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Does maternal education moderate the relationship between adolescent cannabis use and mental health in early adulthood?

Sawyer, Gemma, Howe, Laura, Hickman, Matthew, Zammit, Stanley ORCID: https://orcid.org/0000-0002-2647-9211 and Hines, Lindsey 2024. Does maternal education moderate the relationship between adolescent cannabis use and mental health in early adulthood? Drug and Alcohol Review 43 (7) , pp. 1773-1780. 10.1111/dar.13945

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Abstract

Introduction Socioeconomic disadvantage has been associated with cannabis use and poor mental health. It is therefore hypothesised that lower maternal education, a proxy for socioeconomic disadvantage, may increase the risk of cannabis-related mental health and substance use consequences. Methods A total of 5099 participants from the Avon Longitudinal Study of Parents and Children reported cannabis use via questionnaires at 16 or 18. Logistic regression was used to examine the relationship between any and regular (weekly or more) adolescent cannabis use with depression, anxiety, psychotic experiences, and problematic cannabis use at age 24. Maternal education was included as an effect modifier. Missing data were addressed through multiple imputation using chained equations. Results In total, 36.5% of participants reported adolescent cannabis use and, of these, 14% reported regular use. Adolescent cannabis use was associated with an increased likelihood of anxiety and problematic cannabis use; however, there was little evidence of moderation by maternal education. Regular cannabis use was associated with an increased likelihood of problematic cannabis use, with little evidence of moderation by maternal education. There was weak evidence that the association between regular cannabis use and depression (interaction p-value = 0.024) and anxiety (interaction p-value = 0.056) was stronger in people with high maternal education. Discussion and Conclusions Adolescent cannabis use is associated with increased risk of anxiety and cannabis use disorder, but there was insufficient evidence that childhood socioeconomic position (proxied by maternal education) modifies this relationship. Improved public health messages for all adolescents about these risks may be warranted.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Publisher: Wiley
ISSN: 0959-5236
Date of First Compliant Deposit: 28 August 2024
Date of Acceptance: 20 August 2024
Last Modified: 17 Dec 2024 13:56
URI: https://orca.cardiff.ac.uk/id/eprint/171624

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