Evidence map›Paper›PMID 41734810›Full record

ArticleAddiction (Abingdon, England)2026

Does the total consumption model apply to cannabis use?

Thor Norström, Håkan Leifman

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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

1 citing paper in PubMed.

  1. Does the total consumption model apply to cannabis use?Addiction (Abingdon, England) · 2026
    Article
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

2 authors.

Thor NorströmSwedish Institute for Social Research, Stockholm University, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-5746-7723
Håkan LeifmanDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Funding

Stiftelsen Ansvar för Framtiden (SAFF) 2024-0063
6 · The paper itself

Abstract

aimsTo test whether the total consumption model and its extension, the theory of collectivity, apply to adolescent cannabis use. We estimated: (1) whether the distribution of cannabis use frequency was stable over time; (2) whether changes in average cannabis use were mirrored across consumption quantiles; and (3) whether higher average use corresponds with a higher prevalence of high-frequency users.

designRepeated cross-sectional study based on annual surveys. We analyzed trends in cannabis use frequency across consumption percentiles using Lorenz curves and Gini coefficients to assess distributional stability. We used ordinary least squares (OLS) regression to estimate the elasticities between overall mean frequency of use and mean frequency of use for five quantiles ranging from P25 to P95. The association between average use and the prevalence of high-frequency users was examined graphically and parametrically.

settingSweden.

participantsNinth-grade students (aged 15-16) surveyed annually between 1990 and 2023 (excluding 2013), with a total of 180 059 respondents, and 2nd-year high school students (aged 17-18) surveyed annually between 2004 and 2023 (excluding 2013 and 2020), totaling 80 925 respondents. Our analyses were limited to individuals who reported cannabis use, resulting in analytical samples of 10 139 9th-grade students and 11 160 2nd-year high school students. MEASUREMENT: Frequency of cannabis use was measured by a question on how many occasions the respondent has used hashish or marijuana. The seven response alternatives ranged from 0 to 50 times or more.

findingsMean frequency of cannabis use fluctuated statistically significantly across survey years among 9th-grade students (F-test = 7.647, P < 0.001) and marginally among 2nd-year students (F-test = 1.550, P = 0.068). Notwithstanding this variation in mean use, the distribution of frequency of cannabis use remained stable: Lorenz curves were consistent across years, and Gini coefficients showed no significant changes. Mean frequency in all five quantiles (25th-95th) were positively and statistically significantly associated with overall mean frequency, suggesting synchronized changes across user groups; e.g. the elasticity for P50 was estimated at 0.914 (P < 0.001) in 9th grade. Increases in mean frequency use were associated with a higher prevalence of high-frequency users. Thus, an increase in average frequency of cannabis use by 1 percentage point was associated with a 1.794 (standard error = 0.065, P < 0.001) percentage point increase in high-frequency users in 9th grade.

conclusionsAdolescent cannabis use in Sweden appears to conform to key predictions of the total consumption model and its extension, the theory of collectivity.

Indexed as

Adolescent BehaviorMarijuana SmokingMarijuana UseAdolescentCross-Sectional StudiesFemaleHumansMalePrevalenceStudentsSwedenadolescentscannabisdistributionSwedentheory of collectivitytotal consumption mode

Identifiers

PMID41734810
PMCPMC13291080

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LicenceCC BY
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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.