Cited by 443Cannabis and Cannabinoid ResearchSubstance Abuse Treatment and OutcomesSmoking Behavior and Cessation

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Young adult sequelae of adolescent cannabis use: an integrative analysis.

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Silins, Edmund, Horwood, L John, Patton, George C, Fergusson, David M, Olsson, Craig A, Hutchinson, Delyse M, Spry, Elizabeth, Toumbourou, John W, Degenhardt, Louisa, Swift, Wendy, Coffey, Carolyn, Tait, Robert J, Letcher, Primrose, Copeland, Jan, Mattick, Richard P·2014·The Lancet Psychiatry

DOI 10.1016/s2215-0366(14)70307-4

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Abstract

Background Debate continues about the consequences of adolescent cannabis use. Existing data are limited in statistical power to examine rarer outcomes and less common, heavier patterns of cannabis use than those already investigated; furthermore, evidence has a piecemeal approach to reporting of young adult sequelae. We aimed to provide a broad picture of the psychosocial sequelae of adolescent cannabis use.Methods We integrated participant-level data from three large, long-running longitudinal studies from Australia and New Zealand: the Australian Temperament Project, the Christchurch Health and Development Study, and the Victorian Adolescent Health Cohort Study. We investigated the association between the maximum frequency of cannabis use before age 17 years (never, less than monthly, monthly or more, weekly or more, or daily) and seven developmental outcomes assessed up to age 30 years (high-school completion, attainment of university degree, cannabis dependence, use of other illicit drugs, suicide attempt, depression, and welfare dependence). The number of participants varied by outcome (N=2537 to N=3765).Findings We recorded clear and consistent associations and dose-response relations between the frequency of adolescent cannabis use and all adverse young adult outcomes. After covariate adjustment, compared with individuals who had never used cannabis, those who were daily users before age 17 years had clear reductions in the odds of high-school completion (adjusted odds ratio 0·37, 95% CI 0·20-0·66) and degree attainment (0·38, 0·22-0·66), and substantially increased odds of later cannabis dependence (17·95, 9·44-34·12), use of other illicit drugs (7·80, 4·46-13·63), and suicide attempt (6·83, 2·04-22·90).Interpretation Adverse sequelae of adolescent cannabis use are wide ranging and extend into young adulthood. Prevention or delay of cannabis use in adolescence is likely to have broad health and social benefits. Efforts to reform cannabis legislation should be carefully assessed to ensure they reduce adolescent cannabis use and prevent potentially adverse developmental effects.Funding Australian Government National Health and Medical Research Council.

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Self-citation

Authors: Silins, E., Horwood, L. J., Patton, G. C., Fergusson, D. M., Olsson, C. A., Hutchinson, D. M., Spry, E., Toumbourou, J. W., Degenhardt, L., Swift, W., Coffey, C., Tait, R. J., Letcher, P., Copeland, J., & Mattick, R. P.
Affiliations: UNSW Sydney (AU)
University of Otago (NZ)
Royal Children's Hospital (AU)
Australian National University (AU)
The University of Melbourne (AU)
Corresponding author: Silins, Edmund
ORCID: Silins, Edmund
Horwood, L John
Patton, George C
Fergusson, David M
Olsson, Craig A
Hutchinson, Delyse M
Spry, Elizabeth
Toumbourou, John W
Degenhardt, Louisa
Tait, Robert J
Letcher, Primrose
Copeland, Jan
Venue: The Lancet Psychiatry
Publisher: Elsevier BV
Published: 2014-09
Volume: 1
Issue: 4
Pages: 286-293
ISSN: 2215-0366 (ISSN-L)
DOI: 10.1016/s2215-0366(14)70307-4
OpenAlex: W2147909359
Cited by: 443
References: 39
Citations by year: 2026: 12 · 2025: 38 · 2024: 27 · 2023: 32 · 2022: 31 · 2021: 39 · 2020: 54 · 2019: 36 · 2018: 45 · 2017: 49 · 2016: 42 · 2015: 32 · 2014: 6
FWCI: 31.34
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet Psychiatry (publishedVersion)
PubMed (publishedVersion)
eSpace (Curtin University) (submittedVersion)
Figshare (submittedVersion, cc-by)
ANU Open Research (Australian National University) (submittedVersion)
Funders: Australian Government
University of New South Wales
Medical Research Council
National Health and Medical Research Council (1041742, 1045318, 1019887)
National Drug and Alcohol Research Centre
Topics: Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Keywords: adolescent cannabis use, young adult outcomes, cannabis use disorder, illicit drug use, suicide attempts, depression, welfare dependency, educational attainment, dose-response relationship, psychosocial sequelae, cannabis legislation

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Young adult sequelae of adolescent cannabis use: an integrative analysis.

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