Cannabis and alcohol combo linked to higher depression in Black men

Binge alcohol and cannabis co-use associated with depression in Black men.

Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors • • Moderately Relevant
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AI Summary

This study examined how co-use of cannabis and binge alcohol affects depression symptoms in Black men, analyzing data from 786 participants collected between 2015-2016. Researchers compared depression scores across four groups: cannabis-only users, binge drinkers, co-users, and nonusers. The findings revealed a clear link between substance use patterns and depression, with co-users reporting the highest depression scores (M = 1.02), followed by cannabis-only users (M = 0.84) and binge drinkers (M = 0.75). The differences were statistically significant even after controlling for age, employment, education, incarceration history, and income.

The study demonstrates that combining cannabis with binge drinking is associated with worse mental health outcomes than using either substance alone. Importantly, the research found that higher frequency of use of either substance was linked to greater depressive symptoms, suggesting a dose-response relationship. This cross-sectional analysis provides insight into population-level patterns within a structurally disadvantaged group, highlighting how substance use patterns may serve as maladaptive coping mechanisms for affect regulation—the ability to manage emotions.

The findings underscore the urgent need for culturally tailored mental health screening and intervention strategies specifically designed for Black men and other minoritized communities reporting substance co-use. Rather than viewing cannabis use in isolation, this research emphasizes the importance of understanding how polydrug use patterns—particularly cannabis combined with alcohol—may compound mental health risks. Healthcare providers should screen for depression among cannabis users, especially those who also engage in binge drinking.

📄 Original Abstract

This study examined the relationship between depression symptoms and co-use of cannabis and binge drinking by establishing substance use patterns in a sample of Black men. Center for Epidemiologic Studies-Depression Scale scores were compared across four mutually exclusive categories of past-30-day use: cannabis only, binge-drinking only, co-use, and nonuse. We hypothesized that men who engaged in both binge drinking and cannabis use would report the highest depression scores compared to other user groups. Past 30-day substance use data were collected between 2015 and 2016 from 786 Black adult men (Mage = 30.4, SD = 8.0, range = 18-44) as part of Menhood, a cross-sectional observational study assessing the effects of neighborhood and individual-level factors on Black men's HIV risk. Using both analysis of covariance and linear regression models, we found a significant main effect of depression scores regressed on substance user types (nonusers, cannabis only, binge-drinking only, and co-users; F = 12.96, df = 3, p < .001), controlling for age, employment status, previous incarceration, education, and income. Compared to nonuse, mean depression scores were statistically highest among past 30-day co-use (M = 1.02, SE = 0.05), followed by cannabis only (M = 0.84, SE = 0.04) and binge-drinking only (M = 0.75, SE = 0.06). Higher frequency of use of either substance, and co-use, was linked to greater depressive symptoms. As a between-subjects analysis, findings offer insight into population-level affect regulation patterns and may reconcile mixed evidence from within-person studies by highlighting stable risk associations in a structurally disadvantaged group. Results further underscore the need for culturally tailored mental health screening and intervention strategies for minoritized adult populations reporting co-use. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

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