Cannabis use characteristics and associations with problematic use outcomes, quitting-related factors, and mental health among US young adults
Abstract Objective Given the changes in trends of cannabis use (e.g., product types), this study examined latent classes of young adult use and associations with use-related outcomes. Methods We analyzed 2023 survey data among 4,031 US young adults (Mage=26.29, 59.4% female, 19.0% Hispanic, 13.5% Bl...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Substance Abuse Treatment, Prevention, and Policy |
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| Online Access: | https://doi.org/10.1186/s13011-025-00634-0 |
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| author | Carla J. Berg Cassidy R. LoParco Katelyn F. Romm Yuxian Cui Darcey M. McCready Yan Wang Y. Tony Yang Hannah S. Szlyk Erin Kasson Rishika Chakraborty Patricia A. Cavazos-Rehg |
| author_facet | Carla J. Berg Cassidy R. LoParco Katelyn F. Romm Yuxian Cui Darcey M. McCready Yan Wang Y. Tony Yang Hannah S. Szlyk Erin Kasson Rishika Chakraborty Patricia A. Cavazos-Rehg |
| author_sort | Carla J. Berg |
| collection | DOAJ |
| description | Abstract Objective Given the changes in trends of cannabis use (e.g., product types), this study examined latent classes of young adult use and associations with use-related outcomes. Methods We analyzed 2023 survey data among 4,031 US young adults (Mage=26.29, 59.4% female, 19.0% Hispanic, 13.5% Black, 13.6% Asian). Among those reporting past-month use (48.8%), latent class analysis (LCA) indicators included: days used (1–5; 6–20; 21–30), use/day (1; 2–4; ≥5), and type usually used (herb/flower; edibles; oils/vape; concentrates/other). Multivariable regressions examined class in relation to problematic use, quitting-related factors, and mental health, controlling for sociodemographics and state non-medical cannabis laws. Results LCA identified 4 classes of cannabis use frequency and types used: ‘infrequent-herb/edibles’ (41.4%), ‘frequent-herb’ (16.8%), ‘moderate-herb’ (28.0%), and ‘moderate-oil/other’ (13.8%). In multivariable analyses (referent group: ‘moderate-herb’ class), ‘frequent-herb’ reported less problematic use (B=-0.18, 95%CI=-0.30, -0.07), while ‘moderate-oil/other’ reported greater (B = 0.39, 95%CI = 0.27, 0.51). ‘Infrequent-herb/edibles’ had lower odds of driving post-use of cannabis (aOR = 0.28, 95%CI = 0.22, 0.37) and cannabis/alcohol (aOR = 0.52, 95%CI = 0.35, 0.76), whereas ‘frequent-herb’ (aOR = 1.52, 95%CI = 1.02, 2.28) and ‘moderate-oil/other’ (aOR = 3.98, 95%CI = 2.72, 5.82) reported greater odds of driving post-cannabis/alcohol use. ‘Moderate-oil/other’ reported higher quitting importance (B = 0.59, 95%CI = 0.17, 1.01), while ‘frequent-herb’ reported lower (B=-0.33, 95%CI=-0.99, -0.18). ‘Infrequent-herb/edibles’ reported higher quitting confidence (B = 0.56, 95%CI = 0.20, 0.92), whereas ‘frequent-herb’ (B=-1.01, 95%CI=-1.45, -0.57) and ‘moderate-oil/other’ (B=-1.27, 95%CI=-1.74, -0.81) reported lower. ‘Infrequent-herb/edibles’ reported fewer mental health symptoms (B=-0.55, 95%CI=-0.93, -0.17), while ‘moderate-oil/other’ reported more (B = 1.03, 95%CI = 0.53, 1.52). Conclusions Preventing frequent and moderate use of cannabis, particularly of oils/concentrates, is crucial given the potential negative implications for problematic use, quitting, and mental health. |
| format | Article |
| id | doaj-art-8f4348de55ca408fbd23c34be0a8d9cd |
| institution | Kabale University |
| issn | 1747-597X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Substance Abuse Treatment, Prevention, and Policy |
| spelling | doaj-art-8f4348de55ca408fbd23c34be0a8d9cd2025-01-12T12:08:19ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2025-01-0120111510.1186/s13011-025-00634-0Cannabis use characteristics and associations with problematic use outcomes, quitting-related factors, and mental health among US young adultsCarla J. Berg0Cassidy R. LoParco1Katelyn F. Romm2Yuxian Cui3Darcey M. McCready4Yan Wang5Y. Tony Yang6Hannah S. Szlyk7Erin Kasson8Rishika Chakraborty9Patricia A. Cavazos-Rehg10Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington UniversityDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington UniversityTSET Health Promotion Research Center, Stephenson Cancer Center; Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences CenterDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington UniversityDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington UniversityDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington UniversityGeorge Washington Cancer Center, George Washington UniversityDepartment of Psychiatry, Washington University School of MedicineDepartment of Psychiatry, Washington University School of MedicineCenter for Health Policy and Media Engagement, School of Nursing, George Washington UniversityDepartment of Psychiatry, Washington University School of MedicineAbstract Objective Given the changes in trends of cannabis use (e.g., product types), this study examined latent classes of young adult use and associations with use-related outcomes. Methods We analyzed 2023 survey data among 4,031 US young adults (Mage=26.29, 59.4% female, 19.0% Hispanic, 13.5% Black, 13.6% Asian). Among those reporting past-month use (48.8%), latent class analysis (LCA) indicators included: days used (1–5; 6–20; 21–30), use/day (1; 2–4; ≥5), and type usually used (herb/flower; edibles; oils/vape; concentrates/other). Multivariable regressions examined class in relation to problematic use, quitting-related factors, and mental health, controlling for sociodemographics and state non-medical cannabis laws. Results LCA identified 4 classes of cannabis use frequency and types used: ‘infrequent-herb/edibles’ (41.4%), ‘frequent-herb’ (16.8%), ‘moderate-herb’ (28.0%), and ‘moderate-oil/other’ (13.8%). In multivariable analyses (referent group: ‘moderate-herb’ class), ‘frequent-herb’ reported less problematic use (B=-0.18, 95%CI=-0.30, -0.07), while ‘moderate-oil/other’ reported greater (B = 0.39, 95%CI = 0.27, 0.51). ‘Infrequent-herb/edibles’ had lower odds of driving post-use of cannabis (aOR = 0.28, 95%CI = 0.22, 0.37) and cannabis/alcohol (aOR = 0.52, 95%CI = 0.35, 0.76), whereas ‘frequent-herb’ (aOR = 1.52, 95%CI = 1.02, 2.28) and ‘moderate-oil/other’ (aOR = 3.98, 95%CI = 2.72, 5.82) reported greater odds of driving post-cannabis/alcohol use. ‘Moderate-oil/other’ reported higher quitting importance (B = 0.59, 95%CI = 0.17, 1.01), while ‘frequent-herb’ reported lower (B=-0.33, 95%CI=-0.99, -0.18). ‘Infrequent-herb/edibles’ reported higher quitting confidence (B = 0.56, 95%CI = 0.20, 0.92), whereas ‘frequent-herb’ (B=-1.01, 95%CI=-1.45, -0.57) and ‘moderate-oil/other’ (B=-1.27, 95%CI=-1.74, -0.81) reported lower. ‘Infrequent-herb/edibles’ reported fewer mental health symptoms (B=-0.55, 95%CI=-0.93, -0.17), while ‘moderate-oil/other’ reported more (B = 1.03, 95%CI = 0.53, 1.52). Conclusions Preventing frequent and moderate use of cannabis, particularly of oils/concentrates, is crucial given the potential negative implications for problematic use, quitting, and mental health.https://doi.org/10.1186/s13011-025-00634-0CannabisMarijuanaRisk factorsProblematic useEpidemiology |
| spellingShingle | Carla J. Berg Cassidy R. LoParco Katelyn F. Romm Yuxian Cui Darcey M. McCready Yan Wang Y. Tony Yang Hannah S. Szlyk Erin Kasson Rishika Chakraborty Patricia A. Cavazos-Rehg Cannabis use characteristics and associations with problematic use outcomes, quitting-related factors, and mental health among US young adults Substance Abuse Treatment, Prevention, and Policy Cannabis Marijuana Risk factors Problematic use Epidemiology |
| title | Cannabis use characteristics and associations with problematic use outcomes, quitting-related factors, and mental health among US young adults |
| title_full | Cannabis use characteristics and associations with problematic use outcomes, quitting-related factors, and mental health among US young adults |
| title_fullStr | Cannabis use characteristics and associations with problematic use outcomes, quitting-related factors, and mental health among US young adults |
| title_full_unstemmed | Cannabis use characteristics and associations with problematic use outcomes, quitting-related factors, and mental health among US young adults |
| title_short | Cannabis use characteristics and associations with problematic use outcomes, quitting-related factors, and mental health among US young adults |
| title_sort | cannabis use characteristics and associations with problematic use outcomes quitting related factors and mental health among us young adults |
| topic | Cannabis Marijuana Risk factors Problematic use Epidemiology |
| url | https://doi.org/10.1186/s13011-025-00634-0 |
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