Marijuana use among US tobacco users: Findings from wave 1 of the population assessment of tobacco health (PATH) study

Strong, David R.; Myers, Mark G.; Pulvers, Kim; Noble, Madison; Brikmanis, Kristin; Doran, Neal

doi:10.1016/j.drugalcdep.2017.12.044

Cited by 74 publications

(49 citation statements)

References 43 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Further, youth classi ed as E-cigarette Users or Polytobacco Users had over 20-fold increased odds of being current marijuana users compared to Non-Users. The present study con rms prior ndings of the signi cant association of marijuana use with tobacco use (14,16) and highlights the need for prevention scientists to consider comorbid intervention designs.…”

Section: Discussionsupporting

confidence: 83%

“…Epidemiological studies have consistently found an association between tobacco and marijuana use in youth and young adults (14,15); however, Black youth are more likely to report co-use (14,16,17). Co-use of tobacco and marijuana is of particular interest given the documented disparities in tobacco-related health outcomes (1,11) as well as in health and social outcomes of marijuana use (18) experienced by U.S.…”

Section: Co-use Of Marijuana and Tobacco And Black Youthmentioning

confidence: 99%

“…The harmful effects of tobacco use may be heightened when marijuana is also used (42,43). For example, respiratory problems were found to be more common among those who concurrently used tobacco and marijuana (16). Future research should incorporate longitudinal assessments of the health and social consequences of polytobacco use with marijuana.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Polytobacco Use Among a Nationally-Representative Sample of Black High School Students

Gilreath

Dangerfield

Ishino

et al. 2020

Preprint

View full text Add to dashboard Cite

Introduction. Studies of the patterns of polytobacco use have increased. However, understanding the patterns of using multiple tobacco products among Black adolescents is minimal. This study identified the patterns of polytobacco use among U.S. Black adolescents. Methods. Latent class analysis (LCA) was used to identify patterns of adolescent polytobacco use among a representative sample of Black youth from the 2017 Youth Risk Behavior Survey (n = 2,782). Ever and recent (past 30 day) use of cigarettes, electronic cigarettes, cigars, and dip or chewing tobacco were used as latent class indicators. Multinomial regression was conducted to identify the association if smoking adjusting for age, grade, and marijuana use. Results. Most students were in the 9th grade (29%), e-cigarette users (21%) and were current marijuana users (25%). Three profiles of tobacco use were identified: Class 1: Non-smokers (81%), Class 2: E-cigarette Users (14%), and Class 3: Polytobacco Users (5%). Black adolescent Polytobacco users were the smallest class, but had the highest conditional probabilities of recent cigarette use, e-cigarette use, ever smoking cigars or chewing tobacco. Ever and current use of marijuana were associated with increased odds of being in the e-cigarette user versus non-smoker group, and current marijuana use was associated with increased odds of polytobacco use (aOR = 24.61, CI = 6.95–87.11). Conclusions. Findings suggests the need for targeted interventions for reducing tobacco use and examining the unique effects of polytobacco use on Black adolescents. Findings confirm a significant association of marijuana use with tobacco use.

show abstract

Section: Discussionsupporting

confidence: 83%

Section: Co-use Of Marijuana and Tobacco And Black Youthmentioning

confidence: 99%

See 1 more Smart Citation

Polytobacco Use Among a Nationally-Representative Sample of Black High School Students

Gilreath

Dangerfield

Ishino

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…First, the study was cross-sectional and temporal relations between variables cannot be definitively established. Second, the study lacked a detailed measure of smoking history and the survey did not include items on marijuana, which is relevant for asthma (Strongetal., 2018). Though prior studies have shown effects for e-cigarettes independent of marijuana (e.g., Schweitzer et al, 2017), this is a possible limitation and needs to be extended in further research.…”

Section: Discussionmentioning

confidence: 99%

E-cigarette use and respiratory disorder in an adult sample

Wills

Pagano

Williams

et al. 2019

Drug and Alcohol Dependence

148

View full text Add to dashboard Cite

Objectives: Little evidence is available on the association of e-cigarettes with health indices. We investigated the association of e-cigarette use with diagnosed respiratory disorder among adults with data from the Behavioral Risk Factor Surveillance Survey (BRFSS). Methods: The 2016 Hawaii BRFSS, a cross-sectional random-dial telephone survey, had 8,087 participants; mean age was 55 years. Items asked about e-cigarette use, cigarette smoking, and being diagnosed by a health professional with (a) asthma or (b) chronic obstructive pulmonary disease. Multivariable analyses tested associations of e-cigarette use with the respiratory variables controlling for smoking and demographic, physical, and psychosocial variables. Results: Controlling for the covariates and smoking there was a significant association of e-cigarette use with chronic pulmonary disorder in the total sample (AOR = 2.58, CI 1.36 – 4.89, p < .01) and a significant association with asthma among nonsmokers (AOR = 1.33, CI 1.00 – 1.77, p < .05). The associations were stronger among nonsmokers than among smokers. Results were similar for analyses based on relative risk and absolute risk. There was also a greater likelihood of respiratory disorder for smokers, females, and persons with overweight, financial stress, and secondhand smoke exposure. Conclusions: This is the first study to show a significant independent association of e-cigarette use with chronic respiratory disorder. Several aspects of the data are inconsistent with the possibility that e-cigarettes were being used for smoking cessation by persons with existing respiratory disorder. Theoretical mechanisms that might link e-cigarettes use and respiratory symptoms are discussed.

show abstract

“…5 Adults who use cannabis are more likely to report cigarette use, 4,6 and conversely, cigarette smokers are more likely to report cannabis use. 5,7 Despite the increasing use of cannabis, changes in cannabisrelated legislation in the United States and other countries, and the relationship between cannabis and cigarettes, it is unclear whether and how cannabis use may be associated with cigarette use among current, former, and lifetime nonsmoking adults in the United States. There is evidence for a "reverse gateway effect" where cannabis use leads to cigarette use among adolescents.…”

Section: Introductionmentioning

confidence: 99%

Cannabis Use Is Associated With Increased Risk of Cigarette Smoking Initiation, Persistence, and Relapse Among Adults in the United States

Weinberger

Delnevo

Wyka

et al. 2019

Nicotine &Amp; Tobacco Research

View full text Add to dashboard Cite

Introduction Despite increasing use of cannabis, it is unclear how cannabis use is related to cigarette transitions. This study examined cannabis use and smoking initiation, persistence, and relapse over 1 year among a nationally representative sample of US adults. Methods Data were from US adults (≥18 years) who completed two waves of longitudinal data from the Population Assessment of Tobacco and Health Study (Wave 1, 2013–2014; Wave 2, 2014–2015; n = 26 341). Logistic regression models were used to calculate the risk of Wave 2 incident smoking among Wave 1 never-smokers, smoking cessation among Wave 1 smokers, and smoking relapse among Wave 1 former smokers by Wave 1 cannabis use. Analyses were adjusted for age, gender, race/ethnicity, income, and education. Results Among Wave 1 never-smokers, cannabis use was associated with increased odds of initiation of nondaily (adjusted odds ratio [AOR] = 5.50, 95% confidence limits [CL] = 4.02–7.55) and daily cigarette smoking (AOR = 6.70, 95% CL = 4.75–9.46) 1 year later. Among Wave 1 daily smokers, cannabis use was associated with reduced odds of smoking cessation (AOR = 0.36, 95% CL = 0.20–0.65). Among Wave 1 former smokers, cannabis use was associated with increased odds of relapse to daily and nondaily cigarette smoking (daily AOR = 1.90, 95% CL = 1.11–3.26; nondaily AOR = 2.33, 95% CL = 1.61–3.39). Conclusions Cannabis use was associated with increased cigarette smoking initiation, decreased smoking cessation, and increased smoking relapse among adults in the United States. Increased public education about the relationship between cannabis use and cigarette smoking transitions may be needed as cannabis use becomes more common among US adults. Implications As cannabis use increases in the United States and other countries, an evaluation of the relationships of cannabis use to other health-related behaviors (eg, cigarette smoking) is needed to understand the population-level impact of legalization. Little is known about associations between cannabis use and cigarette smoking transitions (1) using recent longitudinal data, (2) among adults, and (3) examining transitions other than smoking initiation (eg, smoking relapse). Our results suggest that among US adults, cannabis use was associated with increased cigarette smoking initiation among never-smokers, decreased cigarette smoking cessation among current smokers, and increased cigarette smoking relapse among former smokers.

show abstract

Marijuana use among US tobacco users: Findings from wave 1 of the population assessment of tobacco health (PATH) study

Cited by 74 publications

References 43 publications

Polytobacco Use Among a Nationally-Representative Sample of Black High School Students

Polytobacco Use Among a Nationally-Representative Sample of Black High School Students

E-cigarette use and respiratory disorder in an adult sample

Cannabis Use Is Associated With Increased Risk of Cigarette Smoking Initiation, Persistence, and Relapse Among Adults in the United States

Contact Info

Product

Resources

About