TY - JOUR PY - 2023// TI - Recreational cannabis legislation and binge drinking in U.S. adolescents and adults JO - International journal on drug policy A1 - Gonçalves, Priscila Dib A1 - Bruzelius, Emilie A1 - Levy, Natalie S. A1 - Segura, Luis E. A1 - Livne, Ofir A1 - Gutkind, Sarah A1 - Boustead, Anne E. A1 - Hasin, Deborah S. A1 - Mauro, Pia M. A1 - Silver, Diana A1 - Macinko, James A1 - Martins, Silvia S. SP - e104085 EP - e104085 VL - 118 IS - N2 - BACKGROUND: Recreational cannabis laws (RCLs) may have spillover effects on binge drinking. Our aims were to investigate binge drinking time trends and the association between RCLs and changes in binge drinking in the United States (U.S.).

METHODS: We used restricted National Survey on Drug Use and Health data (2008-2019). We examined trends in the prevalence of past-month binge drinking by age groups (12-20, 21-30, 31-40, 41-50, 51+). Then, we compared model-based prevalences of past-month binge drinking before and after RCL by age group, using multi-level logistic regression with state random intercepts, an RCL by age group interaction term, and controlling for state alcohol policies.

RESULTS: Binge drinking declined overall from 2008 to 2019 among people aged 12-20 (17.54% to 11.08%), and those aged 21-30 (43.66% to 40.22%). However, binge drinking increased among people aged 31+ (ages 31-40: 28.11% to 33.34%, ages 41-50: 25.48% to 28.32%, ages 51+: 13.28% to 16.75%). When investigating model-based prevalences after versus before RCL, binge drinking decreased among people aged 12-20 (prevalence difference=-4.8%; adjusted odds ratio (aOR)=0.77, [95% confidence interval (CI) 0.70-0.85]), and increased among participants aged 31-40 (+1.7%; 1.09[1.01-1.26]), 41-50 (+2.5; 1.15[1.05-1.26]) and 51+ (+1.8%; 1.17[1.06-1.30]). No RCL-related changes were noted in respondents ages 21-30.

CONCLUSIONS: Implementation of RCLs was associated with increased past-month binge drinking in adults aged 31+ and decreased past-month binge drinking in those aged < 21. As the cannabis legislative landscape continues to change in the U.S., efforts to minimize harms related to binge drinking are critical.

Language: en

LA - en SN - 0955-3959 UR - http://dx.doi.org/10.1016/j.drugpo.2023.104085 ID - ref1 ER -