Patterns of blunt and cigar use in the United States, 2015-2019.
Patterns of blunt and cigar use in the United States, 2015-2019.
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2015-2019 年美国钝烟和雪茄的使用模式。
DOI：
10.1101/2024.02.26.24303391
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Manderski,MichelleTBover
中科院分区：
文献类型：
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作者：
Jensen,JessicaK;Ganz,Ollie;Tomaino,Marisa;Glasser,AllisonM;Sterling,Kymberle;Delnevo,CristineD;Manderski,MichelleTBover
IntroductionThe use of cigars for blunts（ie，cannabis rolled in cigar paper）is well documented; the患病率的雪茄和钝的使用和相关的特点是较少studied.MethodsPooled data from the 2015-2019 National Survey on Drug Use and Health were analyzed in 2023.报告过去30天使用雪茄的12岁以上受访者被分为三个相互排斥的使用类别：（1）完全雪茄，（2）完全钝，（3）雪茄和钝。我们研究了雪茄钝器使用类别和sociodemographic characteristics.ResultsAmong 12岁以上的受访者报告过去30天的雪茄使用，48.6%（95%置信区间[CI]= 47.6至49.6）报告独家雪茄使用; 44.3%（95% CI = 43.3至45.3）报告独家钝器使用;和7.2%（95% CI = 6.8至7.6）报告使用雪茄和钝器。 患病率因年龄而异，纯钝性使用在青年（72.5% [95% CI = 70.7至74.3]）和年轻成人（62.4% [95% CI = 61.4至63.5]）中最常见，纯雪茄使用在26岁以上成人中最常见（61.2% [95% CI = 59.8至62.5]）。 在过去的一个月里，纯钝型使用者吸烟的天数更多（17.5; 95% CI = 16.8至18.2），而雪茄和钝型使用者吸烟的天数为13.8天（95% CI=13.2至14.4），纯雪茄使用者吸烟的天数为7.7天（95% CI=7.5至8.0）。 有显着差异的社会人口学特征，女性（41.6%; 95%CI = 40.3至42.9）和西班牙裔（18.2%; 95%CI = 17.3至19.2）参与者更有可能报告独家钝use.ConclusionsExclusive钝使用是最普遍的模式，过去30天的青年和年轻人之间的雪茄使用。 那些谁使用雪茄作为blunts每月抽更多的雪茄，这表明这可能是一个重要的教育和政策effortes.ImplicationsStudies组，汇总雪茄和blunts成一组可能会限制潜在的有意义的亚组风险概况。此外，在评估雪茄的使用情况时，特别是在青年和年轻人中，重要的是要考虑钝性使用，以避免遗漏专门使用雪茄的年轻人，他们可能不认为钝性雪茄是雪茄产品。准确的测量可以更好地为烟草和大麻管制行动提供信息。最后，鉴于本研究中确定的青少年和年轻成年人中钝性使用的流行率很高，可能需要对这一人群进行更多的教育，以减少长期风险。
IntroductionThe use of cigars for blunts (ie, cannabis rolled in cigar paper) is well documented; the prevalence of cigar and blunt use and associated characteristics are less studied.MethodsPooled data from the 2015–2019 National Survey on Drug Use and Health were analyzed in 2023. Respondents aged 12+ who reported past 30-day cigar use were categorized into three mutually exclusive use categories: (1) exclusively cigars, (2) exclusively blunts, and (3) both cigars and blunts. We examined associations between cigar-blunt use categories and sociodemographic characteristics.ResultsAmong respondents aged 12+ who reported past 30-day cigar use, 48.6% (95% confidence interval [CI] = 47.6 to 49.6) reported exclusive cigar use; 44.3% (95% CI = 43.3 to 45.3) reported exclusive blunt use; and 7.2% (95% CI = 6.8 to 7.6) reported use of cigars and blunts. The prevalence differed by age, with exclusive blunt use most prevalent among youth (72.5% [95% CI = 70.7 to 74.3]) and young adults (62.4% [95% CI = 61.4 to 63.5]), and exclusive cigar use most prevalent among adults 26+ (61.2% [95% CI = 59.8 to 62.5]). Exclusive blunt users smoked more days in the past month (17.5; 95% CI = 16.8 to 18.2), compared to 13.8 days (95% CI = 13.2 to 14.4) for cigar and blunt users, and 7.7 days (95% CI = 7.5 to 8.0) for exclusive cigar users. There were significant differences in sociodemographic characteristics, with female (41.6%; 95% CI = 40.3 to 42.9) and Hispanic (18.2%; 95% CI = 17.3 to 19.2) participants more likely to report exclusive blunt use.ConclusionsExclusive blunt use was the most prevalent pattern of past 30-day cigar use among youth and young adults. Those who use cigars as blunts smoked more cigars per month, suggesting this may be an important group for education and policy efforts.ImplicationsStudies that aggregate cigars and blunts into one group may limit potentially meaningful subgroup risk profiles. Additionally, when assessing cigar use, particularly among youth and young adults, it is important to consider blunt use to avoid missing youth who exclusively use cigars for blunts and may not consider blunts as cigar products. Accurate measurement may better inform tobacco and cannabis regulatory actions. Finally, given the high prevalence of blunt use among youth and young adults identified in the present study, additional education efforts may be warranted for this population to reduce long-term risks.