Menores y consumo de cannabisun análisis por género y edad.

  1. Antonio Rial
  2. Francisco Otero
  3. David Liñares
  4. Sandra Feijóo
  5. Isabel Sanmartín
  6. Manuel Isorna
Journal:
Revista española de drogodependencias

ISSN: 0213-7615

Year of publication: 2022

Issue Title: Abordaje y actualización sobre el consumo de cannabis en la población española

Issue: 47

Pages: 50-67

Type: Article

More publications in: Revista española de drogodependencias

Abstract

Cannabis use continues to be one of the main public health problems in the Spanish and European youth population. The current high prevalence of consumption is compounded by new formats and new consumption rituals, significantly higher THC levels and particularly early age of onset, which is of growing social concern, especially when referring to adolescents. The present study, carried out with a sample of almost 4,000 students aged 12 to 17 years in the Galician community, not only allows us to confirm the high levels of consumption at early ages and alarming rates of problematic consumption, but also shows the interesting interaction between gender and age variables, which occurs in the initial phases of consumption. Assuming that in general terms there may or may not be gender differences in cannabis use implies ignoring the role of gender norms and roles in the socialization processes of adolescents. More specifically, significantly higher levels of consumption and problematic use (assessed through the CAST) have been found among girls at 14-15 years of age, with a progressive masculinization of cannabis use from that age onwards. These results have interesting implications for the design of new prevention strategies and policies.

Bibliographic References

  • Aldington, S., Williams, M., Nowitz, M., Weatherall, M., Pritchard, A., McNaughton, A., Robinson, G. y Beasley, R. (2007). Effects of cannabis on pulmonary structure, function and symptoms. Thorax, 62, 1058–1063.
  • Alley, Z. M., Kerr, D. C. y Bae, H. (2020). Trends in college students’ alcohol, nicotine, prescription opioid and other drug use after recreational marijuana legalization: 2008–2018. Addictive behaviors, 102, 106212. https://doi. org/10.1016/j.addbeh.2019.106212
  • Audrain-McGovern, J., Stone, M. D., Barrington-Trimis, J., Unger, J. B. y Leventhal, A. M. (2018). Adolescent e-cigarette, hookah, and conventional cigarette use and subsequent marijuana use. Pediatrics, 142(3), e20173616. https://doi. org/10.1542/peds.2017-361
  • 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. https://doi.org/10.1016/0306- 4603(89)90043-9
  • 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: Journal of the Society of Psychologists in Addictive Behaviors, 29, 552–563.
  • Brabete, A. C., Greaves, L., Hemsing, N. y Stinson, J. (2020). Sex-and Gender-Based Analysis in Cannabis Treatment Outcomes: A Systematic Review. International Journal of Environmental Research and Public Health, 17(3), 872. https://doi. org/10.3390/ijerph17030872
  • Calakos, K. C., Bhatt, S., Foster, D. W. y Cosgrove, K. P. (2017). Mechanisms underlying sex differences in cannabis use. Current addiction reports, 4(4), 439–453. https:// doi.org/10.1007/s40429-017-0174-7
  • Callaghan, R. C., Sanches, M., Benny, C., Stockwell, T., Sherk, A. y Kish, S. J. (2019). Who consumes most of the cannabis in Canada? Profiles of cannabis consumption by quantity. Drug and alcohol dependence, 205, 1–8. https://doi. org/10.1016/j.drugalcdep.2019.107587
  • Cantos-Vicent, R. (2016). Hombres, mujeres y drogodependencias. Explicación social de las diferencias de género en el consumo problemático de drogas [Men, women and drug addictions Social explanation of gender differences in problematic drug use]. Fundación Atenea. https://pnsd. sanidad.gob.es/gl/profesionales/publicaciones/catalogo/bibliotecaDigital/ publicaciones/pdf/Hombres-mujeres-ydrogodependencias.pdf
  • Chabrol, H., Roura, C. y Armitage, J. (2003). Bongs, a method of using cannabis linked to dependence. The Canadian Journal of Psychiatry, 48(10), 709–709. https://doi. org/10.1177/070674370304801011
  • Chandra, S., Radwan, M. M., Majumdar, C. G., Church, J. C., Freeman, T. P. y ElSohly, M. A. (2019). New trends in cannabis potency in USA and Europe during the last decade (2008–2017). European Archives of Psychiatry and Clinical Neuroscience, 269, 5–15.
  • Cooper, Z. D. y Craft, R. M. (2018). Sexdependent effects of cannabis and cannabinoids: a translational perspective. Neuropsychopharmacology, 43(1), 34–51. https://doi.org/10.1038/npp.2017.140
  • Davis, C. y Fattore, L. (2015). Gender differences in cannabis addiction and dependence. En P. Campolongo y L. Fattore (Eds.), Cannabinoid modulation of emotion, memory, and motivation (pp. 283–325). Springer.
  • Degenhardt, L., Whiteford, H. A., Ferrari, A. J., Baxter, A. J., Baxter, A. J., Charlson, F. J., Hall, W. D., Freedman, G., Burstein, R., Johns, N., Engell, R. E., Flaxman, A., Murray, C. J. L. y Vos, T. (2013). Global burden of disease attributable to illicit drug use and dependence: Findings from the global burden of disease study 2010. The Lancet, 382, 1564–1574. https://doi. org/10.1016/S0140-6736(13)61530-5
  • Di Forti, M., Quattrone, D., Freeman, T. P., Tripoli, G., Gayer-Anderson, C., Quigley, H., … Van der Ven, E. (2019). The contribution of cannabis use to variation in the incidence of psychotic disorder across Europe (EU-GEI): A multicentre case-control study. The Lancet. Psychiatry, 6, 427–436.
  • Di Forti, M., Sallis, H., Allegri, F., Trotta, A., Ferraro, L., Stilo, S., Marconi, V., La Cascia, C., Marques, T. R., Pariante. C., Dazzan, P., Mondelli, V., Paparelli, A., Kolliakou, A., Prata, D., Gaughran, F., David, A. S., Morgan, C., Stahl, D., … Murray, R. M. (2014). Daily use, especially of highpotency cannabis, drives the earlier onset of psychosis in cannabis users. Schizophrenia Bulletin, 40, 1509–1517. https:// doi.org/10.1093/schbul/sbt181
  • Ehlers, C. L., Gizer, I. R., Vieten, C., Gilder, D. A., Stouffer, G. M., Lau, P. y Wilhelmsen, K. C. (2010). Cannabis dependence in the San Francisco Family Study: age of onset of use, DSM-IV symptoms, withdrawal, and heritability. Addictive behaviors, 35(2), 102–110. https://doi. org/10.1016/j.addbeh.2009.09.009
  • Espada-Sánchez, J. P., Gonzálvez-Maestre, M. T. y Amorós, M. O. (2018). Substance Use in Spanish Adolescents: The Relationship between Depression and Social Support Seeking. Health & Addictions / Salud y Drogas, 18(2), 27–33. https:// doi.org/10.21134/haaj.v18i2.337
  • European Monitoring Centre for Drugs and Drug Addiction. (2020a). ESPAD report 2019: results from the European school survey project on alcohol and other drugs. Publications Office.
  • Fischer, B., Russell, C., Sabioni, P., van den Brink, W., Le Foll, B., Hall, W., Rehm, J. y Room, R. (2017). Lower-Risk cannabis use guidelines: A comprehensive update of evidence and recommendations. American Journal of Public Health, 107, 1277–1277. https:// doi.org/10.2105/AJPH.2017.303818
  • Franconi, F., Campesi, A., Colombo, D. y Antonini, P. (2019). Sex-Gender Variable: Methodological Recommendations for Increasing Scientific Value of Clinical Studies. Cells, 8(5), 476. https://doi. org/10.3390/cells8050476
  • García-Couceiro, N., Isorna, M., Braña, T., Varela, J., Gandoy, M. y Rial, A. (2022). El uso de la cachimba entre los adolescentes. Posibles implicaciones y variables asociadas. Adicciones, en prensa.
  • Gobbi, G., Atkin, T., Zytynski, T., Wang, S., Askari, S., Boruff, J., Ware, M., Marmorstein, N., Cipriani, A., Dendukuri, N. y Mayo, N. (2019). Association of Cannabis Use in Adolescence and Risk of Depression, Anxiety, and Suicidality in Young Adulthood: A Systematic Review and Meta-analysis. JAMA Psychiatry, 76(4), 426–434. https://doi.org/10.1001/jamapsychiatry.2018.4500
  • Grevenstein, D., Nagy, E. y Kroeninger-Jungaberle, H. (2015). Development of risk perception and substance use of tobacco, alcohol and cannabis among adolescents and emerging adults: evidence of directional influences. Substance Use & Misuse, 50, 376–386. https://doi.org/1 0.3109/10826084.2014.984847
  • Guxens, M., Nebot, M. y Ariza, C. (2007). Age and sex differences in factors associated with the onset of cannabis use: a cohort study. Drug and Alcohol Dependence, 88(2-3), 234–243. https://doi. org/10.1016/j.drugalcdep.2006.10.018
  • Hall, W. y Degenhardt, L. (2009). Adverse health effects of non-medical cannabis use. The Lancet, 374, 1383–1391. https://doi.org/10.1016/S0140- 6736(09)61037-0
  • Hart-Hargrove, L. C. & Dow-Edwards, D. L. (2012). Withdrawal from THC during adolescence: sex differences in locomotor activity and anxiety. Behavioural Brain Research, 231, 48–59. https://doi. org/10.1016/j.bbr.2012.02.048
  • Hasan, A., von Keller, R., Friemel, C. M., Hall, W., Schneider, M., Koethe, D., Leweke, F. M., Strube, W. y Hoch, E. (2020). Cannabis use and psychosis: a review of reviews. European Archives of Psychiatry Clinical Neuroscience, 270, 403–412. https:// doi.org/10.1007/s00406-019-01068-z
  • Hasan, S.S., Shaikh, A., Ochani, R.K., Ashrafi, M.M., Ansari, Z.N., Abbas, S.H., Abbasi, M.K., Ashraf, M.A., Ali, W. (2021) Perception and practices regarding cannabis consumption in Karachi, Pakistan: A crosssectional study. Journal of Ethnicity in Substance abuse. Journal of Ethnicity in Substance Abuse, 20(3), 471-489. https://doi.org/10 .1080/15332640.2019.1667287
  • Heidari, S., Babor, T. F., De Castro, P., Tort, S. y Curno, M. (2016). Sex and Gender Equity in Research: rationale for the SAGER guidelines and recommended use. Research Integrity and Peer Review, 1(2). https://doi. org/10.1186/s41073-016-0007-6
  • Hemsing, N. y Greaves, L. (2020). Gender norms, roles and relations and cannabisuse patterns: a scoping review. International journal of environmental research and public health, 17(3), 947. https://doi. org/10.3390/ijerph17030947
  • Hindley, G., Beck, K., Borhan, F., Ginestet, C. E., McCutcheon, R., Kleinloog, D., Ganesh, S., Radhakrishnan, R., D’Souza, D. C. y Howes, O. D. (2020). Psychiatric symptoms caused by cannabis constituents: a systematic review and metaanalysis. The Lancet Psychiatry, 7(4), 344– 353. https://doi.org/10.1016/S2215- 0366(20)30074-2
  • IBM Corp. Released (2017). IBM SPSS Statistics for Windows, Version 25.0 [Statistical software]. IBM Corp.
  • Isorna, M. y Arias, F. (2022). Una aproximación al panorama actual de las nuevas formas de consumo de drogas. Adicciones, 34(1), 3-12. http://doi.org/10.20882/ adicciones.1787
  • Isorna, M., Rial, A. y Pascual, M. (2020). El consumo de cannabis desde la evidencia científica: el peligro de banalizar el consumo y riesgos de una posible legalización o regularización. Health and addictions: salud y drogas, 20(1), 1–4. https://doi. org/10.21134/haaj.v20i1.503
  • Kandel, D. B. (2003). Does marijuana use cause the use of other drugs? Journal of the American Medical Association, 289, 482–483. https://doi.org/10.1001/ jama.289.4.482
  • Khan, S. S., Secades-Villa, R., Okuda, M., Wang, S., Pérez-Fuentes, G., Kerridge, B. T. y Blanco, C. (2013). Gender differences in cannabis use disorders: results from the National Epidemiologic Survey of Alcohol and Related Conditions. Drug and alcohol dependence, 130, 101–108. https://doi. org/10.1016/j.drugalcdep.2012.10.015
  • 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. https://doi. org/10.1016/j.drugalcdep.2010.08.011
  • Limesurvey, G. H. (2003). LimeSurvey: An Open Source survey tool [Software]. LimeSurvey GmbH.
  • López, A. D. y Collishaw, N. E. (1994). A descriptive model of the cigarette epidemic in developed countries. Tobacco Control, 3(3), 242–347. https://doi. org/10.1136/tc.3.3.242
  • Marconi, A., Di Forti, M., Lewis, C. M., Murray, R. M. y Vassos, E. (2016). Meta-analysis of the association between the level of cannabis use and risk of psychosis. Schizophrenia Bulletin, 42(5), 1262–1269. https:// doi.org/10.1093/schbul/sbw003
  • Martín-Montañez, E., Barón-López, F. J., Lamia, L. R., Molina, J. P., Páez, J. M. y Amaya, I. S. (2011). Consumo de alcohol, tabaco, cannabis y otras sustancias psicoactivas en estudiantes de la Universidad de Málaga. Trastornos adictivos, 13(4), 160–166. https://doi.org/10.1016/S1575- 0973(11)70032-0
  • Merrill, R. M. (2015). Use of marijuana and changing risk perceptions. American journal of health behavior, 39(3), 308–317. https://doi.org/10.5993/AJHB.39.3.3
  • Midgette, G., Caulkins, J. P., Davenport, S. y Kilmer, B. G. (2019). What America’s Users Spend on Illegal Drugs, 2006-2016. RAND Corporation. https://www. rand.org/pubs/research_reports/ RR3140.html
  • Murray, R. M., Quigley, H., Quattrone, H., Englund, A. y Di Forti, M. (2016). Traditional marijuana, high-potency cannabis and synthetic cannabinoids: increasing risk for psychosis. World Psychiatry, 15(3), 195– 204. https://doi.org/10.1002/wps.20341
  • National Academies of Sciences, Engineering, and Medicine [NASEM] (2017). The health effects of cannabis and cannabinoids: The current state of evidence and recommendations for research. The National Academies Press. https://doi. org/10.17226/24625
  • National Institute on Drug Abuse [NIDA] (2019). Monitoring the Future Survey Raises Worries about Teen Marijuana Vaping. National Institute on Drug Abuse. https://www.drugabuse.gov/about-nida/noras-blog/2019/12/2019-monitoring-future-survey-raises-worries-aboutteen-marijuana-vaping on 2020, July 20.
  • Observatorio Español de las Drogas y las Adicciones y Delegación del Gobierno para el Plan Nacional sobre Drogas (2021). En cuesta sobre el uso de drogas en enseñanzas secundarias en España (ESTUDES) 1994- 2021. Delegación del Gobierno para el Plan Nacional sobre Drogas, Ministerio de Sanidad, Servicios sociales e Igualdad.
  • Observatorio Español de las Drogas y las Adicciones. Monografía Cannabis 2022. Consumo y consecuencias. Ministerio de Sanidad. Delegación del Gobierno para el Plan Nacional sobre Drogas.
  • Papaseit, E., Pérez-Mañá, C., Pérez-Acevedo, A.P., Hladun, O., Torres-Moreno, M.C., Muga, R., Torrens. M. y Farré, M (2018). Cannabinoids: from pot to lab. Int J Med Sci. Aug, 15(12), 1286-1295. https://doi. org/10.7150%2Fijms.27087
  • Rial, A., Burkhart, G., Isorna, M., Barreiro, C., Varela, J. y Golpe, S. (2019). Consumo de cannabis entre adolescentes: patrón de riesgo, implicaciones y posibles variables explicativas [Cannabis use among adolescents: risk pattern, implications and possible explicative variables]. Adicciones, 31(1), 64–77. https://doi. org/10.20882/adicciones.1212
  • Rial, A., García-Couceiro, N., Gómez, P., Mallah, N., Varela, J., Flórez, G. e Isorna, M. (2022). Psychometric properties of CAST for early detection of problematic cannabis use in Spanish adolescents. Addictive Behaviors, 129, 107288. https://doi.org/10.1016/j. addbeh.2022.107288
  • Romo-Avilés, N. (2011). Cannabis, juventud y género: Nuevos patrones de consumo, nuevos modelos de intervención [Cannabis, Youth and Gender: New Patterns of Consumption, New Models of Intervention]. Trastornos adictivos, 13(3), 91– 93. https://doi.org/10.1016/S1575- 0973(11)70019-8
  • Rowland, B., Jonkman, H., Williams, J., Kremer, P. y Toumbourou, J. W. (2019). Community variation in adolescent cannabis use in Australia and the Netherlands. Addictive behaviors, 90, 204–209. https://doi.org/10.1016/j. addbeh.2018.10.027
  • Salloum, N. C., Krauss, M. J., Agrawal, A., Bierut, L. J. y Grucza, R. A. (2018). A reciprocal effects analysis of cannabis use and perceptions of risk. Addiction, 113(6), 1077–1085. https://doi. org/10.1111/add.14174
  • Schlienz, N. J., Budney, A. J., Lee, D. C. y Vandrey, R. (2017). Cannabis withdrawal: A review of neurobiological mechanisms and sex differences. Current Addiction Reports, 4, 75–81. https://doi. org/10.1007/s40429-017-0143-1
  • Sherman, B. J., Baker, N. L. y McRae-Clark, A. L. (2016). Gender differences in cannabis use disorder treatment: change readiness and taking steps predict worse cannabis outcomes for women. Addictive behaviors, 60, 197–202. https://doi. org/10.1016/j.addbeh.2016.04.014
  • Shi, Y., Lenzi, M. y An, R. (2015). Cannabis liberalization and adolescent cannabis use: a cross-national study in 38 countries. PLoS One, 10(11), 1–15. https:// doi.org/10.1371/journal.pone.0143562
  • Simón, M. J., Fuentes, R. M., Garrido, M., Serrano, M. D., Díaz, M. y Yubero, S. (2020). Perfil de consumo de drogas en adolescentes. Factores protectores. Medicina de Familia. SEMERGEN, 46(1), 33–40. https://doi.org/10.1016/j.semerg.2019.06.001
  • Tetrault, J. M., Crothers, K., Moore, B. A., Mehra, R., Concato, J. y Fiellin, D. A. (2007). Effects of marijuana smoking on pulmo nary function and respiratory complications: a systematic review. Archives of internal medicine, 167(3), 221–228. https:// doi.org/10.1001/archinte.167.3.221
  • The ESPAD Group (2020). ESPAD Report 2019. Results from the European School Survey Project on Alcohol and Other Drugs. Publications Office of the European Union. http://www.espad.org/espadreport-2019
  • United Nations General Assembly (1995). Report of the Fourth WorldConference on Women. United Nations General Assembly. https://www.un.org/womenwatch/daw/beijing/fwcwn.html
  • United Nations Office on Drugs and Crime (2020). World Drug Report 2020. Drug use and helth consequences. United Nations Office on Drugs and Crime. https:// wdr.unodc.org/wdr2020/
  • Van der Steur, S. J., Batalla, A. y Bossong, M. G. (2020). Factors Moderating the Association Between Cannabis Use and Psychosis Risk: A Systematic Review. Brain sciences, 10(2), 97. https://doi. org/10.3390/brainsci10020097
  • Wilkinson, A. L., Fleming, P. J., Halpern, C. T., Herring, A. H. y Harris, K. M. (2018). Adherence to gender-typical behavior and high-frequency substance use from adolescence into young adulthood. Psychology of Men & Masculinity, 19(1), 145–155. https://doi.org/10.1037/ men0000088
  • Wilson, J., Freeman, T. P. y Mackie, C. J. (2019). Effects of increasing cannabis potency on adolescent health. The Lancet. Child & adolescent health, 3(2), 121– 128. https://doi.org/10.1016/S2352- 4642(18)30342-0
  • 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. https:// doi.org/10.3109/10826089009068469