Distress about social problems and tobacco and cannabis use outcomes among young adults in Los Angeles County.
Prev Med
; 179: 107850, 2024 Feb.
Article
in En
| MEDLINE
| ID: mdl-38199591
ABSTRACT
OBJECTIVE:
To examine associations of concern, worry, and stress about discrimination, shootings/violence, and police brutality and exclusive and dual tobacco and cannabis use among young adults.METHODS:
A prospective, racially/ethnically diverse cohort of young adults (n = 1960) living in Los Angeles, California completed a baseline survey in 2020 (age range 19-23) and a follow-up survey in 2021. Exploratory factor analysis (EFA) was employed on nine variables assessing levels of concern, worry, and stress about societal discrimination, societal shootings/violence, and community police brutality at baseline. Past 30-day tobacco and cannabis use at follow-up was categorized as current exclusive tobacco, exclusive cannabis, and dual tobacco and cannabis (vs never/former) use based on eleven use variables. Multinomial logistic regressions estimated adjusted associations between each factor score (translated to standard deviation units) with exclusive and dual tobacco and cannabis use.RESULTS:
The EFA produced four factor scores representing concern/worry/stress (i.e., distress) about community police brutality (F1), distress about societal shootings/violence (F2), and distress about societal discrimination (F3), as well as generalized stress about police brutality, shootings/violence, and discrimination (F4). F1, F2, and F3 were associated with subsequent exclusive current cannabis use, with F1 having the strongest association (OR 1.35, 95% CI 1.18-1.55), while only F1 (OR 1.51, 95% CI 1.27-1.78) was associated with dual tobacco and cannabis use. None of the factors were associated with exclusive tobacco use.CONCLUSIONS:
Young adult concern, worry, and/or stress about social problems may increase risk of cannabis use with or without concurrent tobacco use 6-12 months later.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cannabis
/
Tobacco Products
/
Electronic Nicotine Delivery Systems
/
Marijuana Use
Type of study:
Observational_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adult
/
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Prev Med
Year:
2024
Document type:
Article
Country of publication:
United States