RT Journal Article T1 Binge Drinking, Cannabis Co-Consumption and Academic Achievement in First Year University Students in Spain: Academic Adjustment as a Mediator A1 Páramo Fernández, María Fernanda A1 Cadaveira Mahía, Fernando A1 Tinajero Vacas, Carolina A1 Rodríguez González, María Soledad K1 Alcohol binge drinking K1 Cannabis K1 Academic achievement K1 Adjustment K1 University students AB Little is known about how binge drinking or the combination of binge drinking and cannabis consumption affect academic achievement in students during the transition to university, or about the mechanisms that mediate this relationship. The purpose of this study was to evaluate the association between this pattern of alcohol/cannabis consumption and academic achievement, considering academic adjustment as a possible mediator. A total of 258 Spanish, first-year university students (145 females and 113 males), enrolled in undergraduate degree courses, were categorized into three groups on the basis of their patterns of alcohol/cannabis consumption: control, binge drinkers and co-consumers. The findings showed a significant effect of the combined binge drinking/cannabis consumption, but not of binge drinking alone, upon academic achievement and academic adjustment.Grade point average (GPA) and academic adjustment were lower in the co-consumers than in the other groups. Regarding the mediation effect, 34.33% of the impact of combined alcohol/cannabis use on GPA was mediated by academic adjustment. The combined consumption of alcohol and cannabis led to difficulties in adaptation to academic life, which in turn contributed to poorer performance at university. The implications of the findings are discussed. PB MDPI SN 1661-7827 YR 2020 FD 2020 LK http://hdl.handle.net/10347/21151 UL http://hdl.handle.net/10347/21151 LA eng NO Páramo, M.F.; Cadaveira, F.; Tinajero, C.; Rodríguez, M.S. Binge Drinking, Cannabis Co-Consumption and Academic Achievement in First Year University Students in Spain: Academic Adjustment as a Mediator. Int. J. Environ. Res. Public Health 2020, 17, 542 NO The study was supported by grants from the Spanish Ministerio de Sanidad, Servicios Sociales eIgualdad -Plan Nacional sobre Drogas (2015/034) and Ministerio de Economía y Competitividad (PSI2015-70525-P) co-funded for European Regional Development Fund (FEDER) DS Minerva RD 24 abr 2026