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The patterns of youth initiating the co-use of tobacco & cannabis Products and patterns through which adolescents, young adults, and adults initiate co-use of tobacco and cannabis https://www.sciencedirect.com/science/article/abs/pii/S0306460324001540
Highlights
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Among participants who used tobacco and cannabis in the past 30 days:
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71% reported using tobacco first in their lifetime (n = 1,480).
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59% who used tobacco before cannabis initiated with nicotine e-cigarettes (n = 827).
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44% who used cannabis before tobacco initiated with combustible cannabis (n = 248).
Abstract
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.
Read full paper at link above
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In a survey of adolescents, one-third wanted to change their cannabis use while half wanted to change their e-cigarette use Intention to quit or reduce e-cigarettes, cannabis, and their co-use among a school-based sample of adolescents https://www.sciencedirect.com/science/article/pii/S0306460324001503
In youth, attachment to parents is linked to less cannabis use Attachment to parents and adolescents’ marijuana use, attitudes, and perceptions: Assessing the role of county-level dispensaries https://www.sciencedirect.com/science/article/abs/pii/S0047235224000734
For young people, nicotine vaping associated with the subsequent initiation of cannabis & other substances Is nicotine vaping associated with subsequent initiation of cannabis or other substances from adolescence into young adulthood? https://academic.oup.com/aje/advance-article-abstract/doi/10.1093/aje/kwae189/7710092?redirectedFrom=fulltext
