|Titre :||Tobacco and marijuana use among adolescents and young adults: a systematic review of their co-use (2012)|
|Auteurs :||D. E. RAMO ; H. LIU ; J. J. PROCHASKA|
|Type de document :||Article : Périodique|
|Dans :||Clinical Psychology Review (Vol.32, n°2, March 2012)|
|Article en page(s) :||105-121|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEADOLESCENT ; TABAC ; CANNABIS ; POLYCONSOMMATION ; PREVENTION ; TYPE D'USAGE ; EPIDEMIOLOGIE DESCRIPTIVE ; INTERVENTION
Tobacco (TOB) and marijuana (MJ) are the most widely used drugs among adolescents and young adults. The literature on their co-use, however, has not been systematically reviewed. We identified 163 English language articles published from 1999 to 2009 examining TOB and MJ co-use, correlates or consequences of co-use, or interventions for prevention or cessation of co-use with participants aging 13-25 years. Most studies (n=114, 70%) examined TOB and MJ co-use, and 85% of relationships studied indicated a significant association. Fifty-nine studies (36%) examined correlates or consequences of co-use. Factors consistently associated with increased likelihood of co-use, defined as significant associations in at least four studies, were African-American ethnicity, mental and physical health characteristics (e.g., high-intensity pleasure temperament), and school characteristics (e.g., good grades). The only consistent consequence of co-use was exacerbation of mental health symptoms. Few studies examined prevention (n=3) or cessation (n=2) interventions for TOB and MJ co-use, and the findings were stronger for prevention efforts. A sufficient literature base has documented that TOB and MJ use are strongly related in young people, yet few consistent correlates and consequences of co-use have been identified to inform intervention targets.
• This review examined tobacco and marijuana co-use among youth and young adults.
• Most relationships (85%) between TOB and MJ use were significant.
• Ethnicity, health, and school factors were consistently associated with co-use.
• The only consistent consequence of co-use was exacerbation of psychiatric symptoms.
• Few studies examined prevention or cessation interventions for TOB and MJ co-use.
|Domaine :||Drogues illicites / Illicit drugs ; Tabac / Tobacco|
|Sous-type de document :||Revue de la littérature / Literature review|
|Affiliation :||Department of Psychiatry, University of California, San Francisco, San Francisco, CA 94114, USA|