Abstract
Cannabis is the most used illicit substance worldwide, which has been associated with substantial adverse consequences. A recent trend toward a harmless vision of cannabis use in the general population has been observed. The present study sought to examine cannabis use frequency, differences according to cannabis use status in cannabis use risk perceptions, and the relation between risk perceptions and cannabis use in a sample of Portuguese adolescents and young adults (N = 721). The results showed that of the total sample 32.3% had ever used cannabis during their lifetime and 24% during the last year. In addition, those participants who had ever used cannabis perceived significantly less risk associated with cannabis use when comparing to never users. Finally, results showed that some specific dimensions of perceived risks for cannabis use were related to cannabis consumption during the last 12 months, 30 days, and 7 days. The findings of the present study suggest that cannabis use risk perceptions are relevant factors for cannabis use, which could inform for prevention-related efforts of cannabis use. Additional studies are warranted to examine deeply the relationships between cannabis use risk perceptions and cannabis use initiation and progression.
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References
Baptista-Leite, R., & Ploeg, L. (2018). O caminho para a legalização responsável e segura do uso de cannabis em Portugal [The road towards the responsible and safe legalization of cannabis use in Portugal]. Acta Médica Portuguesa, 31(2), 115–125. https://doi.org/10.20344/amp.10093.
Boden, J. M., Dhakal, B., Foulds, J. A., & Horwood, L. J. (2020). Life-course trajectories of cannabis use: a latent class analysis of a New Zealand birth cohort. Addiction, 115(2), 279–290. https://doi.org/10.1111/add.14814.
Carliner, H., Brown, Q. L., Sarvet, A. L., & Hasin, D. S. (2017). Cannabis use, attitudes, and legal status in the U.S.: a review. Preventive Medicine, 104, 13–23. https://doi.org/10.1016/J.YPMED.2017.07.008.
Degenhardt, L., Charlson, F., Ferrari, A., Santomauro, D., Erskine, H., Mantilla-Herrara, A., Whiteford, H., Leung, J., Naghavi, M., Griswold, M., Rehm, J., Hall, W., Sartorius, B., Scott, J., Vollset, S. E., Knudsen, A. K., Haro, J. M., Patton, G., Kopec, J., Carvalho Malta, D., Topor-Madry, R., McGrath, J., Haagsma, J., Allebeck, P., Phillips, M., Salomon, J., Hay, S., Foreman, K., Lim, S., Mokdad, A., Smith, M., Gakidou, E., Murray, C., & Vos, T. (2018). The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Psychiatry, 5(12), 987–1012. https://doi.org/10.1016/S2215-0366(18)30337-7.
European Monitoring Centre for Drugs and Drug Addiction. (2019). European drug report 2019: trends and developments. Publications Office of the European Union. http://www.emcdda.europa.eu/publications/edr/trends-developments/2019_en. Accessed 16 Dec 2019.
European School Survey Project on Alcohol and Other Drugs (2011). Substance UseAmong Students in 36 European Countries. Stockholm: Swedish Council forInformation on Alcohol and Other Drugs.
Figueiredo, P. R., Tolomeo, S., Steele, J. D., & Baldacchino, A. (2020). Neurocognitive consequences of chronic cannabis use: a systematic review and meta-analysis. In Neuroscience and Biobehavioral Reviews, 108, 358–369. https://doi.org/10.1016/j.neubiorev.2019.10.014.
Grevenstein, D., Nagy, E., & Kroeninger-Jungaberle, H. (2015). Development of riskperception and substance use of tobacco, alcohol and cannabis amongadolescents and emerging adults: Evidence of directional influences. SubstanceUse & Misuse, 50(3), 376–386. https://doi.org/10.3109/10826084.2014.984847.
Hall, W., & Weier, M. (2015). Assessing the public health impacts of legalizing recreational cannabis use in the USA. Clinical Pharmacology & Therapeutics, 97(6), 607–615. https://doi.org/10.1002/cpt.110.
Hasin, D. S. (2018). US epidemiology of cannabis use and associated problems. Neuropsychopharmacology, 43(1), 195–212. https://doi.org/10.1038/npp.2017.198.
Holm, S., Sandberg, S., Kolind, T., & Hesse, M. (2014). The importance of cannabisculture in young adult cannabis use. Journal of Substance Use, 19(3), 251–256. https://doi.org/10.3109/14659891.2013.790493.
Jacobus, J., Courtney, K. E., Hodgdon, E. A., & Baca, R. (2019). Cannabis and the developing brain: what does the evidence say? Birth Defects Research, 111(17), 1302–1307. https://doi.org/10.1002/bdr2.1572.
Keyhani, S., Steigerwald, S., Ishida, J., Vali, M., Cerdá, M., Hasin, D., Dollinger, C., Yoo, S. R., & Cohen, B. E. (2018). Risks and benefits of marijuana use a national survey of U.S. adults. Annals of Internal Medicine, 169(5), 282–290. https://doi.org/10.7326/M18-0810.
Kilmer, J. R., Hunt, S. B., Lee, C. M., & Neighbors, C. (2007). Marijuana use, risk perception, and consequences: is perceived risk congruent with reality? Addictive Behaviors, 32(12), 3026–3033. https://doi.org/10.1016/J.ADDBEH.2007.07.009.
Korn, L., Haynie, D. L., Luk, J. W., & Simons-Morton, B. G. (2018). Prospective associations between cannabis use and negative and positive health and social measures among emerging adults. The International Journal on Drug Policy, 58, 55–63. https://doi.org/10.1016/J.DRUGPO.2018.05.003.
Lopez-Quintero, C., & Neumark, Y. (2010). Effects of risk perception of marijuana use on marijuana use and intentions to use among adolescents in Bogotá, Colombia. Drug and Alcohol Dependence, 109(1–3), 65–72. https://doi.org/10.1016/j.drugalcdep.2009.12.011.
Lynskey, M. T., Heath, A. C., Bucholz, K. K., Slutske, W. S., Madden, P. A. F., Nelson, E. C., Statham, D. J., & Martin, N. G. (2003). Escalation of drug use in early-onset cannabis users vs co-twin controls. JAMA, 289(4), 427. https://doi.org/10.1001/jama.289.4.427.
Manthey, J. (2019). Cannabis use in Europe: current trends and public health concerns. The International Journal on Drug Policy, 68, 93–96. https://doi.org/10.1016/J.DRUGPO.2019.03.006.
Mehanović, E., Virk, H. K., Akanidomo, I., Pwajok, J., Prichard, G., van der Kreeft, P., Vigna-Taglianti, F., Alesina, M., Cuomo, G. L., Damjanović, L., Di Marco, V., Donati, L., Vadrucci, S., Kaur Virk, H., Ogbonna, A., Madu, R., Elisha, F., Owotumi, R., Ojunugba, P., … Kamai, P. (2020). Correlates of cannabis and other illicit drugs use among secondary school adolescents in Nigeria. Drug and Alcohol Dependence, 206, 107457. https://doi.org/10.1016/j.drugalcdep.2019.04.028.
Mokrysz, C., Freeman, T.P., Korkki, S., Griffiths, K., & Curran, H.V. (2016). Areadolescents more vulnerable to the harmful effects of cannabis than adults? Aplacebo-controlled study in human males. Translational Psychiatry, 6, e961. https://doi.org/10.1038/tp.2016.225.
O’Callaghan, F., Reid, A., & Copeland, J. (2006). Risk perception and cannabis use in a sample of young adults. Journal of Substance Abuse, 11(2), 129–136. https://doi.org/10.1080/14659890500237366.
Parker, M. A., & Anthony, J. C. (2018). Population-level predictions from cannabis risk perceptions to active cannabis use prevalence in the United States, 1991–2014. Addictive Behaviors, 82, 101–104. https://doi.org/10.1016/J.ADDBEH.2018.02.030.
Pearson, M. R., Liese, B. S., Dvorak, R. D., & Marijuana Outcomes Study Team, M. O. S. (2017). College student marijuana involvement: perceptions, use, and consequences across 11 college campuses. Addictive Behaviors, 66, 83–89. https://doi.org/10.1016/j.addbeh.2016.10.019.
Pilatti, A., Read, J. P., & Pautassi, R. M. (2017). ELSA 2016 cohort: alcohol, tobacco, and marijuana use and their association with age of drug use onset, risk perception, and social norms in Argentinean college freshmen. Frontiers in Psychology, 8, 1452. https://doi.org/10.3389/fpsyg.2017.01452.
Rotermann, M., & Macdonald, R. (2018). Analysis of trends in the prevalence of cannabis use in Canada, 1985 to 2015. Health Reports, 29, 10–20 www.statcan.gc.ca. Accessed 25 Nov 2019.
Salloum, N.C., Krauss, M.J., Agrawal, A., Bierut, L.J., & Grucza, R.A. (2018). Areciprocal effects analysis of cannabis use and perceptions of risk. Addiction,113(6), 1077–1085. https://doi.org/10.1111/add.14174.
Serviço de Intervenção nos Comportamentos Aditivos e nas Dependências [SICAD],(2019). Sinopse. Estatística 2017. Retrieved from http://www.sicad.pt/PT/EstatisticaInvestigacao/Documents/2019/SinopseEstatistica17_substanciasIlicitas.pdf.
Sharma, G., Oden, N., VanVeldhuisen, P. C., & Bogenschutz, M. P. (2016). Hair analysis and its concordance with self-report for drug users presenting in emergency department. Drug and Alcohol Dependence, 167, 149–155. https://doi.org/10.1016/j.drugalcdep.2016.08.007.
Swift, W., Coffey, C., Degenhardt, L., Carlin, J. B., Romaniuk, H., & Patton, G. C. (2012). Cannabis and progression to other substance use in young adults: findings from a 13-year prospective population-based study. Journal of Epidemiology and Community Health, 66(7), e26–e26. https://doi.org/10.1136/jech.2010.129056.
United Nations Office on Drugs and Crime. (2018). World Drug Report 2018. https://www.unodc.org/wdr2018/. Accessed 5 Dec 2019.
Volkow, N. D., Baler, R. D., Compton, W. M., & Weiss, S. R. B. (2014). Adverse health effects of marijuana use. The New England Journal of Medicine, 370(23), 2219–2227. https://doi.org/10.1056/NEJMra1402309.
White, H. R., Labouvie, E. W., & Papadaratsakis, V. (2005). Changes in substance use during the transition to adulthood: a comparison of college students and their noncollege age peers. Journal of Drug Issues, 35(2), 281–306. https://doi.org/10.1177/002204260503500204.
Wilkinson, S. T., Yarnell, S., Radhakrishnan, R., Ball, S. A., & D’Souza, D. C. (2016). Marijuana legalization: impact on physicians and public health. Annual Review of Medicine, 67(1), 453–466. https://doi.org/10.1146/annurev-med-050214-013454.
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This work was supported by National Funds, provided through FCT (Fundação para a Ciência e a Tecnologia) to the strategic projects PEst-OE/FIL/UI0683/2014.
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Martínez-Vispo, C., Dias, P.C. Risk Perceptions and Cannabis Use in a Sample of Portuguese Adolescents and Young Adults. Int J Ment Health Addiction 20, 595–606 (2022). https://doi.org/10.1007/s11469-020-00392-z
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DOI: https://doi.org/10.1007/s11469-020-00392-z