Consumo de cannabis entre adolescentespatrón de riesgo, implicaciones y posibles variables explicativas

  1. Antonio Rial 1
  2. Gregor Burkhart 2
  3. Manuel Isorna 3
  4. Carmen Barreiro 1
  5. Jesús Varela 1
  6. Sandra Golpe 1
  1. 1 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

  2. 2 European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)
  3. 3 Universidade de Vigo
    info

    Universidade de Vigo

    Vigo, España

    ROR https://ror.org/05rdf8595

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Revista:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Ano de publicación: 2019

Volume: 31

Número: 1

Páxinas: 64-77

Tipo: Artigo

DOI: 10.20882/ADICCIONES.1142 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Adicciones: Revista de socidrogalcohol

Resumo

In contrast to the achievements with other substances, it has not yet been possible to reduce the levels of cannabis use, the most used illegal substance among Spanish adolescents. The objective of this paper consists of updating levels of use (incorporating ages 12 and 13), estimating high-risk use and analyzing possible associated variables. For this purpose, a correlational method was used consisting of the administration of a survey to compulsory secondary school and high school students from the autonomous community of Galicia (Spain) in 2016. Results obtained from a sample of 3,882 Galician adolescents aged 12 to 18 (M = 14.52; SD = 1.72) reveal that the percentage of adolescents currently using tobacco and cannabis is higher than that of those using tobacco alone (12.7% vs 10.5%). This implies not only a higher probability of using other illegal substances, but also of developing rather high-risk use pattern, binge drinking or even experiencing problematic Internet use or cyberbullying. From a preventive perspective, the results reveal that personal variables such as self-esteem, assertiveness, social skills or impulsiveness have really weak explanatory power compared with other variables related to the setting of rules and limits by parents. One of the main conclusions of this paper is the need to adopt a comprehensive prevention approach.

Referencias bibliográficas

  • Agrawal, A., Lynskey, M. T., Madden, P. A. F., Pergadia, M.L., Bucholz, K. K. y Heath, A. C. (2009). Simultaneous cannabis and tobacco use and cannabis-related outcomes in young women. Drug and Alcohol Dependence, 101, 8–12. doi:10.1016/j.drugalcdep.2008.10.019.
  • Álvarez, A., Amatller, O., Esteban, A., Germán, I., Grifell, M., Isorna, M., … Zabala, J. (2016). Proyecto ÉVICT Cannabis y tabaco. Informe 2015. Comité Nacional para la Prevención del Tabaquismo. Recuperado de http://www. evictproject.org/ Informe_EVICT_2.pdf.
  • Ariza, C., García-Continente, X., Villalbí, J.R., Sánchez-Martínez, F., Pérez, A. y Nebot, M. (2014). Consumo de tabaco de los adolescentes en Barcelona y tendencias a lo largo de 20 años. Gaceta Sanitaria, 28, 25-33.
  • Arseneault, L., Cannon, M., Poulton, R., Murray, R., Caspi, A. y Moffitt, T. E. (2002). Cannabis use in adolescence and risk for adult psychosis: Longitudinal prospective study. The British Medical Journal, 325, 1212–1213. doi:10.1136/ bmj.325.7374.1212.
  • Asbridge, M., Hayden, J. A. y Cartwright, J. L. (2012). Acute cannabis consumption and motor vehicle collision risk: Systematic review of observational studies and meta-analysis. The British Medical Journal, 344, e536. doi:10.1136/bmj.e536.
  • Babor, T. F., Kranzler, H. R. y Lauerman, R. J. (1989). Early detection of harmful alcohol consumption: comparison of clinical, laboratory, and self-report screening procedures. Addictive Behaviors, 14, 139–157.
  • Barkus, E. (2008). Personality and cannabis use. Advances in Schizophrenia and Clinical Psychiatry, 3, 84–89.
  • Bechtold, J., Simpson, T., White, H. R. y Pardini, D. (2015). Chronic adolescent marijuana use as a risk factor for physical and mental health problems in young adult men. Psychology of Addictive Behaviors, 29, 552–563. doi:10.1037/ adb0000103.
  • Bélanger, R.E., Akre, C., Kuntsche, E., Gmel, G. y Suris, J.C. (2011). Adding tobacco to cannabis – its frequency and likely implications. Nicotine & Tobacco Research, 13, 746750. doi:10.1093/ntr/ntr043.
  • Becoña, E., Martínez, U., Calafat, A., Fernández-Hermida, J.R., Juan, M., Smnall, H., … Gabrhelík, R. (2013). Parental permissiveness, control, and affect and drug use among adolescents. Psicothema, 25, 292-298.
  • Benotsch, E. G., Snipes, D. J., Martin, A. M. y Bull, S. S. (2013). Sexting, substance use, and sexual risk behavior in young adults. Journal of Adolescent Health, 52, 307–313. doi:10.1016/j.jadohealth.2012.06.011.
  • Brook, J. S., Stimmel, M. A., Zhang, C. y Brook, D. W. (2008). The association between earlier marijuana use and subsequent academic achievement and health problems: A longitudinal study. The American Journal of Addictions, 17, 155–160. doi:10.1080/10550490701860930.
  • Burkhart, G. (2011). Prevención ambiental de drogas en la Unión Europea. ¿Por qué es tan impopular este tipo de prevención? Adicciones, 23, 87-100.
  • Feingold, D., Weiser, M., Rehm, J. y Lev-Ran, S. (2016). The association beween cannabis use and anxiety disorders: Results from a population-based representative sample. European Neuropsychopharmacology, 26, 493–505. doi:10.1016/ j.euroneuro.2015.12.037.
  • Fergusson, D. M. y Boden, J. M. (2008). Cannabis use and later life outcomes. Addiction, 103, 969–976. doi:10.1111/ j.1360-0443.2008.02221.x.
  • Fergusson, D. M., Lynskey, M. T. y Horwood, L. J. (1996). The short-term consequences of early onset cannabis use. Journal of Abnormal Child Psychology, 24, 499–512. doi:10.1007/BF01441571.
  • Filbey, F. M., McQueeny, T., DeWitt, S. J. y Mishra, V. (2015). Preliminary findings demonstrating latent effects of early adolescent marijuana use onset on cortical architecture. Developmental Cognitive Neuroscience, 16, 16–22. doi:10.1016/ j.dcn.2015.10.001.
  • Font-Mayolas, S., Gras, M. E., Cebrián, N., Salamó, A., Planes, M. y Sullman, M. J. M. (2013). Types of polydrug use among Spanish adolescents. Addictive Behaviors, 38, 1605-1609.
  • George, T. y Vaccarino, F. (2015). The effects of cannabis use during adolescence. Ottawa, ON: Canadian Centre on Substance Abuse. Recuperado de http:// www.ccsa. ca/Resource Library/CCSA-Effects-of-Cannabis-Use-during-Adolescence-Report-2015-en.pdf.
  • Gerberich, S. G., Sidney, S., Braun, B. L., Tekawa, I. S., Tolan, K. K. y Quesenberry, C. P. (2003). Marijuana use and injury events resulting in hospitalization. Annals of Epidemiology, 13, 230–237. doi:10.1016/S10472797(02)00411-8.
  • Golpe, S., Barreiro, C., Isorna, M., Gómez, P., Varela, J. (2016, marzo). Antecedentes y consecuentes asociados a la edad de inicio de consumo de alcohol en adolescentes. Comunicación presentada en la XLIII Jornadas Nacionales de Socidrogalcohol, Alicante, España.
  • Golpe, S., Gómez, P., Braña, T., Varela, J. y Rial, A. (2017). Relación entre el consumo de alcohol y otras drogas y el uso problemático de Internet en adolescentes. Adicciones, 29, 268-277. doi:10.20882/adicciones.959. 
  • González, M. P., Sáiz, P. A., Quirós, M. y López, J. L. (2000). Personalidad y uso abuso de cannabis. Adicciones, 12, 185–196.
  • Griffith-Lendering, M. F., Huijbregts, S. C., Huizink, A. C., Ormel, H., Verhulst, F. C., Volleberg, W. A. y Swaab, H. (2011). Social skills as precursors of cannabis use in young adolescents: a TRAILS study. Journal of Clinical Child & Adolescent Psychology, 40, 706–714. doi:10.1080/1 5374416.2011.597085.
  • Guerrero, M., Galván, G., Pinedo, J., Vásquez, F., Torres, F. y Torres, J. (2015). Prevalencia de vida de uso de cannabis y rendimiento académico en adolescentes. Revista Científica Salud Uninorte, 31, 467–478. doi:10.14482/ sun.31.3.8046.
  • Guxens, M., Nebot, M., Ariza, C. y Ochoa, D. (2007). Factors associated with the onset of cannabis use: A systematic review of cohort studies. Gaceta Sanitaria, 21, 252-260. doi:10.1157/13106811.
  • Halbohn, C. (2016). The relationship between cyberbullying and health-risk behaviors among high school students. New York: Counselor Education Capstone. Recuperado de http:// digitalcommons.brockport.edu/cgi/ viewcontent. cgi?article=1028&context=edc_capstone.
  • Harper, C., Dittus, P. y Ethier, K. (2016). Associations between marijuana use and 15 indicators of sexual risk and sexual health service use. Journal of Adolescent Health, 58, S109–S110. doi:1016/j.jadohealth.2015.10.230.
  • Hartman, R. L. y Huestis, M. A. (2013). Cannabis effects on driving skills. Clinical Chemistry, 59, 478–492. doi:10.1373/clinchem.2012.194381.
  • Henquet, C., Krabbendam, L., Spauwen, J., Kaplan, C., Lieb, R., Wittchen, H. U. y Van Os, J. (2005). Prospective cohort study of cannabis use, predisposition for psychosis, and psychotic symptoms in young people. The British Medical Journal, 330, 11–14. doi:10.1136/ bmj.38267.664086.63.
  • Hérnandez, T., Roldán, J., Jiménez, A., Mora, C., Escarpa, D. y Pérez, M. T. (2009). La edad de inicio en el consumo de drogas, un indicador de consumo problemático. Psychosocial Intervention, 18, 199–212.
  • Hindocha, C., Freeman, T.P., Ferris, J.A., Lynskey, M.T. y Winstock, A.R. (2016). No smoke without tobacco: A global overview of cannabis and tobacco routes of administration and their association with intention to quit. Frontiers in Psychiatry, 7, 104. doi:10.3389/fpsyt.2016.00104.
  • Hublet, A., Bendtsen, P., De Looze, M. E., Fotiou, A., Donnelly, P., Vilhjalmsson, R., … Ter Bogt, T. F. (2015). Trends in the co-occurrence of tobacco and cannabis use in 15-year-olds from 2002 to 2010 in 28 countries of Europe and North America. European Journal of Public Health, 25, 73–75. doi:10.1093/eurpub/ckv032.
  • Hurd, Y. L., Michaelides, M., Miller, M. L. y Jutras-Aswad, D. (2014). Trajectory of adolescent cannabis use on addiction vulnerability. Neuropharmacology, 76, 416–424. doi:10.1016/j.neuropharm.2013.07.028.
  • Isorna, M. (2017). Cannabis: efectos, riesgos y beneficios terapéuticos. Vigo: Universidad de Vigo.
  • Jacobus, J. y Tapert, S. (2014). Effects of cannabis on the adolescent brain. Current Pharmaceutical Design, 20, 2186–2193. doi:10.2174/13816128113199990426.
  • Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and action. Journal of Adolescent Health, 12, 597–605. doi:10.1016/1054139X(91)90007-K.
  • Kandel, D. B. (2003). Does marijuana use cause the use of other drugs? Journal of the American Medical Association, 289, 482–483.
  • Kokkevi, A., Gabhainn, S., Spyropoulou, M. y Risk Behaviour Focus Group of the HBSC (2006). Early initiation of cannabis use: A cross national European perspective. Journal of Adolescent Health, 39, 712-719. doi:10.1016/j. jadohealth.2006.05.009.
  • Legleye, S., Piontek, D. y Kraus, L. (2011). Psychometric properties of the Cannabis Abuse Screening Test (CAST) in a French sample of adolescents. Drug and Alcohol Dependence, 113, 229–235. doi:10.1016/j.drugalcdep.2010.08.011.
  • Llorens, N., Barrio, G., Sánchez, A., Suelves, J.M. y ESTUDES Working Group (2011). Effects of socialization and family factor on adolescent excessive drinking in Spain. Prevention Science, 12, 150-161. doi: 10.1007/s11121-0100195-0.
  • Malmberg, M., Overbeek, G., Monshouwer, K., Lammers, J., Vollebergh, W. A. y Engels, R. C. (2010). Substance use risk profiles and associations with early substance use in adolescence. Journal of Behavioral Medicine, 33, 474–485. doi:10.1007/s10865-010-9278-4.
  • Martín, J., Núñez, J. L., Navarro, J. G. y Grijalvo, F. (2007). The Rosenberg self-esteem scale: Translation and validation in university students. The Spanish Journal of Psychology, 10, 458–467.
  • Martínez, V., Fernández, J. R., Fernández, S., Carballo, J. L. y García, O. (2015). Adaptación y validación española de la Escala de Impulsividad de Barrat en adolescentes tempranos (BIS-11-A). International Journal of Clinical and Health Psychology, 15, 274–282.
  • Morales, E., Ariza, C., Nebot, M., Pérez, A. y Sáchez, F. (2008). Consumo de cannabis en los estudiantes de secundaria de Barcelona: inicio en el consumo, efectos experimentados y expectativas. Gaceta Sanitaria, 22, 321–329.
  • Moreno, M., Estévez, A. F., Zaldívar, F., García, J. M., Gutiérrez-Ferre, V. E., Esteban, L., … Flores, P. (2012). Impulsivity differences in recreational cannabis users and binge drinkers in a university population. Drug Alcohol Dependence, 124, 355–362. doi:10.1016/j.drugalcdep.2012.02.011.
  • Morral, A. R., McCaffrey, D. F. y Paddock, S. M. (2002). Reassessing the marijuana gateway effect. Addiction, 97, 1493–1504. doi:1046/j.1360-0443.2002.00280.x.
  • Oliva, A., Antolín, L., Pertegal, M. A., Ríos, M., Parra, A., Hernando, A. y Reina, M. (2011). Instrumentos para la evaluación de la salud mental y el desarrollo positivo adolescente y los activos que lo promueven. Sevilla: Junta de Andalucía. Consejería de Salud.
  • Parada, M., Corral, M., Caamaño-Isorna, F., Mota, N., Crego, A., Rodríguez Holguín, S. y Cadaveira, F. (2011). Definición del concepto de consumo intensivo de alcohol adolescente (binge drinking). Adicciones, 23, 53-63.
  • Pirona, A., Noor, A. y Burkhart, G. (2015, septiembre). Tobacco in cannabis joints: Why are we ignoring it? Póster presentado en Lisbon Addictions Conference 2015, Lisboa, Portugal.
  • Plan Nacional sobre Drogas. (2014). Encuesta sobre el uso de drogas en enseñanzas secundarias en España (ESTUDES) 2012-2013. Madrid, España: Delegación del Gobierno para el Plan Nacional sobre Drogas, Ministerio de Sanidad, Servicios Sociales e Igualdad.
  • Plan Nacional sobre Drogas. (2016). Encuesta sobre el uso de drogas en enseñanzas secundarias en España (ESTUDES) 2014-2015. Madrid, España: Delegación del Gobierno para el Plan Nacional sobre Drogas, Ministerio de Sanidad, Servicios Sociales e Igualdad.
  • Rial, A., Golpe, S., Araujo, M., Braña, T. y Varela, J. (2017). Validación del Alcohol Use Disorders Identification Test (AUDIT) en población adolescente española. Psicología Conductual, 25, 371-376.
  • Rial, A., Gómez, P., Isorna, M., Araujo, M. y Varela, J. (2015). EUPI-a: Escala de Uso Problemático de Internet en adolescentes. Desarrollo y validación psicométrica. Adicciones, 27, 47–63.
  • Rolle, I., Kennedy, S.M., Agaku, I. Everett, S., Bunnell, R., Caraballo, R.,… McAfee, T. (2015). Cigarette, cigar, and marijuana use among high school students – United States, 1997-2013. Morbidity and Mortality Weekly Report (MMWR), 64, 1136-1141.
  • Rücker, J., Akré, C., Berchtold, A. y Suris, J. C. (2015). Problematic Internet use is associated with substance use in young adolescents. Acta Paediatrica, 104, 504–507. doi:10.1111/apa.12971.
  • Schauer, G.L., Rosenberry, Z.R. y Peters, E.N. (2017). Marijuana and tobacco co-administration in blunts, spliffs, and mulled cigarettes: A systematic literature review. Addictive Behaviors, 64, 200-211. doi:10.1016/j.addbeh.2016.09.001.
  • Silins, E., Horwood, L. J., Patton, G. C., Fergusson, D. M., Olsson, C. A., Hutchinson, D. M. y Spry, E. (2014). Young adult sequelae of adolescent cannabis use: An integrative analysis. The Lancet Psychiatry, 1, 286–293. doi:10.1016/S2215-0366(14)70307-4.
  • Subramanian, P., McGlade, E. y Yurgelun-Todd, D. (2016). Comorbid cannabis and tobacco use in adolescents and adults. Current Addiction Reports, 3, 182–188. doi:10.1007/ s40429-016-0101-3.
  • Swift, W., Coffey, C., Degenhart, L., Carlin, J. B., Romaniuk, H. y Patton, G. C. (2011). Cannabis and progression to other substance use in young adults: Findings from a 13 year prospective population-based study. Journal of Epidemiology & Community Health, 66, 1–6. doi:10.1136/ jech.2010.129056.
  • Terzic, Z., Santric, M., Sbutega, I. y Vasic, V. (2013). The importance of family relations for cannabis users: The case of serbian adolescents. Iranian Journal of Public Health, 42, 249–260.
  • Thompson, R. G. y Auslander, W. F. (2007). Risk factors for alcohol and marijuana use among adolescents in foster care. Journal of Substance Abuse Treatment, 32, 61–69. doi:10.1016/j.jsat.2006.06.010.
  • Tullis, L.M., Dupont, R., Frost, K. y Gold, M.S. (2003). Marijuana and tobacco: A major connection? Journal of Addictive Diseases, 22, 51-62.
  • Van Rooij, A. J., Kuss, D. J., Grifftihs, M. D., Shorter, G. W., Schoenmakers, M. T. y Van de Mheen, D. (2014). The (co) occurrence of problematic video gaming, substance use, and psychosocial problems in adolescents. Journal of Behavioral Addictions, 3, 157–165. doi:10.1556/ JBA.3.2014.013.
  • Varela, J., Marsillas, S., Isorna, M. y Rial, A. (2013). El papel de las actitudes, las percepciones y el dinero disponible en el consumo de drogas en adolescentes. Salud y Drogas, 13, 67–78.
  • Vázquez, M. E., Muñoz, M. F., Fierro, A., Alfaro, M., Rodríguez, M. L. y Rodríguez, L. (2014). Consumo de sustancias adictivas en los adolescentes de 13 a 18 años y otras conductas de riesgo relacionadas. Pediatría de Atención Primaria, 16, 125–134.
  • Winters, K. C., Stinchfield, R. D., Henly, G. A. y Schwartz, R. H. (1990). Validity of adolescent self-report of alcohol and other drug involvement. International Journal of the Addictions, 25, 1379–1395. doi:10.3109/10826089009068469.
Fonte de datos: Dialnet