Pubdate: Sat, 17 Nov 2012 Source: Ottawa Citizen (CN ON) Copyright: 2012 The Ottawa Citizen Contact: http://www.canada.com/ottawacitizen/letters.html Website: http://www.canada.com/ottawacitizen/ Details: http://www.mapinc.org/media/326 Author: Joanne Laucius Page: J1 A SNAPSHOT OF THE OTTAWA TEEN POT SMOKER Are teens more dazed and confused than they were a generation ago? It depends on how you look at it, as Joanne Laucius discovers In Ottawa last year, twice as many students in Grade 7 to 12 reported lighting up a marijuana joint as lighting up a cigarette. But that is only part of the picture. About one per cent said they used marijuana every day. About four per cent said they had used it in the past week. And 15 per cent said they had used it in the past four weeks. About three per cent of the total teen population of Ottawa reports some signs of a cannabis dependency problem, issues like feeling anxious without cannabis, or wishing they could stop. The figures are among those in a report on teens and substance abuse to be released by the end of the year. The Ontario Student Drug Use Survey, which began in 1977 and is done every two years, has always included Ottawa students. Beginning in 2009 and again in 2011, more than 1,000 extra Ottawa students were surveyed because Ottawa Public Health wanted to get enough information to track trends over time and compare different populations of students. "Since alcohol and marijuana are the most commonly-used substances among youth, it's important to follow the trends over time," says Jacqueline Willmore, an epidemiologist with Ottawa Public Health. For example, across the province, students are more likely to use marijuana now than they were in the early 1990s. The question is whether the 1990s were a blip or increased cannabis use is a long-term trend. Does the fact that more students use marijuana than cigarettes mean that youth are replacing tobacco with pot, for example? Not likely, says Willmore. "Teen cigarette smoking has been going down for the past several years," she says. "But I don't think cigarette smoking is being replaced with cannabis." Here's what the survey of Ottawa students found about marijuana use among the city's teens: A significantly higher proportion of Grades 9 to 12 students reported cannabis use compared to Grades 7 to 8 students. Cannabis use is relatively rare among students in Grades 7 and 8, and peaks at 41 per cent among Grade 12 students. In 2011, Grades 9 to 12 students in Ottawa were more likely to report cannabis use than in 2009 - 32 per cent in 2011 compared to 22 per cent in 2009. Ottawa Public Health says it has to do more years of data collection before its possible to say whether this is the beginning of a trend, or an anomaly. Students who spoke only English at home were more likely to smoke pot than students who spoke a language other than English or French in the home - 28 per cent for those who spoke English vs. 12 per cent for the teens who spoke neither English or French. Rates of cannabis use were no different between Ottawa and Ontario, or between boys and girls. Students in Toronto, by the way, were among those in the province least likely to use marijuana. Teen drug use is nothing new. But the drugs teens use have varied over time. "Until about five years ago, the No. 1 drug was alcohol, the No. 2 was marijuana. Now the No. 1 drug is marijuana, and the No. 2 is alcohol," says Paul Welsh, executive director of Rideauwood Addiction & Family Services, whose counsellors see some 1,400 students a year though school-based counselling programs at 49 English-language high schools in the region. Welsh can only speculate as to why this is happening. "If you go to school drunk, you'll get caught. If you go to school stoned, it will be less noticeable," he says. While more teens are shying away from harder drugs, parents and schools have raised a lot of concern recently about marijuana use among teens in Grades 7 and 8. It's difficult to tell if there is more marijuana use among young teens or if parents are noticing it more, he says. "Clients are coming to us in worse and worse shape. It's related to all kinds of things - cuts to education, health care, welfare. We're seeing what happens downstream when services are cut to a population. The Ministry of Health is concerned about the number of people who end up at the emergency," says Welsh. "Kids who get stoned early are more likely to end up with addictions later in life. If they deal with problems by getting stoned, they're not learning life skills." There's a growing evidence that a regular marijuana habit that starts in the teens can have long-ranging negative effects. There has been a link between smoking cannabis and schizophrenia. The evidence suggests that smoking pot as a teen can trigger psychotic episodes at a younger age for those who are predisposed to it. Meanwhile, a study released last summer in the Proceedings of the National Academy of Science USA stirred up concerns about the long-term effects of starting to smoke marijuana as a teen. Based on a long-term study of more than 1,000 New Zealanders born in 1972 and 1973 and a battery of tests given to the subjects at various points in their lives, the study concluded that persistent use of marijuana before the age of 18 resulted in lasting harm to intelligence, memory and attention. What's more, quitting or reducing the use of marijuana did not restore functioning. About five per cent of those in the group were dependent on marijuana, using it more than once a week. Those who used pot in their teens and used it for a long time after had an average decline of eight IQ points. Those who took up marijuana later did not show the same decline. It couldn't be explained by use of alcohol or other drugs, or less education. Friends and relatives also reported that these people had more problems with attention and memory. In IQ, the mean is 100. This means that half of the population has a lower score, and the other half a higher score. Someone who has an IQ of 100 is at the 50th percentile. Take off eight points, and that same person is in the 29th percentile. While eight IQ points might not sound like much, losing eight points reduces the chances of fulfilling educational potential or landing a good job. It was thought that marijuana users who suffered from loss of attention, cognitive abilities and working memory would recover when they stopped using marijuana, says psychiatrist Dr. Robert Milin, director of the adolescent day treatment unit at the Royal Ottawa Mental Health Centre. The evidence suggests that's not true for everyone, says Milin, who points out that people rarely start smoking marijuana as adults. "If you have average working memory and you drop a little, it makes a difference," he says. "Some people have a large reservoir of working memory. If you're in the average range, it's a big difference in what you are able to do." Marijuana also impairs executive function such as motivation and initiation. Is marijuana dangerous for teens? "It's going to affect their cognitive abilities and working memory," says Milin. "These are important areas for learning. The teenager's job is learning." - --- MAP posted-by: Matt