ArticleSubstance use & misuse2026
Relative Preference of Cannabis, Alcohol, and Nicotine Products Among U.S. Adolescents and Young Adults Who Are Using or Susceptible to Cannabis Use: Insights from a Best-Worst Scaling Study.
Article in Substance use & misuse, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundThe prevalence of multiple substance use is high among U.S. adolescents and young adults (AYAs), particularly as market shifts with alcohol and cannabis being the most prevalent substances and nicotine vaping displacing cigarette smoking among this population. However, it remains unclear how AYAs evaluate diverse products in terms of preference, addictiveness, and risk.
methodsWe analyzed data from a nationally representative sample of 1,010 U.S. AYAs (aged 15-21) in June 2024 who had used cannabis in the past 30 days or were susceptible to use. Best-worst scaling (BWS) was used to elicit relative preferences across alcohol, tobacco, and cannabis forms. Product-level indices for liking, addictiveness, and risk were analyzed using fractional logistic regression.
resultsCannabis edibles, alcohol, and cannabis flower ranked highest in liking, while tobacco products-especially cigarettes-were less preferred. E-cigarettes and oral nicotine pouches were more favored than cigarettes but remained less liked than cannabis products. Among cannabis forms, cartridges were perceived as both the most addictive and risky, whereas topicals were viewed as least harmful. Regression results showed cannabis oil and most tobacco products were less liked than flowers, while topicals were perceived as less addictive and risky than flowers.
conclusionsAYAs favor cannabis edibles and alcohol while disfavoring traditional tobacco products. Perceptions of risk and addictiveness align with product delivery modes, particularly for high-THC vaping products. These findings suggest both substitution (e.g., away from cigarettes) and complementarity (e.g., cannabis and alcohol), underscoring the need for integrated, multi-product regulatory strategies targeting evolving substance markets.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.