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
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引用次数: 0

摘要

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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Use of ENDS devices and modifications to vape cannabis among adolescents and young adults who also vape nicotine

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.

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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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