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Do sex differences and risk perception affect cannabis exposure? Results from a sample of current cannabis users from the European Web Survey on Drugs

Lorenzetti, Valentina
McTavish, Eugene
Matias, João
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Abstract
The rates of cannabis use have been narrowing between sexes over the past decade, and there are sex differences in the perception of cannabis use-related risks, yet it remains unexamined whether sex and risk perception interact to predict cannabis consumption levels. We aimed to examine for the first time how sex, risk perception, and their interaction affect cannabis consumption, accounting for age, alcohol use, mode of administration, education, employment status, and country via general linear mixed models. We conducted the European Web Survey on Drugs in 16 countries from 2016 to 2018. People who used cannabis at the time of the study included 6500 males and 2921 females, with a median age of 22 years. There was no risk perception-by-sex interaction effect on cannabis consumption. Greater past-month cannabis dosage in grams and frequency (days used/past month) were reported by males and by persons who reported having a perception of no risk and of a slight risk versus a moderate-to-high-risk perception. The findings may inform discussions on public health messaging aimed at alleviating cannabis-related harms in males and females who use cannabis.
Keywords
cannabis, risk perception, sex, sex differences, cannabis dosage, cannabis use frequency, males, females
Date
2025
Type
Journal article
Journal
International Journal of Mental Health and Addiction
Book
Volume
23
Issue
Page Range
496-514
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open
Notes
© The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.