With the transition into marriage, marijuana and other substance use tends to decline; however, this is not true for all individuals. The objective of this work was to examine the impact of premarital individual and partner psychological health and substance use behaviors on the likelihood of using marijuana over the first four years of marriage. Couples’ (N = 634) marijuana use, other substance use, and psychological variables were assessed at the time they applied for their marriage license and then again at the first, second and fourth anniversaries. Generalized Estimating Equation models were used to estimate the risk for using marijuana over the first four years of marriage after controlling for the natural decrease in risk associated with time and other relevant sociodemographic variables. Smoking prior to marriage and heavy alcohol use was associated with an increased risk for using marijuana over the first four years of marriage for both husbands and wives. After considering the impact of time and individual risk factors, a spouse’s use of marijuana prior to marriage was a strong predictor of increased risk for marijuana use during the first four years of marriage. 1.0 Introduction Substance use tends to decline towards the end of young adulthood.
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This decline is true for alcohol as well as illicit drug use (). Investigated the patterns of initiation, cessation, and continuation of drug use in a US general population study of individuals in their late 20’s to mid 30’s and found that most illicit drug use ended by age 29. For marijuana, they reported that peak use occurred at about age 19, remained stable for the next four to five years, and then declined. Using data from the Canadian Tobacco Use Monitoring Survey, also found that past year marijuana use peaked in early adulthood. Despite the fact that marijuana used tends to decline by the late 20’s, a significant number of men and women still reported marijuana use into their mid 30’s. About a quarter of men aged 30–31 reported past year marijuana use and 14% of women in the same age group reported past year marijuana use (). Similarly, examined marijuana use among newly married couples in their 20’s and 30’s and found that rates of past year marijuana use were very comparable with 26% of men and 20% of women acknowledging use in the past year.