Dataset Information

Risky cannabis use is associated with varying modes of cannabis consumption: Gender differences among Canadian high school students

ABSTRACT: Highlights • 38% of youth who used cannabis in the past year used multiple modes.• Over one third of youth who used cannabis in the past year engaged in solitary use.• Males and females who used cannabis alone were more likely to use multiple modes.• For females, using cannabis alone was associated with exclusive use of edibles.• Early age use was negatively associated with vaping for males, edibles for females.

Background

Our objective was to explore associations between indicators of more risky cannabis use (i.e., solitary use, frequent use, and younger age of initiation) and different modes of cannabis use (i.e., smoking, vaping and/or edibles).

Methods

Data were gathered from a large sample of Canadian youth in Alberta, British Columbia, Ontario, and Quebec who participated in Year 8 (2019–20) of the COMPASS study, and who reported using cannabis in the past year (n = 4,763). Generalized estimating equations were used to examine associations between risky cannabis use and modes of cannabis use, stratified by gender.

Results

Overall, 38% of students reported using multiple modes of cannabis use. Consistent among both males and females, students who used cannabis alone (35%) and at a higher frequency (55%) were more likely to use multiple modes than smoking only. Among females, those who used cannabis alone were more likely to report using edibles only compared to smoking only (aOR=2.27, 95%CI=1.29–3.98). Earlier cannabis use initiation was associated with lower likelihood of vaping cannabis only among males (aOR=0.25; 95%CI = 0.12–0.51), and lower likelihood of using edibles only among females (aOR=0.35; 95%CI = 0.13–0.95), than by smoking only.

Conclusions

Our findings suggest that multiple modes of use may be an important indicator or risky cannabis use among youth, given associations with frequency, solitary use, and age of onset.

SUBMITTER: Romano I

PROVIDER: S-EPMC9948853 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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