TY - JOUR
T1 - Trends in single, dual, and poly use of alcohol, cigarettes, and marijuana among US high-school students
T2 - 1991–2017
AU - Dai, Hongying
N1 - Funding Information:
Research reported in this publication was supported by grant R03CA228909 (PI: Dai) from the National Cancer Institute and Food and Drug Administration Center for Tobacco Products.
Publisher Copyright:
© 2019 American Public Health Association Inc.. All rights reserved.
PY - 2019
Y1 - 2019
N2 - Objectives. To evaluate trends in patterns (single, dual, or poly) of current use of alcohol, cigarettes, and marijuana (ACM) among youths in the United States. Methods. I used data from the 1991–2017 Youth Risk Behavior Surveys (n = 203 663) to report average annual percentage change (AAPC) and linear trends of single, dual, and poly use of ACM among youths. Results. From 1991 to 2017, the prevalence of marijuana-only use increased from 0.6% to 6.3% (AAPC = 7.4) while the prevalence of use of alcohol only or cigarettes only significantly declined. Dual use of alcohol and marijuana increased from 3.6% to 7.6% (AAPC = 2.4), while dual use of alcohol and cigarettes declined from 11.8% to 1.7% (AAPC = –7.5). The prevalence of poly use of ACM declined from 9.4% to 4.4%. There is an enlarged disparity in use of marijuana only by race/ethnicity with an increase of 11.5% among non-Hispanic Blacks and an increase of 8.1% among Hispanics, compared with an increase of 3.4% among non-Hispanic Whites. Conclusions. The use patterns of ACM among youths have changed with a surge in use of marijuana only, especially among racial/ethnic minorities.
AB - Objectives. To evaluate trends in patterns (single, dual, or poly) of current use of alcohol, cigarettes, and marijuana (ACM) among youths in the United States. Methods. I used data from the 1991–2017 Youth Risk Behavior Surveys (n = 203 663) to report average annual percentage change (AAPC) and linear trends of single, dual, and poly use of ACM among youths. Results. From 1991 to 2017, the prevalence of marijuana-only use increased from 0.6% to 6.3% (AAPC = 7.4) while the prevalence of use of alcohol only or cigarettes only significantly declined. Dual use of alcohol and marijuana increased from 3.6% to 7.6% (AAPC = 2.4), while dual use of alcohol and cigarettes declined from 11.8% to 1.7% (AAPC = –7.5). The prevalence of poly use of ACM declined from 9.4% to 4.4%. There is an enlarged disparity in use of marijuana only by race/ethnicity with an increase of 11.5% among non-Hispanic Blacks and an increase of 8.1% among Hispanics, compared with an increase of 3.4% among non-Hispanic Whites. Conclusions. The use patterns of ACM among youths have changed with a surge in use of marijuana only, especially among racial/ethnic minorities.
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U2 - 10.2105/AJPH.2019.305122
DO - 10.2105/AJPH.2019.305122
M3 - Article
C2 - 31219719
AN - SCOPUS:85068700024
VL - 109
SP - 1138
EP - 1140
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 8
ER -