Addictive behaviors最新文献_第8页

Association between cannabis use and nicotine use persistence among adolescents 青少年吸食大麻与持续吸食尼古丁之间的关系

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-19 DOI: 10.1016/j.addbeh.2024.108106

Dae-Hee Han , Alyssa F. Harlow , Dayoung Bae , Junhan Cho , Sandrah P. Eckel , Rob McConnell , Jessica L. Barrington-Trimis , Janet E. Audrain-McGovern , Adam M. Leventhal

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.

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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引用次数: 0

Choice of smoking cessation products among people with substance use problems in the US: Findings from the Population Assessment of Tobacco and Health (PATH) study Wave 6 美国有药物使用问题的人群对戒烟产品的选择：烟草与健康人群评估（PATH）第 6 波研究结果

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-19 DOI: 10.1016/j.addbeh.2024.108104

Olufemi Erinoso , Theresa Watts , Stephanie Koning , Minggen Lu , Karla D. Wagner , Jennifer Pearson

Objective

The aim of this study was to compare past 12-month use of cigarette smoking cessation aids (e.g., Food and Drug Administration (FDA)-approved cessation products or e-cigarettes for smoking cessation) among people with substance use problems (PWSUPs) who currently smoke to people without substance use problems (SUPs) who currently smoke cigarettes in a nationally representative US sample.

Methods

We used the Population Assessment of Tobacco and Health (PATH) Wave 6 Study [n = 30,516]. Our sample comprised adult (18+) established cigarette smokers (100+ lifetime-sticks with daily/non-daily use) [n = 5,895]. The independent variable was SUP status (no, moderate, and high). The dependent variables were past-year use of: nicotine replacement therapies (NRTs), cessation medications [i.e., varenicline or bupropion], or e-cigarettes [for cigarette cessation and reduction]. Weighted multivariable logistic regression models for each dependent variable examined the associations between SUP status and each cessation aid, adjusting for cigarette dependence, daily cigarette smoking, and demographic factors.

Results

Among people who smoke, a higher proportion of respondents with high SUP severity used NRTs, cessation medications, and e-cigarettes for cigarette cessation, respectively (12.3%, 8.4%, 15.7%), compared to those with no/low SUP severity (9.8%, 6.0%, 8.9%). In the multivariable models, respondents with high SUPs had 63% (95% CI:1.16–2.29) higher odds of using e-cigarettes for cessation than those without SUPs. No significant differences were seen between high (vs. no/low SUPs) in the past-year use of NRTs and cessation medications.

Conclusion

Our findings indicate that cigarette smokers with high SUPs had higher odds of using e-cigarettes for cessation and reduction compared to smokers without SUPs.

本研究旨在比较美国全国代表性样本中目前吸烟的有药物使用问题者（PWSUPs）与目前不吸烟的无药物使用问题者（SUPs）在过去 12 个月中使用戒烟辅助工具（如食品与药物管理局（FDA）批准的戒烟产品或用于戒烟的电子烟）的情况。我们的样本包括成年（18 岁以上）已吸烟者（100 支以上终身吸烟者，每天/非每天吸烟）[n = 5,895] 。自变量为 SUP 状态（无、中度和高度）。因变量为过去一年中尼古丁替代疗法（NRTs）、戒烟药物[即伐尼克兰或安非他明]或电子烟[用于戒烟和减少吸烟]的使用情况。针对每个因变量的加权多变量逻辑回归模型考察了SUP状态与每种戒烟辅助工具之间的关联，并对香烟依赖、每日吸烟量和人口统计学因素进行了调整。结果在吸烟人群中，与无/低SUP严重程度的人群（9.8%、6.0%、8.9%）相比，SUP严重程度高的受访者中使用非抗烟药物、戒烟药物和电子烟戒烟的比例分别更高（12.3%、8.4%、15.7%）。在多变量模型中，SUP 严重的受访者使用电子烟戒烟的几率比无 SUP 的受访者高 63% (95% CI:1.16-2.29) 。结论我们的研究结果表明，与无 SUP 的吸烟者相比，SUP 高的吸烟者使用电子烟戒烟和减少吸烟的几率更高。

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引用次数: 0

Volume of alcohol intake, heavy episodic drinking, and all-cause mortality in Spain: A longitudinal population-based study 西班牙的酒精摄入量、大量偶发性饮酒和全因死亡率：基于人口的纵向研究

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-18 DOI: 10.1016/j.addbeh.2024.108108

Iñaki Galán , Julia Fontán , Cristina Ortiz , Teresa López-Cuadrado , María Téllez-Plaza , Esther García-Esquinas

Introduction

The impact of alcohol consumption on health, particularly in low quantities, remains controversial. Our objective was to assess the association between alcohol volume and heavy episodic drinking (HED) with all-cause mortality, while minimizing many of the known methodological issues.

Methodology

This longitudinal study used data from the 2011–2012 National Health Survey and the 2014 European Health Survey in Spain. Data from 43,071 participants aged ≥ 15 years were linked to mortality records as of December 2021. Alcohol consumption categories were defined based on intake volume and frequency: never-drinkers, former drinkers, infrequent occasional drinkers (≤once/month), frequent occasional drinkers (<once/week to > once /month). Regular drinkers (≥once/week) were further classified by volume: >0–10 g/day, >10–20 g/day, >20–40 g/day, and > 40 g/day. Heavy Episodic Drinking (HED) was defined as ≥ 6 and ≥ 5 standard drinks (10 g) within 4–6 h for men and women, respectively. Hazard ratios (HR) were calculated using Cox regression, adjusting for sociodemographic variables, lifestyle factors, health status, and alcohol volume or HED.

Results

Compared to infrequent occasional drinkers, HRs for never-drinkers and former drinkers were 1.30 (95 %CI:1.14–1.47) and 1.32 (95 %CI:1.15–1.50), respectively. No differences in mortality risk were observed for intakes up to 20 g/day, but it increased for consumptions > 20–40 g/day and > 40 g/day (HR = 1.29; 95 %CI:1.05–1.58 and HR = 1.57; 95 %CI:1.14–2.17, respectively). The HR of weekly HED vs. never was 1.31 (95 %CI:0.98–1.75).

Conclusions

Compared to infrequent occasional drinking, consuming low amounts of alcohol had no impact on mortality risk. However, never-drinkers, former drinkers, individuals with regular consumption > 20 g/day, and those engaging in weekly HED, experienced higher mortality risk.

导言饮酒对健康的影响，尤其是低量饮酒，仍然存在争议。我们的目标是评估饮酒量和大量偶发性饮酒（HED）与全因死亡率之间的关系，同时尽量减少许多已知的方法学问题。方法这项纵向研究使用了 2011-2012 年西班牙全国健康调查和 2014 年欧洲健康调查的数据。来自 43,071 名年龄≥ 15 岁的参与者的数据与截至 2021 年 12 月的死亡记录进行了关联。根据摄入量和频率对酒精消费进行了分类：从不饮酒者、曾经饮酒者、不经常偶尔饮酒者（≤一次/月）、经常偶尔饮酒者（<一次/周至>一次/月）。经常饮酒者（≥一次/周）按饮酒量进一步分为：0-10 克/天、10-20 克/天、20-40 克/天和 40 克/天。重度偶发性饮酒（HED）的定义是男性和女性在4-6小时内分别饮酒≥6杯和≥5杯标准饮料（10克）。结果与不经常偶尔饮酒者相比，从不饮酒者和曾经饮酒者的危险比分别为 1.30 (95 %CI:1.14-1.47) 和 1.32 (95 %CI:1.15-1.50) 。摄入量不超过 20 克/天时，死亡风险没有差异，但摄入量超过 20-40 克/天和超过 40 克/天时，死亡风险会增加（分别为 HR = 1.29; 95 %CI:1.05-1.58 和 HR = 1.57; 95 %CI:1.14-2.17 ）。结论与不经常偶尔饮酒相比，少量饮酒对死亡风险没有影响。然而，从不饮酒者、曾经饮酒者、经常饮酒量大于等于 20 克/天者以及每周饮酒者的死亡风险较高。

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引用次数: 0

Psychosocial stressors of adolescents with E-cigarette, or vaping, product-use associated lung injury: A qualitative study 使用电子烟或吸食电子烟产品导致肺损伤的青少年的社会心理压力：定性研究

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-17 DOI: 10.1016/j.addbeh.2024.108107

Harin Lee , Melissa B. Harrell , Devika R. Rao

Background and objectives

Adolescent electronic cigarette (EC) use has reached epidemic rates and has been linked to numerous mental health and psychosocial stressors (PS). There is limited qualitative data on PS for adolescents with e-cigarette, or vaping, product-use associated lung injury (EVALI), a severe complication of EC use.

Methods

All patients hospitalized at Children’s Medical Center in Dallas, Texas from 2018 to 2022 and met CDC case definitions for EVALI were included in the analysis. PS were extracted from the electronic health record and analyzed for recurring themes using the HEADSS assessment as a framework. Results were summarized using descriptive statistics, and representative quotations were selected to highlight each theme.

Results

Forty-three adolescents (mean age 16.3 years; 62.8 % male; 39.5 % Non-Hispanic White, 60.5 % Hispanic) were included in the analysis, and 40 (93 %) reported PS. The most common themes were family (51 %; “restraining order issued against 28-year-old brother”), polysubstance use (77 %; “experimenting with…ecstasy, LSD, CCC, misusing Adderall”), and mental health (63 %; “has been suicidal since he was ‘a toddler’”). Less commonly, patients reported PS related to peers (28 %; “spending the entire day at the cemetery where his best friend was buried”), school (49 %; “attending his second alternative school”), and the legal system (19 %; “placed in juvenile detention, released, and will be on probation”).

Conclusions

Adolescents with EVALI had PS that were chronic, severe, and involving multiple domains. These findings emphasize the importance of psychosocial screening in adolescents and coordinating interdisciplinary care with mental health and social services.

青少年使用电子香烟（EC）已经达到了流行病的发病率，并且与许多心理健康和社会心理压力（PS）有关。关于青少年使用电子烟或电子烟产品导致的肺损伤（EVALI）的定性数据非常有限，而肺损伤是使用电子烟的一种严重并发症。2018年至2022年期间，德克萨斯州达拉斯市儿童医学中心住院的所有患者均符合疾控中心的EVALI病例定义，并纳入分析。从电子病历中提取 PS，并以 HEADSS 评估为框架分析重复出现的主题。使用描述性统计对结果进行总结，并选择有代表性的引文来突出每个主题。有 43 名青少年（平均年龄 16.3 岁；62.8% 为男性；39.5% 为非西班牙裔白人，60.5% 为西班牙裔）参与了分析，其中 40 人（93%）报告了 PS。最常见的主题是家庭（51%；"对 28 岁的哥哥发出限制令"）、多种药物使用（77%；"尝试......摇头丸、迷幻药、CCC，滥用阿德拉"）和心理健康（63%；"从'蹒跚学步'起就有自杀倾向"）。较少见的是，患者报告的 PS 与同龄人（28%；"整天呆在埋葬他最好朋友的墓地"）、学校（49%；"上他的第二所替代学校"）和法律系统（19%；"被少年拘留，释放后将接受缓刑"）有关。患有 EVALI 的青少年的 PS 是长期的、严重的，并涉及多个领域。这些发现强调了对青少年进行社会心理筛查以及协调心理健康和社会服务等跨学科护理的重要性。

{"title":"Psychosocial stressors of adolescents with E-cigarette, or vaping, product-use associated lung injury: A qualitative study","authors":"Harin Lee , Melissa B. Harrell , Devika R. Rao","doi":"10.1016/j.addbeh.2024.108107","DOIUrl":"10.1016/j.addbeh.2024.108107","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Adolescent electronic cigarette (EC) use has reached epidemic rates and has been linked to numerous mental health and psychosocial stressors (PS). There is limited qualitative data on PS for adolescents with e-cigarette, or vaping, product-use associated lung injury (EVALI), a severe complication of EC use.</p></div><div><h3>Methods</h3><p>All patients hospitalized at Children’s Medical Center in Dallas, Texas from 2018 to 2022 and met CDC case definitions for EVALI were included in the analysis. PS were extracted from the electronic health record and analyzed for recurring themes using the HEADSS assessment as a framework. Results were summarized using descriptive statistics, and representative quotations were selected to highlight each theme.</p></div><div><h3>Results</h3><p>Forty-three adolescents (mean age 16.3 years; 62.8 % male; 39.5 % Non-Hispanic White, 60.5 % Hispanic) were included in the analysis, and 40 (93 %) reported PS. The most common themes were family (51 %; “restraining order issued against 28-year-old brother”), polysubstance use (77 %; “experimenting with…ecstasy, LSD, CCC, misusing Adderall”), and mental health (63 %; “has been suicidal since he was ‘a toddler’”). Less commonly, patients reported PS related to peers (28 %; “spending the entire day at the cemetery where his best friend was buried”), school (49 %; “attending his second alternative school”), and the legal system (19 %; “placed in juvenile detention, released, and will be on probation”).</p></div><div><h3>Conclusions</h3><p>Adolescents with EVALI had PS that were chronic, severe, and involving multiple domains. These findings emphasize the importance of psychosocial screening in adolescents and coordinating interdisciplinary care with mental health and social services.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"158 ","pages":"Article 108107"},"PeriodicalIF":3.7,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141770384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Products and patterns through which adolescents, young adults, and adults initiate co-use of tobacco and cannabis 青少年、年轻人和成年人开始共同使用烟草和大麻的产品和模式。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-17 DOI: 10.1016/j.addbeh.2024.108105

Devin M. McCauley , Jessica Liu , Shivani Mathur Gaiha , Bonnie Halpern-Felsher

Background

Co-use of tobacco and cannabis is common. However, few studies have examined the temporal sequencing through which individuals initiate co-use, and how these patterns vary across age. This study addresses this gap by examining the specific products and temporal sequencing through which adolescents, young adults, and adults initiate co-use of tobacco and cannabis. Among adolescents, young adults, and adults who co-used tobacco and cannabis in the past 30 days, we examined (a) whether tobacco or cannabis was used first in their lifetime and (b) which specific tobacco or cannabis product (e.g., nicotine e-cigarettes, cannabis edibles) was the first used.

Methods

Data were from a cross-sectional national survey (N = 6,131, 13–40 years old) in which participants reported ever use, past-30-day-use, and order of use for 17 different tobacco and cannabis products. Results were analyzed overall and by age group (13–20; 21–24; 25–40).

Results

38.4% of participants reported use of both tobacco and cannabis in the past 30 days. Among these participants, 70.9% used tobacco first in their lifetime (66.6% < 21; 71.7% 21–24; 76.6% > 24). Approximately 60% of participants who initiated co-use with tobacco reported nicotine e-cigarettes as their first tobacco product (63.3% < 21; 66.7% 21–24; 49.6% > 24).

Conclusions

The majority of participants who used both tobacco and cannabis used tobacco first in their lifetime, and nicotine e-cigarettes were the most common form of tobacco initiation, particularly among adolescents and young adults. Findings emphasize the need for co-use prevention programs to target common products of initiation.

背景：烟草和大麻的共同使用很常见。然而，很少有研究探讨个人开始共同使用烟草和大麻的时间顺序，以及这些模式在不同年龄段的差异。本研究通过研究青少年、青年和成年人开始共同使用烟草和大麻的具体产品和时间顺序，弥补了这一空白。在过去 30 天内共同使用烟草和大麻的青少年、年轻人和成年人中，我们研究了（a）在他们的一生中是否首先使用烟草或大麻，以及（b）首先使用的是哪种特定的烟草或大麻产品（如尼古丁电子烟、大麻药片）：数据来自一项横断面全国调查（N = 6,131 人，13-40 岁），参与者报告了 17 种不同烟草和大麻产品的曾经使用情况、过去 30 天的使用情况以及使用顺序。调查结果按总体和年龄组（13-20 岁；21-24 岁；25-40 岁）进行了分析：结果：38.4%的参与者报告在过去 30 天内同时使用过烟草和大麻。在这些参与者中，70.9%的人在一生中第一次使用烟草（66.6% 24 岁）。在开始同时使用烟草和大麻的参与者中，约有 60% 的人称尼古丁电子烟是他们第一次使用的烟草产品（63.3% 24）：结论：大多数同时使用烟草和大麻的参与者在一生中首先使用的是烟草，尼古丁电子烟是最常见的烟草启蒙形式，尤其是在青少年和年轻成年人中。研究结果强调，共同使用预防计划需要针对常见的初始烟草产品。

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引用次数: 0

The moderating role of sex in the relationship between cannabis use treatment admission profile and treatment processes and outcomes: A gender perspective 性别在大麻使用治疗入院情况与治疗过程和结果之间关系中的调节作用：性别视角

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-14 DOI: 10.1016/j.addbeh.2024.108103

Daniel Dacosta-Sánchez , Yanina Michelini , Angelina Pilatti , Fermín Fernández-Calderón , Óscar M. Lozano , Bella M. González-Ponce

Background

Gender-specific interventions are crucial in addressing substance use disorders —particularly cannabis use disorder — as they allow for tailored therapeutic approaches and increase the likelihood of successful outcomes. However, differences in therapeutic processes and outcomes between males and females are often not observed, making the prognosis and development of such interventions more difficult.

Objective

This study aimed to examine the moderating role of sex in the relationship between treatment admission profile characterized by indicators of cannabis use and sociodemographic sources of gender inequality (e.g., employment status) and adherence and outcome at discharge.

Method

A multicentric retrospective observational study was conducted with a sample of 3,814 outpatients diagnosed with cannabis use disorder. Electronic health records were used for data analysis.

Results

The interaction between sex and the number of children, as well as pre-treatment cannabis use, predicted lower treatment adherence, particularly among females. Additionally, the interaction between sex and the number of children predicted outcomes at discharge, with females showing a higher likelihood of dropout compared to males.

Discussion and conclusion

Enhanced comprehensive treatment with intensified contingency management programs should be prioritized for females (especially those with children) who have consumed cannabis in the month before treatment. Adopting a treatment policy framework incorporating sex/gender-sensitive therapist training and evaluative measures is essential for optimizing treatment outcomes for all patients.

背景针对不同性别的干预措施对于解决药物使用障碍--尤其是大麻使用障碍--至关重要，因为这些干预措施可以采取量身定制的治疗方法，并增加取得成功结果的可能性。本研究旨在探讨性别在以大麻使用指标和性别不平等的社会人口学来源（如就业状况）为特征的入院治疗概况与出院时的坚持治疗情况和治疗结果之间的关系中的调节作用。方法对 3814 名被诊断为大麻使用障碍的门诊患者样本进行了多中心回顾性观察研究。结果性别与子女人数以及治疗前大麻使用情况之间的交互作用预示着治疗依从性较低，尤其是女性。此外，性别与孩子数量之间的交互作用还预示着出院时的结果，女性与男性相比辍学的可能性更高。讨论与结论对于在治疗前一个月吸食过大麻的女性（尤其是有孩子的女性），应优先考虑采用强化应急管理方案的综合治疗。采用治疗政策框架，纳入对性/性别问题有敏感认识的治疗师培训和评估措施，对于优化所有患者的治疗效果至关重要。

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引用次数: 0

An adaptation and exploratory factor analysis of the smoking-related weight and eating episodes test (SWEET) for electronic cigarette users 针对电子烟使用者的吸烟相关体重和饮食事件测试（SWEET）的调整和探索性因素分析

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-14 DOI: 10.1016/j.addbeh.2024.108102

Caitlin E. Smith , Tyler B. Mason , Naim Wright , Emily Ruttledge , Jordan E. Norris , John R. Monterosso , Alayna P. Tackett

Introduction

Smoking for weight control is a well-documented behavior. There is emerging evidence to suggest electronic cigarettes (e-cigarettes) may be used for similar motivations yet measure development for the use of e-cigarettes for weight control has received less attention. The objective of the current study was to adapt and explore the psychometric properties of The Smoking-Related Weight and Eating Episodes Test (SWEET) for e-cigarette users.

Methods

Young adult (N=1875) current cigarette, e-cigarette, and dual users completed the original SWEET (SWEET-C) and/or adapted SWEET for e-cigarette use (SWEET-EC) based on current tobacco product use. Demographics, associated e-cigarette characteristics, nicotine dependence, outcome expectancies, and eating disorder behaviors were also assessed. Participants were recruited online and measures were completed via self-report.

Results

Four exploratory factor analyses using principal components extraction and direct oblimin rotation methods were run to explore the SWEET-C and SWEET-EC. A one-factor solution explaining 66 % of the variance was retained for the SWEET-C, and a one-factor solution explaining 73 % of the variance was retained for the SWEET-EC. Both measures exhibited excellent internal consistency. Higher SWEET-EC scores were observed among dual users, and were associated with daily e-cigarette use, JUUL use, self-reported vaping for weight control, older age, higher body mass index, and problematic eating behaviors.

Conclusion

Our findings support the adaptation of the SWEET-EC to measure e-cigarette use for weight control. The SWEET-EC will help to better understand how individuals use e-cigarettes to curb eating behavior and for weight control.

引言吸烟控制体重是一种有据可查的行为。越来越多的证据表明，使用电子烟（电子烟）也有类似的动机，但针对使用电子烟控制体重的测量方法的开发却较少受到关注。本研究的目的是针对电子烟使用者调整和探索吸烟相关体重和进食发作测试（SWEET）的心理计量特性。方法目前使用卷烟、电子烟和双重使用者的年轻成年人（人数=1875）完成原始 SWEET（SWEET-C）和/或根据目前烟草产品使用情况调整的电子烟使用 SWEET（SWEET-EC）。此外，还对人口统计学、相关电子烟特征、尼古丁依赖、结果预期和饮食失调行为进行了评估。结果使用主成分提取和直接顺反旋转方法进行了四次探索性因子分析，以探索 SWEET-C 和 SWEET-EC。SWEET-C 的单因素解解释了 66% 的方差，SWEET-EC 的单因素解解释了 73% 的方差。这两项测量均表现出极佳的内部一致性。在双重使用者中观察到较高的 SWEET-EC 分数，并且与每天使用电子烟、使用 JUUL、自我报告吸食电子烟以控制体重、年龄较大、体重指数较高以及有问题的饮食行为有关。SWEET-EC 将有助于更好地了解个人如何使用电子烟来抑制饮食行为和控制体重。

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引用次数: 0

Intention to quit or reduce e-cigarettes, cannabis, and their co-use among a school-based sample of adolescents 以学校为样本的青少年戒烟或减少电子烟、大麻及其共同使用的意向。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-07 DOI: 10.1016/j.addbeh.2024.108101

Jessica Liu , Sarah J. Knoll , Michael P. Pascale , Caroline A. Gray , Alec Bodolay , Kevin W. Potter , Jodi Gilman , A. Eden Evins , Randi M. Schuster

Introduction

Little is known about the prevalence and predictors of adolescents’ intention to quit or reduce use of e-cigarettes and/or cannabis.

Methods

Frequencies of intention to change (quit, reduce) e-cigarettes and/or cannabis use were examined among 23,915 surveyed middle and high school students with sole and co-use. Predictors of intention to change were identified via LASSO/multilevel logistic regression.

Results

Among those with sole e-cigarette use (n = 543), 40.9 % intended to quit and 24.1 % intended to reduce; non-daily e-cigarette use predicted intention to quit and reduce e-cigarettes (p’s < 0.03). Among those with sole cannabis use (n = 546), 10.6 % intended to quit and 25.1 % intended to reduce; absence of cannabis cravings predicted intention to reduce cannabis use (p < 0.01). Among those with co-use (n = 816), 26.2 % intended to either quit or reduce (quit/reduce) both substances, 27.5 % intended to quit/reduce e-cigarettes only, and 6.9 % intended to quit/reduce cannabis only. No predictors emerged for intention to change e-cigarette use among those with co-use (p’s > 0.09), but younger age, lack of poly-tobacco use, and lack of cannabis craving predicted intention to quit/reduce cannabis use (p’s < 0.04).

Conclusions

More than half of adolescents with past-month e-cigarette use, regardless of concurrent cannabis use, expressed interest in changing their use. However, only heaviness of e-cigarette use emerged as a predictor of intention to change suggesting. While fewer students expressed interest in changing their cannabis use, cannabis cravings and poly-tobacco use predicted intent to change. Overall, findings emphasize the need to tailor interventions towards adolescents engaging in more problematic substance use patterns.

简介：关于青少年有意戒烟或减少使用电子烟和/或大麻的普遍性和预测因素，我们所知甚少：关于青少年有意戒烟或减少使用电子烟和/或大麻的普遍性和预测因素知之甚少：在接受调查的 23,915 名初中生和高中生中，对他们改变（戒烟、减少）使用电子烟和/或大麻的意向频率进行了研究。通过 LASSO/多层次逻辑回归确定了改变意向的预测因素：在单独使用电子烟的人（n = 543）中，40.9% 的人打算戒烟，24.1% 的人打算减少使用电子烟；非日常使用电子烟预测了戒烟和减少使用电子烟的意向（p's 0.09），但年龄较小、未使用多种烟草和缺乏对大麻的渴望预测了戒烟/减少使用大麻的意向（p's 结论：在过去一个月使用电子烟的青少年中，无论是否同时使用大麻，半数以上表示有兴趣改变其使用方式。然而，只有使用电子烟的严重程度才是暗示改变使用意向的预测因素。虽然表示有兴趣改变吸食大麻习惯的学生人数较少，但吸食大麻的渴望和同时吸食多种烟草的情况却预示着改变的意愿。总之，研究结果强调，有必要针对问题较多的药物使用模式对青少年进行有针对性的干预。

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引用次数: 0

Cannabis policy liberalization is only associated with increased blunt use if states lack strong tobacco control 只有在缺乏强有力烟草控制的州，大麻政策自由化才与钝器使用的增加有关

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-05 DOI: 10.1016/j.addbeh.2024.108100

Maria M. Orsini , Mike Vuolo , Brian C. Kelly

Introduction

Co-use of tobacco and cannabis has long been an issue for prevention and intervention efforts targeting these substances. Blunt use—cannabis inside a cigar wrapper—has been a consistent mode of cannabis consumption since the 1990s. Since then, both tobacco control and cannabis policies have changed considerably. This paper examines the influence of tobacco taxes and smoke-free policies as well as medical and recreational cannabis policies on blunt use among young people.

Methods

Combining state-level tobacco control and cannabis policy data with the restricted-access youth cohort of the Population Assessment of Tobacco and Health (PATH) study, we use multilevel logistic regression models to examine the impact of these policies on past-year blunt use.

Results

While we found a main effect whereby both legal medical and recreational cannabis policies are associated with higher odds of blunt use among youth, interaction effects demonstrate that this association only emerges in states lacking a comprehensive tobacco smoke-free policy. In states with smoke-free policies, we found no significant associations between cannabis policy and odds of blunt use.

Conclusions

Denormalization through smoke-free policies may mitigate the effects of recreational and medical cannabis policies on blunt use. Smoke-free policies represent a possible cost-effective mechanism to curb the co-use of tobacco and cannabis in the form of blunts. States with medical and recreational cannabis policies may benefit from greater prevention efforts for young people specifically focused on blunt use, especially in states that do not have strong tobacco control.

导言：长期以来，烟草和大麻的共同使用一直是针对这些物质的预防和干预工作的一个问题。自 20 世纪 90 年代以来，钝器吸食--将大麻放在雪茄包装内--一直是大麻消费的一种模式。从那时起，烟草控制和大麻政策都发生了很大变化。本文研究了烟草税和无烟政策以及医用和娱乐用大麻政策对年轻人使用钝器的影响。方法我们将州一级的烟草控制和大麻政策数据与烟草与健康人口评估（PATH）研究中限制进入的青少年队列相结合，使用多层次逻辑回归模型来研究这些政策对过去一年钝器使用的影响。结果虽然我们发现合法医用大麻和娱乐用大麻政策都与青少年使用钝器的几率增加有关，但交互效应表明只有在缺乏全面无烟政策的州才会出现这种关联。在实行无烟政策的州，我们发现大麻政策与使用钝器的几率之间没有显著关联。无烟政策可能是遏制以钝烟头形式同时使用烟草和大麻的一种具有成本效益的机制。制定了医用和娱乐大麻政策的州可能会受益于更多针对年轻人的预防工作，特别是在烟草控制不力的州。

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引用次数: 0

Use of ENDS devices and modifications to vape cannabis among adolescents and young adults who also vape nicotine 同时吸食尼古丁的青少年使用 ENDS 设备和改装吸食大麻的情况

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2024-07-03 DOI: 10.1016/j.addbeh.2024.108099

Rachel R. Ouellette, Meghan E. Morean, Juhan Lee, Grace Kong

Background

Electronic nicotine delivery systems (ENDS) are the most used tobacco product among adolescents and young adults (AYAs) and are increasingly used to vape cannabis. It is unclear what vaping devices and ENDS modifications are used most frequently by AYAs who vape both nicotine and cannabis.

Methods

AYAs (aged 14–29) reporting ENDS use in the past 30 days were recruited via Qualtrics (N = 1,011). We conducted three multivariable logistic regression models examining differences in likelihood of: 1) vaping cannabis in the past 30 days; 2) mixing cannabis and nicotine liquids; and 3) using nicotine devices to vape cannabis; based on type of vaping device used most often, controlling for age, socio-economic status, gender, race, frequency of ENDS use, and other cannabis use.

Results

40 % (n = 405) of AYAs reported vaping both nicotine and cannabis in the past 30 days. AYAs who used vape pens most often were more likely to have vaped cannabis concentrates in the past 30 days compared to individuals using disposable vapes (aOR = 2.72, 95 %CI = 1.75–4.21, p < 0.001). AYAs who used open systems most often (i.e., vape pens, mods, or e-hookah) were more likely than individuals using closed systems (i.e., disposable vapes, rechargeable pods or cigalikes) to combine nicotine and cannabis e-liquids (aOR = 2.03, 95 %CI = 1.43–2.89, p < 0.001) or use a nicotine device to vape cannabis (aOR = 1.66, 95 %CI = 1.17–2.34, p = 0.005).

Implications

Co-use of cannabis and nicotine via similar devices, particularly vape pens and other open-systems, warrants collaborative regulatory efforts to mitigate co-use of both substances, with a particular need for increased regulation of cannabis vaping products.

背景电子尼古丁输送系统（ENDS）是青少年中使用最多的烟草产品，而且越来越多地用于吸食大麻。目前还不清楚既吸食尼古丁又吸食大麻的青少年最常使用的吸食设备和ENDS改装件。方法通过Qualtrics（N = 1,011）招募了报告在过去30天内使用过ENDS的青少年（14-29岁）。我们建立了三个多变量逻辑回归模型，以检验以下行为的可能性差异：1）过去 30 天内吸食大麻；2）过去 30 天内吸食ENDS；3）过去 30 天内吸食ENDS：1) 在过去 30 天内吸食大麻；2) 混合吸食大麻和尼古丁液体；3) 使用尼古丁设备吸食大麻；基于最常使用的吸食设备类型，并控制年龄、社会经济地位、性别、种族、ENDS 使用频率和其他大麻使用情况。结果40 %（n = 405）的亚裔报告在过去 30 天内吸食尼古丁和大麻。与使用一次性吸管的人相比，最常使用吸管的亚裔美国人在过去 30 天内吸食大麻浓缩物的可能性更大（aOR = 2.72，95 %CI = 1.75-4.21，p < 0.001）。最常使用开放式系统（即吸管、mod 或电子烟）的亚健康人群比使用封闭式系统（即一次性吸管、充电式吸管或电子烟）的人群更有可能吸食毒品、一次性吸管、可充电 pods 或 cigalikes）的人更有可能混合使用尼古丁和大麻电子液体（aOR = 2.03，95 %CI = 1.43-2.89，p < 0.001）或使用尼古丁装置吸食大麻（aOR = 1.66，95 %CI = 1.17-2.34，p = 0.005）。影响通过类似装置，特别是吸管和其他开放式系统，共同使用大麻和尼古丁，需要合作监管以减少这两种物质的共同使用，特别需要加强对大麻吸食产品的监管。

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引用次数: 0