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Cited by 17Cannabis and Cannabinoid ResearchPhysical Activity and HealthSubstance Abuse Treatment and Outcomes

Examining the association between exposure to various screen time sedentary behaviours and cannabis use among youth in the COMPASS study

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Doggett, Amanda, Qian, Wei, Godin, Katelyn, De Groh, Margaret, Leatherdale, Scott T.·2019·SSM - Population Health
DOI 10.1016/j.ssmph.2019.100487PMC PMC6804433
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Abstract

BACKGROUND: Canadian youth are among the top users of cannabis globally. The Canadian federal government identified protecting youth from cannabis-related harms as a key public health objective aligned with the legalization and strict regulation of cannabis. While there are well-established associations between screen time sedentary behaviour (STSB) and alcohol and tobacco use, the association with cannabis use is understudied. The purpose of this study is to examine the association between various types of STSBs and cannabis use in a large sample of Canadian youth. METHODS: Using cross-sectional data from 46,957 grade 9 to 12 students participating in year 5 of the COMPASS host study (2016-2017), four gender-stratified ordinal logistic regression models were used to examine how total STSB and four different types of STSBs (watching/streaming TV shows/movies, playing video games, Internet use, emailing/messaging/texting) are associated with frequency of cannabis use. RESULTS: One-quarter of participants (24.9%) reported using cannabis in past 12 months; the largest proportion of this group (37.9%) reported rare/sporadic use. Overall, participants spent an average 7.45 ( ±5.26) hours/day on STSBs. Total STSB was positively associated with more frequent cannabis use, and when separated by type, internet use and messaging were significant. Playing video games and watching TV/movies were also significantly associated with more frequent cannabis use, but only for females. CONCLUSIONS: The associations between frequency of cannabis use and various measures of STSBs suggest that screen time may be a risk factor for cannabis use among youth. This association may be mediated by youths' mental wellbeing, given emerging evidence that STSB is a risk factor for poor mental health, and the tendency for individuals to use substances as a coping mechanism. Further, the ubiquity of pro-substance use content on the internet may also contribute to increased exposure to and normalization of cannabis, further promoting its use.

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  • More time on internet use, messaging, playing video games, and watching TV/movies was significantly associated with more frequent cannabis use.

    “Adolescent with more time on internet use, messaging, playing video games and watching TV/movies were significantly associated with more frequent cannabis use [44].”

    From Risk and protective factors of drug abuse among adolescents: a systematic review (2021) · cites this paper as [44]

    The Results report that internet use and messaging were significantly associated with more frequent cannabis use among both females and males. Playing video games and watching TV/movies were significantly associated only among females; the claim omits that qualifier. (LLM, conf=0.92)

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  • Total screen time among adolescents increases the likelihood of frequent cannabis use; daily cannabis users had a mean of 12.56 h of total screen time compared with 6.93 h among those reporting no cannabis use.

    “total screen time among the adolescent increase the likelihood of frequent cannabis use. Those who reported daily cannabis use have a mean of 12.56 h of total screen time, compared to a mean of 6.93 h among those who reported no cannabis use.”

    From Risk and protective factors of drug abuse among adolescents: a systematic review (2021) · cites this paper as [44]

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Cited by

Sorted by citations

Authors
Doggett, A., Qian, W., Godin, K., De Groh, M., & Leatherdale, S. T.
Affiliations
  • University of Waterloo (CA)
  • Public Health Agency of Canada (CA)
Corresponding author
Doggett, Amanda
ORCID
Venue
SSM - Population Health
Publisher
Elsevier BV
Published
2019-12
Volume
9
Pages
100487
ISSN
2352-8273 (ISSN-L)
DOI
10.1016/j.ssmph.2019.100487
PMC
PMC6804433
OpenAlex
W2974109397
Cited by
17
References
3
Citations by year
2026: 2 · 2025: 6 · 2024: 2 · 2021: 4 · 2020: 3
FWCI
1.08
Type
journal article
Language
en
Open access
Licence
Locations
  • SSM - Population Health (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Canadian Institutes of Health Research
  • Health Canada
Topics
  • Health Sciences › Medicine › Pharmacology › Cannabis and Cannabinoid Research
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
screen time, sedentary behavior, cannabis use, youth, video games, television viewing, internet use, substance use frequency, gender differences, psychological well-being, substance use as coping, COMPASS study

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