Cannabis use among Arab students: a systematic review

IntroductionThe rising global prevalence and potential harms of cannabis use among adolescents and young adults are cause for concern. This systematic review focuses on the Arab world, compiling research on cannabis consumption among school and university students, where use has significantly increa...

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Main Authors: Ahmad Sabalbal, Mario Eid, Firas Kobeissy, Evelyne Baroud, Samer El Hayek
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1511563/full
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author Ahmad Sabalbal
Mario Eid
Firas Kobeissy
Firas Kobeissy
Evelyne Baroud
Samer El Hayek
Samer El Hayek
author_facet Ahmad Sabalbal
Mario Eid
Firas Kobeissy
Firas Kobeissy
Evelyne Baroud
Samer El Hayek
Samer El Hayek
author_sort Ahmad Sabalbal
collection DOAJ
description IntroductionThe rising global prevalence and potential harms of cannabis use among adolescents and young adults are cause for concern. This systematic review focuses on the Arab world, compiling research on cannabis consumption among school and university students, where use has significantly increased but remains inadequately evaluated.MethodsThe review was registered in PROSPERO (CRD42021285103). Following PRISMA 2020 guidelines, two researchers searched PubMed, Embase, Scopus, and PsycInfo from inception to 9 May 2024, with no filters or language restrictions. Grey literature was identified through structured searches in Google Scholar and ProQuest Dissertations & Theses Global on 30 August 2024, as well as through reference list screening and citation tracking of the included articles. Keywords used included “cannabis”, “student”, and “Arab”.ResultsFrom 5,820 potentially eligible records, 31 manuscripts were identified and 17 records were retrieved from the grey literature. A total of 48 cross-sectional studies from 13 Arab countries met the inclusion criteria and were included in the synthesis. Of these, 20 studies focused on school settings (sample sizes: 140–10,648), and 29 examined university students (sample sizes: 172–7,445). The most commonly used assessment tools were the Global School-Based Student Health Survey (GSHS) for school students and the WHO-based Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) for university students. Lifetime cannabis use prevalence ranged from 0.7% in Iraq to 9.4% in Morocco among school students, and from 4.7% in Tunisia to 32% in Lebanon and Egypt among university students. Cannabis use was more prevalent among university students. Key correlates included male gender, older age, family discordance, peer pressure, lower religiosity, and psychiatric symptoms.DiscussionThese findings align with global patterns and emphasize the need for early intervention, psychoeducation, and targeted prevention strategies to mitigate cannabis-related risks among youth in the Arab world.
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spelling doaj-art-067375488fec419cb85281ba2c4342162025-08-20T03:28:47ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-07-011610.3389/fpsyt.2025.15115631511563Cannabis use among Arab students: a systematic reviewAhmad Sabalbal0Mario Eid1Firas Kobeissy2Firas Kobeissy3Evelyne Baroud4Samer El Hayek5Samer El Hayek6Department of Psychiatry, American University of Beirut Medical Center, Beirut, LebanonDepartment of Psychiatry, Lebanese American University, Beirut, LebanonCenter for Neurotrauma, Multiomics & Biomarkers, Department of Neurobiology, Neuroscience Institute, Morehouse School of Medicine, Atlanta, GA, United StatesDepartment of Emergency Medicine, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Psychiatry, American University of Beirut Medical Center, Beirut, LebanonDepartment of Psychiatry, American University of Beirut Medical Center, Beirut, LebanonAmerican Center for Psychiatry and Neurology, Dubai, United Arab EmiratesIntroductionThe rising global prevalence and potential harms of cannabis use among adolescents and young adults are cause for concern. This systematic review focuses on the Arab world, compiling research on cannabis consumption among school and university students, where use has significantly increased but remains inadequately evaluated.MethodsThe review was registered in PROSPERO (CRD42021285103). Following PRISMA 2020 guidelines, two researchers searched PubMed, Embase, Scopus, and PsycInfo from inception to 9 May 2024, with no filters or language restrictions. Grey literature was identified through structured searches in Google Scholar and ProQuest Dissertations & Theses Global on 30 August 2024, as well as through reference list screening and citation tracking of the included articles. Keywords used included “cannabis”, “student”, and “Arab”.ResultsFrom 5,820 potentially eligible records, 31 manuscripts were identified and 17 records were retrieved from the grey literature. A total of 48 cross-sectional studies from 13 Arab countries met the inclusion criteria and were included in the synthesis. Of these, 20 studies focused on school settings (sample sizes: 140–10,648), and 29 examined university students (sample sizes: 172–7,445). The most commonly used assessment tools were the Global School-Based Student Health Survey (GSHS) for school students and the WHO-based Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) for university students. Lifetime cannabis use prevalence ranged from 0.7% in Iraq to 9.4% in Morocco among school students, and from 4.7% in Tunisia to 32% in Lebanon and Egypt among university students. Cannabis use was more prevalent among university students. Key correlates included male gender, older age, family discordance, peer pressure, lower religiosity, and psychiatric symptoms.DiscussionThese findings align with global patterns and emphasize the need for early intervention, psychoeducation, and targeted prevention strategies to mitigate cannabis-related risks among youth in the Arab world.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1511563/fullcannabismarijuanaArabstudentschooluniversity
spellingShingle Ahmad Sabalbal
Mario Eid
Firas Kobeissy
Firas Kobeissy
Evelyne Baroud
Samer El Hayek
Samer El Hayek
Cannabis use among Arab students: a systematic review
Frontiers in Psychiatry
cannabis
marijuana
Arab
student
school
university
title Cannabis use among Arab students: a systematic review
title_full Cannabis use among Arab students: a systematic review
title_fullStr Cannabis use among Arab students: a systematic review
title_full_unstemmed Cannabis use among Arab students: a systematic review
title_short Cannabis use among Arab students: a systematic review
title_sort cannabis use among arab students a systematic review
topic cannabis
marijuana
Arab
student
school
university
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1511563/full
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