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Cannabis Use and Adverse Childhood Experiences Among Connecticut High School Students

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Abstract

Adverse childhood experiences (ACEs) may be predictors of cannabis use among youth. Our study aimed to examine the prevalence of ACEs and assess the relationship between exposure to individual ACEs and cannabis use behavior among Connecticut high school students. We conducted a retrospective, cross-sectional analysis using a representative sample of 1760 high school students who participated in the 2021 Connecticut Youth Risk Behavior Survey. We examined lifetime and past 30-day cannabis use history by exposure to eight different ACEs. Group differences were investigated using descriptive statistics and generalized linear models. 20.6% reported lifetime cannabis use and 11.1% reported past 30-day cannabis use. ACEs ranged in prevalence from 5.4% for sexual abuse to 35.6% for verbal abuse. Each ACE examined in this analysis was associated with elevated prevalence of lifetime and past month cannabis use. ACEs were common among Connecticut high school students and students exposed to ACEs were more likely to report using cannabis.

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Data Availability

Data used for this study are available upon request. To request data, please refer to the instructions described here: https://portal.ct.gov/DPH/Health-Information-Systems--Reporting/Hisrhome/Connecticut-School-Health-Survey.

References

  • Afifi, T. O., Taillieu, T., Salmon, S., Davila, I. G., Stewart-Tufescu, A., Fortier, J., ..., MacMillan, H. L. (2020). Adverse childhood experiences (ACEs), peer victimization, and substance use among adolescents. Child Abuse & Neglect, 106, 104504. https://doi.org/10.1016/j.chiabu.2020.104504

  • Brener, N. D., Kann, L., Shanklin, S., Kinchen, S., Eaton, D. K., Hawkins, J., & Flint, K. H. (2013). Methodology of the youth risk behavior surveillance system–2013. MMWR Recommendations and Reports, 62(Rr-1), 1–20.

    PubMed  Google Scholar 

  • Bynum, L., Griffin, T., Ridings, D., Wynkoop, K., Anda, R., Edwards, V., ..., Croft, J. (2010). Adverse childhood experiences reported by adults --- Five states, 2009. MMWR, 59(49), 1609–1613.

  • Centers for Disease Control and Prevention (CDC). (2022). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

  • Centers for Disease Control and Prevention. 2021 Youth Risk Behavior Survey Data. Available at: www.cdc.gov/yrbs.

  • Clements-Nolle, K. D., Lensch, T., Drake, C. S., & Pearson, J. L. (2022). Adverse childhood experiences and past 30-day cannabis use among middle and high school students: The protective influence of families and schools. Addictive Behaviors, 130, 107280. https://doi.org/10.1016/j.addbeh.2022.107280

    Article  PubMed  PubMed Central  Google Scholar 

  • Connecticut Department of Public Health. (2023). CSHS survey summary 2021. https://portal.ct.gov/-/media/DPH/CSHS/2021CTH-Survey-Summary.pdf.

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., ..., Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8

  • Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., ..., Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis. Lancet Public Health, 2(8), e356-e366. https://doi.org/10.1016/s2468-2667(17)30118-4

  • King, J., Codner, A., & Poulin, S. (2023). 2023 cannabis health statistics report. Retrieved from https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/dph/hems/Cannabis/CannabisStatistics/2023-Cannabis-Health-Statistics-Report-V6.pdf

  • Leung, J., Chan, G. C. K., Hides, L., & Hall, W. D. (2020). What is the prevalence and risk of cannabis use disorders among people who use cannabis? A systematic review and meta-analysis. Addictive Behaviors, 109, 106479. https://doi.org/10.1016/j.addbeh.2020.106479

    Article  PubMed  Google Scholar 

  • Lopez-Quintero, C., Pérez de Los Cobos, J., Hasin, D. S., Okuda, M., Wang, S., Grant, B. F., & Blanco, C. (2011). Probability and predictors of transition from first use to dependence on nicotine, alcohol, cannabis, and cocaine: Results of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Drug and Alcohol Dependence, 115(1–2), 120–130. https://doi.org/10.1016/j.drugalcdep.2010.11.004

    Article  PubMed  Google Scholar 

  • National Academies of Sciences Engineering and Medicine Health and Medicine Division. (2017). The National Academies collection: Reports funded by National Institutes of Health. In The health effects of cannabis and cannabinoids: The current state of evidence and recommendations for research. National Academies Press (US) Copyright 2017 by the National Academy of Sciences. All rights reserved. https://doi.org/10.17226/24625

  • Oklahoma State Department of Health. (2023). Adverse childhood experiences (ACEs) and positive childhood experiences (PCEs). https://oklahoma.gov/health/health-education/children---family-health/maternal-and-child-health-service/data-and-evaluation/yrbs.html

  • Scheidell, J. D., Quinn, K., McGorray, S. P., Frueh, B. C., Beharie, N. N., Cottler, L. B., & Khan, M. R. (2018). Childhood traumatic experiences and the association with marijuana and cocaine use in adolescence through adulthood. Addiction, 113(1), 44–56. https://doi.org/10.1111/add.13921

    Article  PubMed  Google Scholar 

  • Shin, S. H., & Miller, D. P. (2012). A longitudinal examination of childhood maltreatment and adolescent obesity: Results from the National Longitudinal Study of Adolescent Health (AddHealth) Study. Child Abuse & Neglect, 36(2), 84–94. https://doi.org/10.1016/j.chiabu.2011.08.007

    Article  Google Scholar 

  • Underwood, J. M., Brener, N., Thornton, J., Harris, W. A., Bryan, L. N., Shanklin, S. L., ..., Dittus, P. (2020). Overview and methods for the youth risk behavior surveillance system - United States, 2019. MMWR Supplements, 69(1), 1–10. https://doi.org/10.15585/mmwr.su6901a1

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Acknowledgements

We are grateful for the technical assistance provided by Justin Peng, Celeste Jorge, Xi Zheng, Sarju Shah, and Allison Sullivan.

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Correspondence to Jack King.

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King, J., Codner, A. & Poulin, S. Cannabis Use and Adverse Childhood Experiences Among Connecticut High School Students. Int J Ment Health Addiction (2024). https://doi.org/10.1007/s11469-023-01236-2

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