@article{ref1,
title="Recreational marijuana legalization, local retail availability, and alcohol and marijuana use and co-use among California high school students",
journal="Journal of studies on alcohol and drugs",
year="2023",
author="O'Hara, Sharon E. and Paschall, Mallie J. and Grube, Joel W.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: This study examined whether recreational marijuana legalization (RML) and local retail availability were associated with marijuana and alcohol use and co-use among adolescents. <br><br>METHOD: We investigated associations between RML and past 30-day marijuana and alcohol use and co-use, and moderating effects of retail availability of marijuana and alcohol, using data from the 2010-11 to 2018-19 California Healthy Kids Surveys (CHKS) of 9(th) and 11(th) grade students in 38 California cities. Multi-level mixed-effects logistic regression analyses were conducted, controlling for secular trends and student and city demographics. Additional analyses examined associations of RML and retail availability with co-use among subgroups of drinkers and marijuana users. <br><br>RESULTS: For the full sample, RML was inversely associated with alcohol use, but was not significantly associated with marijuana use or co-use with alcohol. However, significant interactions between RML and marijuana outlet density showed there were increases in marijuana and alcohol co-use and alcohol following legalization in cities with higher densities of marijuana outlets. RML was positively associated with co-use among non-heavy and heavy drinkers, but inversely related to co-use among occasional and frequent marijuana users. A significant positive interaction between RML and marijuana outlet density indicated that RML was associated with increases in co-use for occasional marijuana users in cities with higher densities of marijuana outlets. <br><br>CONCLUSIONS: RML was associated with increases in marijuana and alcohol co-use and alcohol use among California high school students, particularly those in cities with higher densities of retail cannabis stores, though this varied across alcohol and marijuana use subgroups.<p /> <p>Language: en</p>",
language="en",
issn="1937-1888",
doi="10.15288/jsad.22-00277",
url="http://dx.doi.org/10.15288/jsad.22-00277"
}