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Background <p>This cross-sectional study characterized the socio-demographic characteristics, substance use patterns, and mental health of young users of past-year over-the-counter CBD products and CBD + smoked cannabis (THC), relative to past-year users of THC-only and those who have never used these substances.</p> Method <p>6,365 (55.8% female) participants aged 16–30 were assessed from September 2023-April 2024.</p> Results <p>CBD and CBD + THC use was associated with higher prevalence of past-month use of sedatives (<i>p</i> &lt; .001), past-month use of alcohol (<i>p</i> &lt; .001), cannabis (<i>p</i> &lt; .001), combustible tobacco (<i>p</i> &lt; .001), and e-cigarettes (<i>p</i> &lt; .001). Risk of psychopathology and substance use disorder (including nicotine dependence, alcohol, and cannabis) was higher among users of CBD + THC.</p> Conclusions <p>The use of CBD products is widespread among young populations, and CBD + THC appears to increase the risk of substance use disorders. Educating on the effects of CBD on health is not sufficient and should be accompanied by environmental prevention efforts.</p>

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A Cross-Sectional Study on Youth and Over-the-Counter CBD Products: Understanding the Current Landscape in Spain

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月24日

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  • Alba González-Roz,
  • Roberto Secades-Villa,
  • Layla Alemán-Moussa,
  • Clara Iza-Fernández

摘要

Background

This cross-sectional study characterized the socio-demographic characteristics, substance use patterns, and mental health of young users of past-year over-the-counter CBD products and CBD + smoked cannabis (THC), relative to past-year users of THC-only and those who have never used these substances.

Method

6,365 (55.8% female) participants aged 16–30 were assessed from September 2023-April 2024.

Results

CBD and CBD + THC use was associated with higher prevalence of past-month use of sedatives (p < .001), past-month use of alcohol (p < .001), cannabis (p < .001), combustible tobacco (p < .001), and e-cigarettes (p < .001). Risk of psychopathology and substance use disorder (including nicotine dependence, alcohol, and cannabis) was higher among users of CBD + THC.

Conclusions

The use of CBD products is widespread among young populations, and CBD + THC appears to increase the risk of substance use disorders. Educating on the effects of CBD on health is not sufficient and should be accompanied by environmental prevention efforts.