Investigating the associations of age of initiation and other psychosocial factors of singular alcohol, tobacco and marijuana usage on polysubstance use: analysis of a population-based survey in Jamaica

Autor: Patrice Whitehorne-Smith, Wendel Abel, Kunal Lalwani, Joni-Gaye McLeary, Neena Albarus
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMJ Open, Vol 13, Iss 11 (2023)
Druh dokumentu: article
ISSN: 2023-0761
2044-6055
DOI: 10.1136/bmjopen-2023-076111
Popis: Objectives This study aimed to examine concurrent polysubstance use of alcohol, tobacco and marijuana and determine correlations with access to marijuana, friend and familial drug use habits, risk perception and the age of initiation associated with the singular use of these substances.Design A secondary data analysis.Setting Used the Jamaica National Drug Prevalence Survey 2016 dataset.Participants Involved the entire dataset comprising 4623 randomly selected respondents between 12 and 65 years old.Outcome measures Primary outcome: concurrent polysubstance use recorded as using two or more of alcohol, tobacco and marijuana. Predictor variables include risk perception and age of initiation of singular alcohol, tobacco and marijuana use, ease of marijuana access and family and friend alcohol and illegal drug use.Results Approximately 58%–66% of respondents commenced singular alcohol, tobacco or marijuana use under 17. Participants commencing marijuana use at 11 years and under and between 12 and 17 were 3.346 and 4.560 times more likely to report past month concurrent polysubstance use (p=0.030 and p
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