Teens are using a highly potent form of marijuana

Among nearly 50,000 eighth, 10th, and 12th graders from the 2018 Arizona Youth Survey, a biennial survey of Arizona secondary school students, one-third (33%) had tried some form of marijuana, and nearly a quarter (24%) had tried marijuana concentrate.

Marijuana concentrates have about three times more THC, the constituent of marijuana that causes the "high," than a traditional marijuana flower. This is concerning because higher doses of THC have been linked to increased risk of marijuana addiction, cognitive impairment and psychosis, said the study's lead researcher, Madeline Meier, an ASU assistant professor of psychology.

The research team also found that teens who used concentrates had more risk factors for addiction. The researchers compared teens who had used marijuana concentrates with teens who had used some form of marijuana but not marijuana concentrates and teens who had never used any form of marijuana on known risk factors for addiction, such as lower perceived risk of harm of marijuana, peer substance use, parental substance use, academic failure and greater perceived availability of drugs in the community. They found that teens who had used marijuana concentrates were worse off on every addiction risk factor.

"This is important because it shows that teens who have a diverse array of risk factors for developing marijuana addiction may be further amplifying their risk for addiction by using high-THC marijuana concentrates," explained study co-author, Dustin Pardini, an associate professor in ASU's School of Criminology & Criminal Justice.

The study "Cannabis Concentrate Use in Adolescents," is published in the early online edition (Aug. 26, 2019) of Pediatrics.

The team -- which includes ASU researchers Meagan Docherty, School of Criminology & Criminal Justice; Scott Leischow, College of Health Solutions; and Kevin Grimm, Department of Psychology -- also found that teens who had used concentrates had much higher rates of e-cigarette use. One explanation for this might be that teens are using e-cigarettes to vape marijuana concentrate, according to Meier. Earlier studies, including those by Meier, have shown that youth put marijuana in e-cigarettes to conceal their marijuana use.

"Vaping marijuana can be passed off as nicotine vaping," Meier explained.

This finding reinforces the recent decision by the Food and Drug Administration to impose new restrictions on e-cigarettes and their constituents as a means of reducing marijuana use, according to the researchers.

Marijuana concentrates don't look like the traditional marijuana flower. Concentrates can look like wax, oil, or a brittle substance that shatters easily.

"What concerns me most is that parents might have no idea that their child is using marijuana, especially if their child is using marijuana concentrate," said Meier. "Marijuana is not harmless, particularly for adolescents."

Meier's earlier research suggests that frequent marijuana use from adolescence through adulthood is associated with IQ decline. Pardini's prior research has linked regular marijuana use during adolescence with the emergence of persistent subclinical psychotic symptoms.

The researchers' next steps are to ascertain if concentrate users do in fact exhibit higher rates of addiction, cognitive impairment and psychosis.

The Arizona Youth Survey is administered by the Arizona Criminal Justice Commission (ACJC) through funds appropriated by the Arizona Legislature.