Use of tobacco products/devices for marijuana consumption and association with substance use problems among US young adults (2015-2016)
Use of tobacco products/devices for marijuana consumption and association with substance use problems among US young adults (2015-2016)
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DOI：
10.1016/j.addbeh.2019.106133
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发表时间：
2020-03-01
影响因子：
4.4
通讯作者：
Halenar, Michael J.
中科院分区：
文献类型：
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作者：
Seaman, Elizabeth L.;Stanton, Cassandra A.;Halenar, Michael J.
简介：鉴于烟草产品和设备的供应量增加、电子烟趋势上升以及美国不断变化的大麻政策，这项研究报告了美国年轻人使用烟草产品/装置吸食大麻的流行情况以及与物质使用问题的关系。方法：来自Wave 3的美国全国代表性数据（2015-2016）的烟草与健康研究的人口评估被用来评估年轻人的（18-24岁，未加权样本= 8453）曾经使用大麻和曾经使用电子尼古丁输送系统（ENDS）、水烟或雪茄吸食大麻。多项逻辑回归预测的物质使用问题的子量表的全球评估的个人需求的库存分类为低（0-1），中度（2-3）和高（4个或更多）symptoms.Results：加权分析表明，约一半的年轻人（52.1%）曾经使用大麻。在这一组中，大多数人（80.1%）曾经使用任何烟草产品/装置来吸食大麻，包括：ENDS（24.5%），水烟（25.2%）或雪茄（74.0%）。曾经使用烟草产品/大麻装置显著预测中度（RRR = 1.70，p < 0.01）和高（RRR = 4.67，p < 0.01）控制性别、种族、职业、教育和过去30天的香烟、雪茄、ENDS、水烟、大麻和酒精使用的物质使用问题。使用烟草产品/装置吸食大麻在美国年轻人中很常见，并且与物质使用问题有关。需要更好地了解烟草装置如何被用于支持使用这两种物质以及共同使用的结果，以便为政策和公共卫生干预措施提供信息。
Introduction: Given the increased availability of tobacco products and devices, rising trends of vaping, and changing marijuana policies in the United States (U.S.), this study reports the prevalence of U.S. young adults using tobacco products/devices for marijuana consumption and associations with substance use problems.Methods: U.S. nationally representative data from Wave 3 (2015-2016) of the Population Assessment of Tobacco and Health Study were used to assess young adults' (18-24 years old, unweighted sample = 8453) ever marijuana use and ever use of electronic nicotine delivery systems (ENDS), hookah, or cigars for marijuana consumption. A multinomial logistic regression predicted the Substance Use Problem subscale of the Global Appraisal of Individual Needs inventory categorized into low (0-1), moderate (2-3) and high (4 or more) symptoms.Results: Weighted analyses indicated about half of young adults (52.1%) had ever used marijuana. Of this group, the majority (80.1%) ever used any tobacco product/device for marijuana use including: ENDS (24.5%), hookah (25.2%), or cigar (74.0%). Ever use of tobacco products/devices for marijuana significantly predicted moderate (RRR = 1.70, p < 0.01) and high (RRR = 4.67, p < 0.01) substance use problems controlling for sex, race, employment, education, and past 30-day cigarette, cigar, ENDS, hookah, marijuana and alcohol use.Conclusions: Use of tobacco products/devices for marijuana consumption is common among U.S. young adults and it is associated with substance use problems. A better understanding of how tobacco devices are being used to support use of both substances and the outcomes of co-use are needed to inform policy and public health interventions.