Does cannabis and electronic nicotine delivery system (ENDS) use interfere with cigarette smoking cessation in young adulthood?

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2025-02-11 DOI:10.1016/j.addbeh.2025.108289

Sarah Danzo , Marina Epstein , Rick Kosterman , Max A. Halvorson , Justin D. Caouette , Karryn Satchell , Margaret R. Kuklinski , Sabrina Oesterle

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Abstract

Aims

Reducing combustible cigarette smoking is a major public health concern. Research identifies both electronic nicotine delivery systems (ENDS) and cannabis use as factors that are related to combustible cigarette cessation. The current study examined whether using substances in similar ways (e.g., inhaling them) triggers the urge to smoke, thereby undermining attempts to quit.

Design

Analyses examined how using ENDS and smoking or vaping cannabis, both separately and together, were associated with reductions in daily combustible cigarette smoking among young adult smokers.

Participants

Three waves of data from the Community Youth Development Study, including 909 participants who reported daily cigarette smoking at age 23, 26, and/or 28, were included in analyses.

Setting

Participants were dispersed throughout 48 US states.

Measurements

Latent growth modeling was used to model daily cigarette smoking over time. Models using past-month ENDS use, past-month smoking/vaping cannabis, and past-month co-use of ENDS and cannabis (using ENDS and smoking/vaping cannabis within the past month) as time-varying covariates were tested.

Findings

Over time, there was a tendency towards cessation of daily combustible cigarette use among this smoking sample. Smoking/vaping cannabis was associated with a decreased rate of daily combustible cigarette cessation among the sample, whereas ENDS use was associated with an increased rate of daily smoking cessation. The predicted additive effect of using ENDS and smoking/vaping cannabis was not significant.

Conclusions

Among young adult daily cigarette smokers, smoking cannabis, on its own, poses a risk to quitting combustible cigarettes, while using ENDS may promote cigarette cessation, possibly through substitution.

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大麻和电子尼古丁传递系统（ENDS）的使用是否会干扰青少年戒烟？

减少吸食可燃香烟是一个重大的公共卫生问题。研究发现，电子尼古丁输送系统（ENDS）和大麻的使用都是与可燃香烟戒烟有关的因素。目前的研究调查了以类似的方式使用物质（例如，吸入它们）是否会引发吸烟的冲动，从而破坏戒烟的努力。设计分析研究了使用ENDS和吸烟或吸大麻（无论是单独使用还是一起使用）与年轻成年吸烟者每天吸烟可燃香烟的减少之间的关系。参与者来自社区青年发展研究的三波数据，包括909名在23岁、26岁和/或28岁时报告每天吸烟的参与者，被纳入分析。参与者分布在美国48个州。测量使用电位增长模型来模拟一段时间内的每日吸烟情况。使用过去一个月的ENDS使用、过去一个月吸食/吸大麻、以及过去一个月ENDS和大麻的共同使用（在过去一个月内使用ENDS和吸食/吸大麻）作为时变协变量的模型进行了测试。随着时间的推移，这些吸烟样本中有停止每天使用可燃香烟的趋势。在样本中，吸烟/吸大麻与每日戒烟率的下降有关，而终端的使用与每日戒烟率的增加有关。使用ENDS和吸食/雾化大麻的预测加性效应不显著。结论：在每天吸烟的年轻人中，吸食大麻本身会对戒烟构成风险，而使用ENDS可能会促进戒烟，可能是通过替代。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

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.