Kerry M Green1, Beth A Reboussin2, Lauren R Pacek3, Carla L Storr4,5, Ramin Mojtabai5,6, Bernadette A Cullen5,6, Rosa M Crum5,6,7. 1. Department of Behavioral and Community Health, University of Maryland School of Public Health , College Park , Maryland , USA. 2. Department of Biostatistics and Data Science, Wake Forest School of Medicine , Winston-Salem , North Carolina , USA. 3. Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine , Durham , North Carolina , USA. 4. Department of Family and Community Health, University of Maryland School of Nursing , Baltimore , Maryland , USA. 5. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA. 6. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine , Baltimore , Maryland , USA. 7. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Abstract
Background: With the changing context of marijuana use, it is critical to identify effects of use. We extend previous work by examining whether marijuana use influences progression and remission through alcohol involvement stages for men and women. Methods: Data come from Waves I and II of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC, n = 34,432). We assess the potential influence of marijuana use at Wave 1 on transitions across three latent statuses of alcohol involvement between waves. We apply propensity score weighting to account for shared risk factors. Results: Marijuana use was associated cross-sectionally and longitudinally with alcohol involvement statuses for both sexes. After propensity score adjustment, men with marijuana histories were 3.50 times as likely as men without such histories to transition from no to severe problems across waves relative to staying in the same status (p < .001). Women with marijuana histories were 1.74 times as likely as women without such histories to transition from no problems at Wave 1 to moderate problems at Wave 2 (p = .030) and 0.13 times as likely as women without such histories to transition from severe problems to no problems (p = .006). Conclusions: Results suggest that marijuana use impacts progression to more serious stages of alcohol involvement for both men and women, as well as hinders remission among women. Findings point to the importance of screening those with marijuana histories for alcohol problems, as well as the need to understand the mechanism of why marijuana use may increase the risk of alcohol problems.
Background: With the changing context of marijuana use, it is critical to identify effects of use. We extend previous work by examining whether marijuana use influences progression and remission through alcohol involvement stages for men and women. Methods: Data come from Waves I and II of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC, n = 34,432). We assess the potential influence of marijuana use at Wave 1 on transitions across three latent statuses of alcohol involvement between waves. We apply propensity score weighting to account for shared risk factors. Results:Marijuana use was associated cross-sectionally and longitudinally with alcohol involvement statuses for both sexes. After propensity score adjustment, men with marijuana histories were 3.50 times as likely as men without such histories to transition from no to severe problems across waves relative to staying in the same status (p < .001). Women with marijuana histories were 1.74 times as likely as women without such histories to transition from no problems at Wave 1 to moderate problems at Wave 2 (p = .030) and 0.13 times as likely as women without such histories to transition from severe problems to no problems (p = .006). Conclusions: Results suggest that marijuana use impacts progression to more serious stages of alcohol involvement for both men and women, as well as hinders remission among women. Findings point to the importance of screening those with marijuana histories for alcohol problems, as well as the need to understand the mechanism of why marijuana use may increase the risk of alcohol problems.
Authors: Rosa M Crum; Kerry M Green; Elizabeth A Stuart; Lareina N La Flair; Marc Kealhofer; Andrea S Young; Noa Krawczyk; Kayla N Tormohlen; Carla L Storr; Anika A H Alvanzo; Ramin Mojtabai; Lauren R Pacek; Bernadette A Cullen; Beth A Reboussin Journal: Drug Alcohol Depend Date: 2018-04-10 Impact factor: 4.492
Authors: Bridget F Grant; Frederick S Stinson; Deborah A Dawson; S Patricia Chou; Mary C Dufour; Wilson Compton; Roger P Pickering; Kenneth Kaplan Journal: Arch Gen Psychiatry Date: 2004-08
Authors: Anika A H Alvanzo; Carla L Storr; Beth Reboussin; Kerry M Green; Ramin Mojtabai; Lareina N La Flair; Bernadette A Cullen; Ryoko Susukida; Marissa Seamans; Rosa M Crum Journal: Child Abuse Negl Date: 2020-07-16
Authors: Kerry M Green; Beth A Reboussin; Carla L Storr; Ramin Mojtabai; Ryoko Susukida; Andrea S Young; Bernadette A Cullen; Amanda Luken; Masoumeh Amin-Esmaeili; Rosa M Crum Journal: Addict Behav Rep Date: 2022-01-26