Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century:Results from the European School Survey Project on Alcohol and Other Drugs study
Introduction: In the 21st century, there has been a decline in alcohol use among adolescents in most Nordic countries, while trends of cannabis use have diverged. We explore how alcohol and cannabis use, respectively, and co-use of the two substances, have changed among Nordic adolescents. Three hyp...
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ftuniaarhuspubl:oai:pure.atira.dk:publications/187a1ecd-ebf7-4dd3-af31-f86f7ab6ebd7 2024-04-14T08:13:52+00:00 Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century:Results from the European School Survey Project on Alcohol and Other Drugs study Raitasalo, Kirsimarja Rossow, Ingeborg Moan, Inger Synnøve Bye, Elin K. Svensson, Johan Thor, Siri Ekholm, Ola Pisinger, Veronica Arnarsson, Ársæll Bloomfield, Kim 2024-03 https://pure.au.dk/portal/en/publications/187a1ecd-ebf7-4dd3-af31-f86f7ab6ebd7 https://doi.org/10.1111/dar.13672 http://www.scopus.com/inward/record.url?scp=85153630391&partnerID=8YFLogxK eng eng https://pure.au.dk/portal/en/publications/187a1ecd-ebf7-4dd3-af31-f86f7ab6ebd7 info:eu-repo/semantics/openAccess Raitasalo , K , Rossow , I , Moan , I S , Bye , E K , Svensson , J , Thor , S , Ekholm , O , Pisinger , V , Arnarsson , Á & Bloomfield , K 2024 , ' Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century : Results from the European School Survey Project on Alcohol and Other Drugs study ' , Drug and Alcohol Review , vol. 43 , no. 3 , pp. 616-624 . https://doi.org/10.1111/dar.13672 alcohol use cannabis use co-use Nordic countries time trends article 2024 ftuniaarhuspubl https://doi.org/10.1111/dar.13672 2024-03-21T15:31:53Z Introduction: In the 21st century, there has been a decline in alcohol use among adolescents in most Nordic countries, while trends of cannabis use have diverged. We explore how alcohol and cannabis use, respectively, and co-use of the two substances, have changed among Nordic adolescents. Three hypotheses are used to frame the study: (i) cannabis use has substituted alcohol use; (ii) there has been a parallel decline in both substances; and/or (iii) there has been a ‘hardening’ of users, implying that alcohol users increasingly use cannabis. Methods: Data from the European School Survey Project on Alcohol and Other Drugs, conducted among 15- to 16-year-olds in Denmark, Finland, Iceland, Norway and Sweden (N = 74,700, 49% boys), were used to explore trends of past-year alcohol and cannabis use in the period 2003–2019. Results: The proportion of adolescents reporting alcohol use decreased significantly in all Nordic countries except Denmark. The proportion of those using cannabis only was low (0.0%–0.7%) and stable in all countries. The total number of substance use occasions declined among all adolescents in all countries but Denmark. Among alcohol users, cannabis use became increasingly prevalent in all countries but Denmark. Discussion and Conclusions: We found no support for the ‘parallel decline hypothesis' in alcohol and cannabis use among Nordic adolescents. Partially in line with the ‘substitution hypothesis’, cannabis use accounted for an increasing proportion of all substance use occasions. Our results suggests that the co-use of alcohol and cannabis has become more common, thus also providing support to the ‘hardening’ hypothesis. Article in Journal/Newspaper Iceland Aarhus University: Research Norway Drug and Alcohol Review |
institution |
Open Polar |
collection |
Aarhus University: Research |
op_collection_id |
ftuniaarhuspubl |
language |
English |
topic |
alcohol use cannabis use co-use Nordic countries time trends |
spellingShingle |
alcohol use cannabis use co-use Nordic countries time trends Raitasalo, Kirsimarja Rossow, Ingeborg Moan, Inger Synnøve Bye, Elin K. Svensson, Johan Thor, Siri Ekholm, Ola Pisinger, Veronica Arnarsson, Ársæll Bloomfield, Kim Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century:Results from the European School Survey Project on Alcohol and Other Drugs study |
topic_facet |
alcohol use cannabis use co-use Nordic countries time trends |
description |
Introduction: In the 21st century, there has been a decline in alcohol use among adolescents in most Nordic countries, while trends of cannabis use have diverged. We explore how alcohol and cannabis use, respectively, and co-use of the two substances, have changed among Nordic adolescents. Three hypotheses are used to frame the study: (i) cannabis use has substituted alcohol use; (ii) there has been a parallel decline in both substances; and/or (iii) there has been a ‘hardening’ of users, implying that alcohol users increasingly use cannabis. Methods: Data from the European School Survey Project on Alcohol and Other Drugs, conducted among 15- to 16-year-olds in Denmark, Finland, Iceland, Norway and Sweden (N = 74,700, 49% boys), were used to explore trends of past-year alcohol and cannabis use in the period 2003–2019. Results: The proportion of adolescents reporting alcohol use decreased significantly in all Nordic countries except Denmark. The proportion of those using cannabis only was low (0.0%–0.7%) and stable in all countries. The total number of substance use occasions declined among all adolescents in all countries but Denmark. Among alcohol users, cannabis use became increasingly prevalent in all countries but Denmark. Discussion and Conclusions: We found no support for the ‘parallel decline hypothesis' in alcohol and cannabis use among Nordic adolescents. Partially in line with the ‘substitution hypothesis’, cannabis use accounted for an increasing proportion of all substance use occasions. Our results suggests that the co-use of alcohol and cannabis has become more common, thus also providing support to the ‘hardening’ hypothesis. |
format |
Article in Journal/Newspaper |
author |
Raitasalo, Kirsimarja Rossow, Ingeborg Moan, Inger Synnøve Bye, Elin K. Svensson, Johan Thor, Siri Ekholm, Ola Pisinger, Veronica Arnarsson, Ársæll Bloomfield, Kim |
author_facet |
Raitasalo, Kirsimarja Rossow, Ingeborg Moan, Inger Synnøve Bye, Elin K. Svensson, Johan Thor, Siri Ekholm, Ola Pisinger, Veronica Arnarsson, Ársæll Bloomfield, Kim |
author_sort |
Raitasalo, Kirsimarja |
title |
Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century:Results from the European School Survey Project on Alcohol and Other Drugs study |
title_short |
Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century:Results from the European School Survey Project on Alcohol and Other Drugs study |
title_full |
Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century:Results from the European School Survey Project on Alcohol and Other Drugs study |
title_fullStr |
Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century:Results from the European School Survey Project on Alcohol and Other Drugs study |
title_full_unstemmed |
Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century:Results from the European School Survey Project on Alcohol and Other Drugs study |
title_sort |
changes in co-use of alcohol and cannabis among nordic adolescents in the 21st century:results from the european school survey project on alcohol and other drugs study |
publishDate |
2024 |
url |
https://pure.au.dk/portal/en/publications/187a1ecd-ebf7-4dd3-af31-f86f7ab6ebd7 https://doi.org/10.1111/dar.13672 http://www.scopus.com/inward/record.url?scp=85153630391&partnerID=8YFLogxK |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Raitasalo , K , Rossow , I , Moan , I S , Bye , E K , Svensson , J , Thor , S , Ekholm , O , Pisinger , V , Arnarsson , Á & Bloomfield , K 2024 , ' Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century : Results from the European School Survey Project on Alcohol and Other Drugs study ' , Drug and Alcohol Review , vol. 43 , no. 3 , pp. 616-624 . https://doi.org/10.1111/dar.13672 |
op_relation |
https://pure.au.dk/portal/en/publications/187a1ecd-ebf7-4dd3-af31-f86f7ab6ebd7 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1111/dar.13672 |
container_title |
Drug and Alcohol Review |
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1796311947942035456 |