An exploratory examination of marijuana use, problem-gambling severity, and health correlates among adolescents

Christopher J. Hammond, Corey E. Pilver, Loreen Rugle, Marvin A. Steinberg, Linda C. Mayes, Robert T. Malison, Suchitra Krishnan-Sarin, Rani A. Hoff, Marc N. Potenza

Research output: Contribution to journalArticle

Abstract

Background and aims: Gambling is common in adolescents and at-risk and problem/pathological gambling (ARPG) is associated with adverse measures of health and functioning in this population. Although ARPG commonly co-occurs with marijuana use, little is known how marijuana use influences the relationship between problem-gambling severity and health-and gambling-related measures. Methods: Survey data from 2,252 Connecticut high school students were analyzed using chi-square and logistic regression analyses. Results: ARPG was found more frequently in adolescents with lifetime marijuana use than in adolescents denying marijuana use. Marijuana use was associated with more severe and a higher frequency of gambling-related behaviors and different motivations for gambling. Multiple health/functioning impairments were differentially associated with problem-gambling severity amongst adolescents with and without marijuana use. Significant marijuana-use-by-problem-gambling-severity-group interactions were observed for low-average grades (OR = 0.39, 95% CI = [0.20, 0.77]), cigarette smoking (OR = 0.38, 95% CI = [0.17, 0.83]), current alcohol use (OR = 0.36, 95% CI = [0.14, 0.91]), and gambling with friends (OR = 0.47, 95% CI = [0.28, 0.77]). In all cases, weaker associations between problem-gambling severity and health/functioning correlates were observed in the marijuana-use group as compared to the marijuana-non-use group. Conclusions: Some academic, substance use, and social factors related to problem-gambling severity may be partially accounted for by a relationship with marijuana use. Identifying specific factors that underlie the relationships between specific attitudes and behaviors with gambling problems and marijuana use may help improve intervention strategies.

Original languageEnglish (US)
Pages (from-to)90-101
Number of pages12
JournalJournal of Behavioral Addictions
Volume3
Issue number2
DOIs
StatePublished - Jun 1 2014
Externally publishedYes

Keywords

  • Adolescence
  • At-risk/problem gambling
  • Gambling
  • Marijuana
  • Risk behaviors

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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  • Cite this

    Hammond, C. J., Pilver, C. E., Rugle, L., Steinberg, M. A., Mayes, L. C., Malison, R. T., Krishnan-Sarin, S., Hoff, R. A., & Potenza, M. N. (2014). An exploratory examination of marijuana use, problem-gambling severity, and health correlates among adolescents. Journal of Behavioral Addictions, 3(2), 90-101. https://doi.org/10.1556/JBA.3.2014.009