Changes in cannabis, tobacco, and alcohol use among sexually active female adolescents and young adults over a twelve-year period ending in 2019.

摘要: BACKGROUND The United States has experienced an increasing divergence in cannabis, tobacco, and alcohol use among adolescents young adults (AYA). We assessed the changes tobacco inner-city population of predominantly minority AYA females attending a large adolescent-specific health center New York City. METHODS This was longitudinal study women recruited followed over twelve-year period between 2007 2019. Lifetime past 30-day were by self-administered questionnaire every six months. In addition, we associations with race, ethnicity, sexual behaviors, receipt social services, living situation at home (e.g., or without parents), other drugs. RESULTS Participants included 1549 aged 13-21 baseline, 95% whom youth color. Use cannabis increased significantly period, frequent (≥20 times 30-days) almost 18% per year (OR = 1.18; 95%CI:1.13-1.23). contrast, declined same (OR = 0.86; 95%CI:0.83-0.89). Past more likely African Americans (OR = 1.33; 95%CI:1.08-1.63), who had sex both men compared to only (OR = 1.44; 95%CI:1.18-1.75), recent users (OR = 2.20; 95%CI:1.92-2.52) (OR = 2.84; 95%CI:2.52-3.20), ever drugs (OR = 1.69; 95%CI:1.44-1.99), independent age, time situation. CONCLUSIONS Increasing rates association concurrent underscore need screen for unhealthy use, addition alcohol, especially AYA.