Association between cannabis use and nicotine use persistence among adolescents

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-07-19 DOI:10.1016/j.addbeh.2024.108106
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Abstract

Introduction

Prospective associations of adolescent cannabis use with nicotine use persistence are not well characterized but are important for informing prevention and policy. This study examined the association of 4 types of cannabis product use with subsequent persistent nicotine product use among adolescents.

Methods

We used prospective data from an adolescent cohort (14–17 years) from Southern California surveyed at baseline and at approximately 6-month follow-up (2022–2023). We incorporated three mutually non-exclusive analytic samples comprised of individuals with baseline past 6-month use of: (1) any nicotine product (N=308 [mean[SD] age = 16.3[0.6] years]), (2) e-cigarettes (n = 276), and (3) any combustible tobacco product (n = 137). Baseline past 6-month cannabis smoking, vaping, edible use, cannabidiol [CBD] or hemp product use, and any cannabis product use (yes/no) were separately modeled as predictors of past 6-month persistent use of any nicotine products, e-cigarettes, and combustible tobacco at follow-up.

Results

Baseline use of any cannabis product was associated with increased odds of persistent use of e-cigarettes or any nicotine product (adjusted odds ratio[OR] range: 1.96–2.66). Cannabis smoking was positively associated with persistent any nicotine product use (adjusted OR=2.19, 95 % CI=1.20–4.02). Cannabis smoking, vaping, and edible use predicted persistent use of e-cigarettes (adjusted OR range: 2.22–2.79). Cannabis product use did not predict combustible tobacco use persistence. Associations of CBD/hemp product use with nicotine use persistence outcomes were all non-significant.

Conclusions

Adolescents who use cannabis may be at elevated risk for persistent nicotine use.

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青少年吸食大麻与持续吸食尼古丁之间的关系
导言:青少年使用大麻与尼古丁使用持续性之间的前瞻性关联还没有得到很好的描述,但这对制定预防和政策非常重要。本研究考察了青少年使用 4 种大麻产品与随后持续使用尼古丁产品之间的关联。方法 我们使用了南加州青少年队列(14-17 岁)的前瞻性数据,这些数据来自基线调查和大约 6 个月的随访(2022-2023 年)。我们纳入了三个互不排斥的分析样本,包括基线过去 6 个月使用过以下产品的个人:(1) 任何尼古丁产品(样本数=308[平均[标码]年龄=16.3[0.6]岁]),(2) 电子烟(样本数=276),(3) 任何可燃烟草产品(样本数=137)。对过去 6 个月吸食大麻、吸食大麻烟、使用食用大麻、使用大麻二酚 [CBD] 或大麻产品以及使用任何大麻产品(是/否)的基线分别进行建模,作为随访时过去 6 个月持续使用任何尼古丁产品、电子烟和可燃烟草的预测因素。结果基线使用任何大麻产品与持续使用电子烟或任何尼古丁产品的几率增加有关(调整后的几率比[OR]范围:1.96-2.66)。吸食大麻与持续使用任何尼古丁产品呈正相关(调整后 OR=2.19,95 % CI=1.20-4.02)。吸食大麻、吸食电子烟和使用食用烟可预测电子烟的持续使用(调整 OR 范围:2.22-2.79)。大麻产品的使用不能预测可燃烟草的持续使用。使用 CBD/ 大麻产品与尼古丁持续使用结果的相关性均不显著。
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来源期刊
Addictive behaviors
Addictive behaviors 医学-药物滥用
CiteScore
8.40
自引率
4.50%
发文量
283
审稿时长
46 days
期刊介绍: Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.
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