciences, Brown University, Providence, Rhode Island.
Helene R WhiteCenter of Alcohol and Substance Use Studies, Rutgers, The State University of New Jersey, Piscataway, New Jersey.
Kristina M JacksonRobert Wood Johnson School of Medicine, Piscataway, New Jersey.

Funding

Promoting Rapid Uptake of Multilevel Latent Class Modeling via Best Practices: Investigating Heterogeneity in Daily Substance Use PatternsR01DA057588 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI STEPHANIE T LANZA · 2023 to 2026
$2.7M
Motivational and Contextual Influences on Patterns of Simultaneous Alcohol and Marijuana Use: A Daily Assessment StudyR01DA040880 · NIDA · BROWN UNIVERSITY · PI JACKSON, KRISTINA MELIA, WHITE, HELENE R. · 2016 to 2018
$2.0M
Dual Use of ENDS and Combustible Cigarettes: Shared, Distinct, and Cross-Conditioned ProcessesK08DA048137 · NIDA · BROWN UNIVERSITY · PI SOKOLOVSKY, ALEXANDER WILLIAM · 2020 to 2024
$976k
NIDA NIH HHS K08 DA048137NIDA NIH HHS R01 DA040880NIDA NIH HHS R01 DA057588
6 · The paper itself

Abstract

objectiveSimultaneous alcohol and cannabis use is prevalent among young adults and linked with heavy use and related harms. Days with simultaneous use have been linked with poorer proximal outcomes than days involving only alcohol or cannabis, but findings are mixed. Importantly, days with simultaneous use vary greatly with respect to level and timing of use, and other substance use. Thus, all simultaneous use days may not carry the same risks, which partially explains the discrepancies. We aimed to characterize heterogeneity across simultaneous use days via an innovative statistical method applied to daily data--multilevel latent class analysis (MLCA)--and identify features of days most strongly linked to same-day harms and motives.

methodParticipants were

resultsMLCA identified four day-level latent classes of simultaneous use occasions: Alcohol-Focused (43% of days), Cannabis-Focused (35%), Heavy Use (14%), and Early-Day Use (8%). Same-day harms were more likely on heavy use days than on other days, and day-level classes varied significantly across three same-day motivations for simultaneous use: to be social, because it was offered, and to have fun.

conclusionsSimultaneous alcohol and cannabis use days are highly varied. Heavy use days, characterized by the level of alcohol/cannabis use and engagement in other substance use, were most strongly linked with harms, but timing of use in a day also distinguished patterns of use. Studies investigating the role of additional substances are warranted.

Indexed as

Alcohol DrinkingMarijuana SmokingMarijuana UseStudentsAdolescentAdultFemaleHumansLatent Class AnalysisMaleMotivationTime FactorsUniversitiesYoung Adult

Identifiers

PMID41623211
PMCPMC13034715

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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.