Abstract
Frequent or chronic cannabis use can have negative effects on the adolescent and young adult (AYA) brain and psychosocial development. This study investigated the psychosocial impact of frequent cannabis use in a prospective study of sexually active female AYA patients. Participants completed questionnaires at three separate visits over a period of one year. A total of 545 AYA women were included in our analysis. Most (94%) identified as individuals of color, including 37% as non-Black Hispanic, 16% as Hispanic Black, and 41% as non-Hispanic Black. Multivariable regression analyses showed that using cannabis 20 or more times in the prior month was significantly associated with a higher likelihood of being suspended (OR = 2.71, 95%CI:1.48, 4.57; p < .001), as well as with increased number of depressive symptoms (β = 0.48, 95%CI:0.23, 0.75; p < .001) and delinquent behaviors (β = 0.81, 95%CI:0.56–1.06; p < .001). Cross-lagged models showed that frequent cannabis use was associated with increased depressive symptoms six months later (β = 0.09, p < .05), and higher levels of delinquency six months (β = 0.20, p < .001) and 12 months later (β = 0.12, p < .05). This study demonstrated that frequent cannabis use was prospectively associated with negative psychosocial outcomes for AYA women of color, including depression and delinquency.
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Arbona, C., Burridge, A., & Olvera, N. (2017). The Center for Epidemiological Studies Depression Scale (CES-D): Measurement equivalence across gender groups in hispanic college students. Journal Of Affective Disorders, 219, 112–118. https://doi.org/10.1016/j.jad.2017.05.024.
Assari, S., Mistry, R., Caldwell, C. H., & Zimmerman, M. A. (2018). Marijuana use and depressive symptoms; gender differences in african american adolescents. Frontiers In Psychology, 9, 2135. https://doi.org/10.3389/fpsyg.2018.02135.
Azofeifa, A., Mattson, M. E., Schauer, G., McAfee, T., Grant, A., & Lyerla, R. (2016). National estimates of Marijuana Use and related indicators - National Survey on Drug Use and Health, United States, 2002–2014. MMWR Surveill Summ, 65(11), 1–28. https://doi.org/10.15585/mmwr.ss6511a1.
Bechtold, J., Simpson, T., White, H. R., & Pardini, D. (2015). Chronic adolescent marijuana use as a risk factor for physical and mental health problems in young adult men. Psychology Of Addictive Behaviors, 29(3), 552–563. https://doi.org/10.1037/adb0000103.
Bernstein, D. P., & Fink, L. (1998). Childhood Trauma Questionnaire: A retrospective self-report manual. Retrieved from San Antonio, TX: The Psychological Corporation.
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., & Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse And Neglect, 27(2), 169–190. https://doi.org/10.1016/S0145-2134(02)00541-0.
Breslau, J., Gilman, S. E., Stein, B. D., Ruder, T., Gmelin, T., & Miller, E. (2017). Sex differences in recent first-onset depression in an epidemiological sample of adolescents. Transl Psychiatry, 7(5), e1139. https://doi.org/10.1038/tp.2017.105.
Centers for Disease Control and Prevention (CDC). 1991–2019 High School Youth Risk Behavior Survey Data. Available at http://yrbs-explorer.services.cdc.gov/. Accessed on [March 16, 2022].
Chabrol, H., Montovany, A., Chouicha, K., & Duconge, E. (2002). [Study of the CES-D on a sample of 1,953 adolescent students]. Encephale, 28(5 Pt 1), 429–432. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/12386544
Copeland, J., Rooke, S., & Swift, W. (2013). Changes in cannabis use among young people: Impact on mental health. Current Opinion In Psychiatry, 26(4), 325–329. https://doi.org/10.1097/YCO.0b013e328361eae5.
Floyd Campbell, L. (2018). Depression and Marijuana Use among a sample of Urban Females: Is stage of Development important? Substance Use And Misuse, 53(6), 1008–1014. https://doi.org/10.1080/10826084.2017.1392977.
Floyd, L. J. (2022). Perceived neighborhood disorder and frequency of marijuana use among emerging adult african american females. Journal Of Ethnicity In Substance Abuse, 21(2), 570–584. https://doi.org/10.1080/15332640.2020.1793862.
Foster, D. W., Ye, F., Chung, T., Hipwell, A. E., & Sartor, C. E. (2018). Longitudinal associations between marijuana-related cognitions and marijuana use in african-american and european-american girls from early to late adolescence. Psychology Of Addictive Behaviors, 32(1), 104–114. https://doi.org/10.1037/adb0000323.
Gobbi, G., Atkin, T., Zytynski, T., Wang, S., Askari, S., Boruff, J., Ware, M., Marmorstein, N., Cipriani, A., Dendukuri, N., & Mayo, N. (2019). Association of Cannabis Use in Adolescence and Risk of Depression, anxiety, and suicidality in Young Adulthood: A systematic review and Meta-analysis. JAMA Psychiatry, 76(4), 426–434. https://doi.org/10.1001/jamapsychiatry.2018.4500.
Goodman, E., & Must, A. (2011). Depressive symptoms in severely obese compared with normal weight adolescents: Results from a community-based longitudinal study. Journal Of Adolescent Health, 49(1), 64–69. https://doi.org/10.1016/j.jadohealth.2010.10.015.
Green, K. M., Doherty, E. E., & Ensminger, M. E. (2017). Long-term consequences of adolescent cannabis use: Examining intermediary processes. American Journal Of Drug And Alcohol Abuse, 43(5), 567–575. https://doi.org/10.1080/00952990.2016.1258706.
Green, K. M., Doherty, E. E., Stuart, E. A., & Ensminger, M. E. (2010). Does heavy adolescent marijuana use lead to criminal involvement in adulthood? Evidence from a multiwave longitudinal study of urban african Americans. Drug And Alcohol Dependence, 112(1–2), 117–125. https://doi.org/10.1016/j.drugalcdep.2010.05.018.
Hales, D. P., Dishman, R. K., Motl, R. W., Addy, C. L., Pfeiffer, K. A., & Pate, R. R. (2006). Factorial validity and invariance of the center for epidemiologic studies depression (CES-D) scale in a sample of black and white adolescent girls. Ethn Dis, 16(1), 1–8. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/16599341
Harris, K. M., & Udry, J. R. (2022). National Longitudinal Study of Adolescent to Adult Health (Add Health), 1994–2018 [Public Use] Carolina Population Center, University of North Carolina-Chapel Hill, 2022https://doi.org/10.3886/ICPSR21600.v25.
Hirth, J. M., & Berenson, A. B. (2012). Racial/ethnic differences in depressive symptoms among young women: The role of intimate partner violence, trauma, and posttraumatic stress disorder. Journal Of Women’S Health (2002), 21(9), 966–974. https://doi.org/10.1089/jwh.2011.3366.
Hyman, S. M., & Sinha, R. (2009). Stress-related factors in cannabis use and misuse: Implications for prevention and treatment. Journal Of Substance Abuse Treatment, 36(4), 400–413. https://doi.org/10.1016/j.jsat.2008.08.005.
Johnston, L. D., Miech, R. A., O’Malley, P. M., Bachman, J. G., Schulenberg, J. E., & Patrick, M. E. (2020). Monitoring the Future national survey results on drug use 1975–2019: Overview, key findings on adolescent drug use. Ann Arbor: Institute for Social Research, University of Michigan. Retrieved from https://files.eric.ed.gov/fulltext/ED604018.pdf
Juon, H. S., Fothergill, K. E., Green, K. M., Doherty, E. E., & Ensminger, M. E. (2011). Antecedents and consequences of marijuana use trajectories over the life course in an african american population. Drug And Alcohol Dependence, 118(2–3), 216–223. https://doi.org/10.1016/j.drugalcdep.2011.03.027.
Keyes, K. M., Wall, M., Feng, T., Cerdá, M., & Hasin, D. S. (2017). Race/ethnicity and marijuana use in the United States: Diminishing differences in the prevalence of use, 2006–2015. Drug And Alcohol Dependence, 179, 379–386. https://doi.org/10.1016/j.drugalcdep.2017.07.027.
Ko, C., Mello, E., Nolan, M., Tuazon, E., Kunins, H., & Paone, D. (2019). Cannabis use in New York City. New York City Department of Health and Mental Hygiene: Epi Data Brief (117). Retrieved from https://www1.nyc.gov/assets/doh/downloads/pdf/epi/databrief117.pdf
Lac, A., Unger, J. B., Basanez, T., Ritt-Olson, A., Soto, D. W., & Baezconde-Garbanati, L. (2011). Marijuana use among latino adolescents: Gender differences in protective familial factors. Substance Use And Misuse, 46(5), 644–655. https://doi.org/10.3109/10826084.2010.528121.
National Academies of Sciences, Engineering, and Medicine. (2017). The Health Effects of Cannabis and Cannabinoids: The current state of evidence and recommendations for Research. Washington (DC): National Academies Press (US). https://doi.org/10.17226/24625.
Patton, G. C., Coffey, C., Carlin, J. B., Degenhardt, L., Lynskey, M., & Hall, W. (2002). Cannabis use and mental health in young people: Cohort study. Bmj, 325(7374), 1195–1198. https://doi.org/10.1136/bmj.325.7374.1195.
Radloff, L. S. (1991). The use of the Center for epidemiologic Studies Depression Scale in adolescents and young adults. Journal Of Youth And Adolescence, 20(2), 149–166. https://doi.org/10.1007/BF01537606.
Roberts, R. E., Lewinsohn, P. M., & Seeley, J. R. (1991). Screening for adolescent depression: A comparison of depression scales. Journal of the American Academy of Child and Adolescent Psychiatry, 30(1), 58–66. https://doi.org/10.1097/00004583-199101000-00009.
Schinke, S. P., Fang, L., Cole, K. C., & Cohen-Cutler, S. (2011). Preventing substance use among black and hispanic adolescent girls: Results from a computer-delivered, mother-daughter intervention approach. Substance Use And Misuse, 46(1), 35–45. https://doi.org/10.3109/10826084.2011.521074.
Selig, J. P., & Little, T. D. (2012). Autoregressive and cross-lagged panel analysis for longitudinal data. Handbook of developmental research methods (pp. 265–278). New York, NY, US: The Guilford Press.
Shyhalla, K., Smith, D. M., Diaz, A., Nucci-Sack, A., Guillot, M., Hollman, D., Goniewicz, M. L., O’Connor, R. J., Shankar, V., Burk, R. D., & Schlecht, N. F. (2021). Changes in cannabis, tobacco, and alcohol use among sexually active female adolescents and young adults over a twelve-year period ending in 2019. Addictive Behaviors, 121, 106994. https://doi.org/10.1016/j.addbeh.2021.106994.
Terry-McElrath, Y. M., O’Malley, P. M., Johnston, L. D., & Schulenberg, J. E. (2019). Young adult longitudinal patterns of marijuana use among US National samples of 12th grade frequent marijuana users: A repeated-measures latent class analysis. Addiction, 114(6), 1035–1048. https://doi.org/10.1111/add.14548.
Williams, D. R., & Sternthal, M. (2010). Understanding racial-ethnic disparities in health: Sociological contributions. Journal Of Health And Social Behavior, 51(Suppl), 15–27. https://doi.org/10.1177/0022146510383838.
Wu, L. T., Zhu, H., & Swartz, M. S. (2016). Trends in cannabis use disorders among racial/ethnic population groups in the United States. Drug And Alcohol Dependence, 165, 181–190. https://doi.org/10.1016/j.drugalcdep.2016.06.002.
Funding
This work was supported in part by an R01 grant from the National Institute of Allergy and Infectious Diseases (AI072204 to AD, RDB and NFS), and National Cancer Institute P30 grants to the Einstein Cancer Research Center (CA013330) and to Roswell Park Comprehensive Cancer Center (CA016056). Additional funding was provided by the Icahn School of Medicine at Mount Sinai.
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Duroseau, N., Niu, L., Wilson, K. et al. Psychosocial Effects of Frequent Cannabis Smoking in Adolescent Women of Color: Results from a Prospective Cohort of Inner-City Youth. Int J Ment Health Addiction (2023). https://doi.org/10.1007/s11469-023-01043-9
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DOI: https://doi.org/10.1007/s11469-023-01043-9