David R Strong1, Mark G Myers2, Kim Pulvers3, Madison Noble4, Kristin Brikmanis2, Neal Doran2. 1. Cancer Prevention and Control Program, Moores Cancer Center, University of California, 9500 Gilman Dr., La Jolla, CA, 92093-0631, USA; Department of Family Medicine and Public Health, University of California, 9500 Gilman Dr., La Jolla, CA, 92093-0631, USA. Electronic address: dstrong@ucsd.edu. 2. Department of Psychiatry, University of California, 9500 Gilman Dr., La Jolla, CA, 92093-0631, USA; VA San Diego Healthcare System, 3350 La Jolla Village Dr., San Diego, CA, 92161, USA. 3. Department of Psychology, California State University, 333 S. Twin Oaks Valley Rd., San Marcos, CA, 92096, USA. 4. Cancer Prevention and Control Program, Moores Cancer Center, University of California, 9500 Gilman Dr., La Jolla, CA, 92093-0631, USA; Department of Family Medicine and Public Health, University of California, 9500 Gilman Dr., La Jolla, CA, 92093-0631, USA.
Abstract
BACKGROUND: With an increase in marijuana use among adults in the United States (US), understanding the potential impact of marijuana use on tobacco use and associated behavioral and health consequences, including respiratory conditions, is necessary. METHOD: Survey responses from Wave 1 of the nationally representative Population Assessment of Tobacco and Health (PATH) Study were used to assess tobacco use and marijuana use among non-current tobacco users (n = 17,952) and current established tobacco-users classified as: cigarette only users (n = 8689), e-cigarette only users (n = 437), cigar only (traditional, cigarillo, or filtered) users (n = 706), hookah only users (n = 461), smokeless tobacco only users (n = 971), cigarette + e-cigarette users (n = 709), and users of multiple tobacco products (n = 2314). RESULTS: When compared to non-current tobacco users, each tobacco user group except smokeless only users had higher odds (odds ratios ranging from 3.86-8.07) of reporting current marijuana use. Among current tobacco users, higher levels of tobacco dependence did not explain the relationship between tobacco use and marijuana use. Additionally, concurrent marijuana use was associated with lower odds of attempts to quit tobacco (OR = 0.86, 95% CI = 0.79, 0.94, p < 0.001) and a higher probability (OR = 1.35, 95CI = 1.21, 1.51, p < 0.01) of reporting a history of respiratory disease. CONCLUSIONS: The association between concurrent use of tobacco and marijuana and higher tobacco dependence and lower rates of quit attempts suggests the potential for sustained tobacco use and deleterious health effects. Further, marijuana use may represent an additive risk for respiratory harm among concurrent users of tobacco and marijuana.
BACKGROUND: With an increase in marijuana use among adults in the United States (US), understanding the potential impact of marijuana use on tobacco use and associated behavioral and health consequences, including respiratory conditions, is necessary. METHOD: Survey responses from Wave 1 of the nationally representative Population Assessment of Tobacco and Health (PATH) Study were used to assess tobacco use and marijuana use among non-current tobacco users (n = 17,952) and current established tobacco-users classified as: cigarette only users (n = 8689), e-cigarette only users (n = 437), cigar only (traditional, cigarillo, or filtered) users (n = 706), hookah only users (n = 461), smokeless tobacco only users (n = 971), cigarette + e-cigarette users (n = 709), and users of multiple tobacco products (n = 2314). RESULTS: When compared to non-current tobacco users, each tobacco user group except smokeless only users had higher odds (odds ratios ranging from 3.86-8.07) of reporting current marijuana use. Among current tobacco users, higher levels of tobacco dependence did not explain the relationship between tobacco use and marijuana use. Additionally, concurrent marijuana use was associated with lower odds of attempts to quit tobacco (OR = 0.86, 95% CI = 0.79, 0.94, p < 0.001) and a higher probability (OR = 1.35, 95CI = 1.21, 1.51, p < 0.01) of reporting a history of respiratory disease. CONCLUSIONS: The association between concurrent use of tobacco and marijuana and higher tobacco dependence and lower rates of quit attempts suggests the potential for sustained tobacco use and deleterious health effects. Further, marijuana use may represent an additive risk for respiratory harm among concurrent users of tobacco and marijuana.
Authors: Lesia M Ruglass; Adriana Espinosa; Skye Fitzpatrick; M Kamran Meyer; Kechna Cadet; Alexander Sokolovsky; Kristina M Jackson; Helene R White Journal: Subst Use Misuse Date: 2019-10-01 Impact factor: 2.164
Authors: Christal N Davis; Wendy S Slutske; Nicholas G Martin; Arpana Agrawal; Michael T Lynskey Journal: Drug Alcohol Depend Date: 2019-10-28 Impact factor: 4.492
Authors: Jennifer Cornacchione Ross; Jessica L King; Allison J Lazard; Seth M Noar; Beth A Reboussin; Desmond Jenson; Erin L Sutfin Journal: Nicotine Tob Res Date: 2021-01-22 Impact factor: 4.244