International differences in patterns of cannabis use among adult cigarette smokers: Findings from the 2018 ITC Four Country Smoking and Vaping Survey.

International differences in patterns of cannabis use among adult cigarette smokers: Findings from the 2018 ITC Four Country Smoking and Vaping Survey.
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DOI:
10.1016/j.drugpo.2020.102754
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发表时间:
2020-04-16
期刊:
The International journal on drug policy
影响因子:
--
通讯作者:
Fong GT
Fong GT
中科院分区:
其他
文献类型:
--
作者:
Gravely S;Driezen P;Smith DM;Borland R;Lindblom EN;Hammond D;McNeill A;Hyland A;Cummings KM;Chan G;Thompson ME;Boudreau C;Martin N;Ouimet J;Loewen R;Quah ACK;Goniewicz ML;Thrasher JF;Fong GT

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尽管有证据表明,共同使用香烟和大麻很常见,但很少有研究研究共同使用模式是否会因大麻的监管环境而有所不同。这项研究调查了四个不同历史和大麻合法化不同阶段的吸烟者的共同使用模式和对相对危害的看法。数据来自2018年国际烟草控制4CV调查,包括来自加拿大、美国、澳大利亚和英国的10035名成年吸烟者。在调查时,与澳大利亚和英国相比,加拿大和美国的大麻法规相对更宽松。在这份10,035名吸烟者的样本中,加拿大在过去12个月中吸食大麻的比例最高(36.3%),其次是美国(29.1%)、英国(21.6%)和澳大利亚(21.4%)。在过去12个月的共同吸毒者(n=3,134)中,美国(40.2%)和加拿大(35.2%)的每日大麻使用率最高,其次是英国(26.3%)和澳大利亚(21.7%)的吸烟者;澳大利亚的共同吸烟者不经常(每月)吸食大麻的比率最高。每天吸烟和每天吸食大麻的共同使用者比例最高的是美国(34.8%),其次是加拿大(30.6%)、英国(25.8%)和澳大利亚(22.7%)。与澳大利亚(65.5%)和英国(60.8%)相比,美国(78.3%)和加拿大(73.6%)的共吸烟者认为吸食大麻的危害要小得多。在过去30天内使用大麻的大多数共同使用者吸食过大麻(92.3%),英国人吸食大麻的可能性(95.7%)高于加拿大(88.6%);不同国家之间没有其他差异(美国:92.0%,澳大利亚:93.0%)。英国(90.4%)和澳大利亚(86.0%)的共同吸毒者比加拿大(38.5%)和美国(22.3%)的共同使用者更有可能将烟草和大麻混合在一起。烟草和大麻的共同使用模式因国家而异。与英国和澳大利亚相比,加拿大和美国吸烟者的共同吸烟率、每日大麻使用率、大麻和香烟的双重使用率都更高,而且更有可能认为吸烟的大麻比香烟的危害更小。有必要进一步注意不同的大麻条例可能如何影响共同使用模式。
Although evidence shows that co-use of cigarettes and cannabis is common, there is little research examining if co-use patterns vary depending on the regulatory environment for cannabis. This study examined patterns of co-use and perceptions of relative harm among cigarette smokers in four countries with different histories, and at different stages of cannabis legalization. Data are from the 2018 International Tobacco Control 4CV Survey and included 10,035 adult cigarette smokers from Canada, United States (US), Australia, and England. At the time of the survey, Canada and the US had relatively more permissive cannabis regulations compared to Australia and England. Among this sample of 10,035 cigarette smokers, Canada had the highest rate of cannabis co-use in the last 12 months (36.3%), followed by the US (29.1%), England (21.6%), and Australia (21.4%). Among past 12 month co-users (n=3,134), the US (40.2%) and Canada (35.2%) had the highest rates of daily cannabis use, followed by smokers in England (26.3%) and Australia (21.7%); Australian co-users had the highest rate of infrequent (<monthly) cannabis use. The highest proportion of co-users who smoked daily and used cannabis daily was in the US (34.8%), followed by Canada (30.6%), England (25.8%), and Australia (22.7%). More co-users in the US (78.3%) and Canada (73.6%) perceived smoked cannabis to be less harmful than cigarettes than in Australia (65.5%) and England (60.8%). The majority of co-users who used cannabis in the last 30 days had smoked it (92.3%), with those in England more likely to smoke cannabis (95.7%) compared to Canada (88.6%); there were no other differences between countries (US: 92.0%, Australia: 93.0%). Co-users in England (90.4%) and Australia (86.0%) were more likely to mix tobacco with cannabis than co-users in Canada (38.5%) and the US (22.3%). Patterns of tobacco and cannabis co-use differed between countries. Smokers in Canada and the US had higher rates of co-use, daily cannabis use, dual-daily use of both cannabis and cigarettes, and were more likely to perceive smoked cannabis as less harmful than cigarettes compared to England and Australia. Further attention as to how varying cannabis regulations may impact co-use patterns is warranted.
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