Population-level predictions from cannabis risk perceptions to active cannabis use prevalence in the United States, 1991–2014

A mosaic of evidence links risk perceptions with drug use in adolescence, including population summaries to guide public health campaigns, as well as subject-specific estimates on preventing an adolescent's drug use by manipulating that individual's prior risk perceptions. We re-visit thes...

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Veröffentlicht in:Addictive behaviors 2018-07, Vol.82, p.101-104
Hauptverfasser: Parker, Maria A., Anthony, James C.
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description A mosaic of evidence links risk perceptions with drug use in adolescence, including population summaries to guide public health campaigns, as well as subject-specific estimates on preventing an adolescent's drug use by manipulating that individual's prior risk perceptions. We re-visit these issues with a public health perspective, asking whether population-level cannabis risk perceptions of school-attending adolescents at one grade level might predict cannabis use prevalence two and four grade levels later. From 1991 to 2014, each year's United States “Monitoring the Future” (MTF) study population included 8th-, 10th-, & 12th-graders. Two and four years later, statistically independent school samples of the same cohorts were drawn and assessed (n ~ 16,000/year). Population-level modeling estimated cannabis use prevalence at time “t” (12th-grade) regressed on that same cohort's cannabis risk perceptions as had been measured at time “t-4” (8th-grade) and time “t-2” (10th-grade). Higher cannabis risk perception levels for 10th-graders predict lower cannabis use prevalence when 10th-graders have become 12th-graders (β̂=−0.12), and higher cannabis risk perception levels of 8th-graders predict lower cannabis prevalence when 8th-graders have become 10th-graders (β̂=−0.27); p-values 
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We re-visit these issues with a public health perspective, asking whether population-level cannabis risk perceptions of school-attending adolescents at one grade level might predict cannabis use prevalence two and four grade levels later. From 1991 to 2014, each year's United States “Monitoring the Future” (MTF) study population included 8th-, 10th-, &amp; 12th-graders. Two and four years later, statistically independent school samples of the same cohorts were drawn and assessed (n ~ 16,000/year). Population-level modeling estimated cannabis use prevalence at time “t” (12th-grade) regressed on that same cohort's cannabis risk perceptions as had been measured at time “t-4” (8th-grade) and time “t-2” (10th-grade). Higher cannabis risk perception levels for 10th-graders predict lower cannabis use prevalence when 10th-graders have become 12th-graders (β̂=−0.12), and higher cannabis risk perception levels of 8th-graders predict lower cannabis prevalence when 8th-graders have become 10th-graders (β̂=−0.27); p-values &lt; 0.05. Across four-year spans, the prediction is null (p-value = 0.619). This within-cohort across-grade population-level prediction prompts questions for drug prevention specialists, including “Would a relatively small upward shift in a local area population's appraisal of risk perceptions be followed, two years later, by reduced population prevalence of cannabis use?” Future randomized trial designs, health education, or prevention efforts focused on altering early adolescent cannabis risk perceptions might provide the most convincing and definitive evidence. •We estimate if population-level cannabis risk perceptions predict odds of cannabis use.•Cannabis risk perceptions at 10th-grade predict cannabis odds at 12th-grade.•Cannabis risk perceptions at 8th-grade predict cannabis odds at 10th-grade.•Cannabis risk perceptions at 8th-grade do not predict cannabis odds at 12th-grade.</description><identifier>ISSN: 0306-4603</identifier><identifier>EISSN: 1873-6327</identifier><identifier>DOI: 10.1016/j.addbeh.2018.02.030</identifier><identifier>PMID: 29505985</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adolescents ; Cannabinoids - adverse effects ; Cannabis ; Cohort Studies ; Cross-Sectional Studies ; Drug abuse ; Drug addiction ; Drug use ; Epidemiology ; Female ; Follow-Up Studies ; Forecasting ; Humans ; Male ; Marijuana ; Marijuana Abuse - epidemiology ; Marijuana Abuse - psychology ; Perception ; Population studies ; Population Surveillance ; Prevalence ; Public health ; Risk Assessment ; Risk factors ; Risk perception ; Teenagers ; Trends ; United States</subject><ispartof>Addictive behaviors, 2018-07, Vol.82, p.101-104</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. 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We re-visit these issues with a public health perspective, asking whether population-level cannabis risk perceptions of school-attending adolescents at one grade level might predict cannabis use prevalence two and four grade levels later. From 1991 to 2014, each year's United States “Monitoring the Future” (MTF) study population included 8th-, 10th-, &amp; 12th-graders. Two and four years later, statistically independent school samples of the same cohorts were drawn and assessed (n ~ 16,000/year). Population-level modeling estimated cannabis use prevalence at time “t” (12th-grade) regressed on that same cohort's cannabis risk perceptions as had been measured at time “t-4” (8th-grade) and time “t-2” (10th-grade). Higher cannabis risk perception levels for 10th-graders predict lower cannabis use prevalence when 10th-graders have become 12th-graders (β̂=−0.12), and higher cannabis risk perception levels of 8th-graders predict lower cannabis prevalence when 8th-graders have become 10th-graders (β̂=−0.27); p-values &lt; 0.05. Across four-year spans, the prediction is null (p-value = 0.619). This within-cohort across-grade population-level prediction prompts questions for drug prevention specialists, including “Would a relatively small upward shift in a local area population's appraisal of risk perceptions be followed, two years later, by reduced population prevalence of cannabis use?” Future randomized trial designs, health education, or prevention efforts focused on altering early adolescent cannabis risk perceptions might provide the most convincing and definitive evidence. •We estimate if population-level cannabis risk perceptions predict odds of cannabis use.•Cannabis risk perceptions at 10th-grade predict cannabis odds at 12th-grade.•Cannabis risk perceptions at 8th-grade predict cannabis odds at 10th-grade.•Cannabis risk perceptions at 8th-grade do not predict cannabis odds at 12th-grade.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Cannabinoids - adverse effects</subject><subject>Cannabis</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug use</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Forecasting</subject><subject>Humans</subject><subject>Male</subject><subject>Marijuana</subject><subject>Marijuana Abuse - epidemiology</subject><subject>Marijuana Abuse - psychology</subject><subject>Perception</subject><subject>Population studies</subject><subject>Population Surveillance</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Risk perception</subject><subject>Teenagers</subject><subject>Trends</subject><subject>United States</subject><issn>0306-4603</issn><issn>1873-6327</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2O1DAQhSMEYnoGboCQJTYsJk3Z8U-yQUIj_qSRQIJZW45dod2k42AnkVjBHbghJ8FRDzPAgpWlqq-e69UrikcUthSofLbfGuda3G0Z0HoLbAsV3Ck2tFZVKSum7habXJEll1CdFKcp7QEoU4LfL05YI0A0tdgU396Hce7N5MNQ9rhgT8aIztu1kEgXw4FYMwym9YlEnz6TEaPF8dieAjGZXPCWmROuCovpcbBI_ECmHZKrwU_oyIfJTJjOCW0a-vP7j7w4f1Dc60yf8OH1e1ZcvXr58eJNefnu9duLF5el5Q2dSoGUcsk47zhYqZq2Y8AFc0pA24Fkrm5bFLJzmWCGtk2HSqmaQgeik7WszornR91xbg_oLA5TNL0eoz-Y-FUH4_XfncHv9KewaFGrBqjKAk-vBWL4MmOa9MEni31vBgxz0tlMvi4TNc_ok3_QfZjjkO1lSgHnUDVVpviRsjGkFLG7WYaCXhPWe31MeNWuNTCd88xjj_80cjP0O9Jbp5jPuXiMOlm_huF8RDtpF_z_f_gFQFO6cA</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Parker, Maria A.</creator><creator>Anthony, James C.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180701</creationdate><title>Population-level predictions from cannabis risk perceptions to active cannabis use prevalence in the United States, 1991–2014</title><author>Parker, Maria A. ; 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We re-visit these issues with a public health perspective, asking whether population-level cannabis risk perceptions of school-attending adolescents at one grade level might predict cannabis use prevalence two and four grade levels later. From 1991 to 2014, each year's United States “Monitoring the Future” (MTF) study population included 8th-, 10th-, &amp; 12th-graders. Two and four years later, statistically independent school samples of the same cohorts were drawn and assessed (n ~ 16,000/year). Population-level modeling estimated cannabis use prevalence at time “t” (12th-grade) regressed on that same cohort's cannabis risk perceptions as had been measured at time “t-4” (8th-grade) and time “t-2” (10th-grade). Higher cannabis risk perception levels for 10th-graders predict lower cannabis use prevalence when 10th-graders have become 12th-graders (β̂=−0.12), and higher cannabis risk perception levels of 8th-graders predict lower cannabis prevalence when 8th-graders have become 10th-graders (β̂=−0.27); p-values &lt; 0.05. Across four-year spans, the prediction is null (p-value = 0.619). This within-cohort across-grade population-level prediction prompts questions for drug prevention specialists, including “Would a relatively small upward shift in a local area population's appraisal of risk perceptions be followed, two years later, by reduced population prevalence of cannabis use?” Future randomized trial designs, health education, or prevention efforts focused on altering early adolescent cannabis risk perceptions might provide the most convincing and definitive evidence. •We estimate if population-level cannabis risk perceptions predict odds of cannabis use.•Cannabis risk perceptions at 10th-grade predict cannabis odds at 12th-grade.•Cannabis risk perceptions at 8th-grade predict cannabis odds at 10th-grade.•Cannabis risk perceptions at 8th-grade do not predict cannabis odds at 12th-grade.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>29505985</pmid><doi>10.1016/j.addbeh.2018.02.030</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescents
Cannabinoids - adverse effects
Cannabis
Cohort Studies
Cross-Sectional Studies
Drug abuse
Drug addiction
Drug use
Epidemiology
Female
Follow-Up Studies
Forecasting
Humans
Male
Marijuana
Marijuana Abuse - epidemiology
Marijuana Abuse - psychology
Perception
Population studies
Population Surveillance
Prevalence
Public health
Risk Assessment
Risk factors
Risk perception
Teenagers
Trends
United States
title Population-level predictions from cannabis risk perceptions to active cannabis use prevalence in the United States, 1991–2014
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