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. 2024 Feb;66(2):279-290.
doi: 10.1016/j.amepre.2023.09.029. Epub 2023 Oct 4.

Substance Use and Educational Impacts in Youth With and Without Chronic Illness

Elissa R Weitzman  1 , Machiko Minegishi  2 , Lauren E Wisk  3 , Sharon Levy  4
Affiliations

Substance Use and Educational Impacts in Youth With and Without Chronic Illness

Elissa R Weitzman et al. Am J Prev Med. 2024 Feb.

Abstract

Introduction: Alcohol, cannabis, and nicotine are commonly used psychoactive substances that affect adolescent neurocognition. Little is known about the educational impacts of their use on measures of educational performance, participation and problems, especially among youth with a chronic illness who may use these substances to alleviate stress and symptoms.

Methods: Adolescents receiving general or subspecialty care were administered an electronic survey from 2016 to 2018. Data were analyzed in 2023. Using modified Poisson models, cross-sectional associations between past 12-month usage of alcohol, cannabis, and/or nicotine and educational impacts were estimated.

Results: Among 958 adolescents (mean age 16.0 years (SD 1.3), 564 (58.9%) female gender, 445 (46.5%) in subspecialty care), 294 (30.7%), 220 (23.0%), and 126 (13.2%) reported past 12-month use of alcohol, cannabis, and nicotine respectively, while 407 (42.5%) reported ≥1 educational impact, including recent lower grades 210 (21.9%), past 3-month truancy from school 164 (17.1%) or activities 170 (17.7%), and detention 82 (8.6%). Use of cannabis, but not other substances, was associated with negative educational impacts: lower grades (mostly C's/D's/F's), adjusted prevalence ratios [APR, (95% CI)] 1.54 (1.13-2.11); past 3-month truancy from school [2.16 (1.52-3.07)]; detention [2.29 (1.33-3.94)]. The association between cannabis use and any negative educational impact was stronger among adolescents with a chronic illness (p<0.001).

Conclusions: Among adolescents, cannabis use was associated with a heightened risk of negative educational impacts, even after controlling for alcohol and nicotine use. Adolescents with chronic illness were especially likely to experience negative educational impacts. Findings underscore need for preventive interventions and messaging to reduce risks.

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Figures

Figure 1.
Figure 1.
Flowchart for inclusion of the study participants. AYAM, Adolescent/Young Adult Medicine; S2BI, Screening to Brief Intervention; YCMC, Youth with Chronic Medical Conditions.
See this image and copyright information in PMC

References

    1. UNODC World Drug Report 2022 highlights trends on cannabis post-legalization, environmental impacts of illicit drugs, and drug use among women and youth. https://www.unodc.org/unodc/frontpage/2022/June/unodc-world-drug-report-.... Accessed April 24, 2023.
    1. Johnston LD, Miech RA, O’Malley PM, Bachman JG, Schulenberg JE, Patrick ME. Monitoring the Future National Survey Results on Drug Use 1975–2021; 2022. https://deepblue.lib.umich.edu/handle/2027.42/171751. Accessed September 29, 2023.
    1. Squeglia LM, Jacobus J, Tapert SF. The influence of substance use on adolescent brain development. Clin EEG Neurosci. 2009;40(1):31–38. 10.1177/155005940904000110. - DOI - PMC - PubMed
    1. De Goede J, Van Der Mark-Reeuwijk KG, Braun KP, et al. Alcohol and brain development in adolescents and young adults: a systematic review of the literature and advisory report of the Health Council of the Netherlands. Adv Nutr. 2021;12(4):1379–1410. 10.1093/ADVANCES/NMAA170. - DOI - PubMed
    1. Dellazizzo L, Potvin S, Giguère S, Dumais A. Evidence on the acute and residual neurocognitive effects of cannabis use in adolescents and adults: a systematic meta-review of meta-analyses. Addiction. 2022;117(7):1857–1870. 10.1111/ADD.15764. - DOI - PubMed

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