Nicotine Dependence among Current Cigarette Smokers Who Use E-Cigarettes and Cannabis.
Nicotine Dependence among Current Cigarette Smokers Who Use E-Cigarettes and Cannabis.
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目前使用电子烟和大麻的吸烟者对尼古丁的依赖。
DOI：
10.1080/10826084.2023.2177961
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发表时间：
2023
影响因子：
2
通讯作者：
Fagan,Pebbles
中科院分区：
文献类型：
--
作者：
Jones,DinaM;Guy,MignonneC;Fairman,BrianJ;Soule,Eric;Eissenberg,Thomas;Fagan,Pebbles
烟草和大麻的共同使用以及香烟和电子烟的双重使用在年轻人中非常普遍。然而，目前尚不清楚香烟，电子烟和/或大麻的共同使用是否与尼古丁依赖水平高于单独使用尼古丁有关。我们调查了18-35岁的4组吸烟者中香烟/尼古丁依赖与烟草和大麻共同使用之间的关系：电子烟-电子烟（CIG-ECIG）共同使用者，大麻-大麻（CIG-CAN）共同使用者，还有大麻方法数据来自2018年的横断面调查，该调查基于18-35岁吸烟者的全国便利样本（n= 315）。香烟/尼古丁依赖性通过Fagerstrom尼古丁依赖性测试（FTND）测量，电子烟依赖性通过宾夕法尼亚州立大学电子烟依赖指数测量。双变量分析研究了社会人口和烟草/其他物质的使用特点，共同使用的状态和多变量线性回归评估共同使用和尼古丁dependence.ResultsIn样本之间的关系，27.6%是只吸烟者，24.8%是CIG-ECIG，27.6%是CIG-CAN，和20.0%是CIG-ECIG-CAN共同用户。按共同使用状态，观察到社会人口统计学和烟草/其他物质使用特征存在显著差异。电子烟共同使用者的电子烟依赖性较低，但FTND评分中等。在校正分析中，与单纯吸烟相比，仅CIG-ECIG联合使用与更高的FTND评分相关。然而，CIG-ECIG和CIG-ECIG-CAN的共同使用与更高的FTND分数相比，CIG-CAN co-use.ConclusionsCo-use的香烟和电子烟与更大的尼古丁依赖18-35岁的吸烟者。需要进行更多的研究，以了解这些关系的基本机制，并为预防工作提供信息。
BackgroundCo-use of tobacco and cannabis and dual use of cigarettes and e-cigarettes are very common among young adults. However, it is unclear whether co-use of cigarettes, e-cigarettes, and/or cannabis is associated with higher levels of nicotine dependence than cigarette-only use. We investigated the relationship between cigarette/nicotine dependence and co-use of tobacco and cannabis among 4 groups of cigarette smokers aged 18–35: cigarette-only smokers, cigarette-e-cigarette (CIG-ECIG) co-users, cigarette-cannabis (CIG-CAN) co-users, and cigarette-e-cigarette-cannabis (CIG-ECIG-CAN) co-users.MethodsData were from a 2018 cross-sectional survey based on a national convenience sample of smokers aged 18–35 (n= 315). Cigarette/nicotine dependence was measured by the Fagerstrom Test of Nicotine Dependence (FTND) and e-cigarette dependence was measured by the Penn State E-cigarette Dependence Index. Bivariate analyses examined sociodemographic and tobacco/other substance use characteristics by co-use status and multivariable linear regression assessed the relationship between co-use and nicotine dependence.ResultsIn the sample, 27.6% were cigarette-only smokers, 24.8% were CIG-ECIG, 27.6% were CIG-CAN, and 20.0% were CIG-ECIG-CAN co-users. Significant differences were observed in sociodemographic and tobacco/other substance use characteristics by co-use status. E-cigarette co-users had low e-cigarette dependence, but moderate FTND scores. In adjusted analyses, only CIG-ECIG co-use was associated with higher FTND scores compared to cigarette-only smoking. However, CIG-ECIG and CIG-ECIG-CAN co-use were associated with higher FTND scores compared to CIG-CAN co-use.ConclusionsCo-use of cigarettes and e-cigarettes was associated with greater nicotine dependence among smokers aged 18–35. Additional research is needed to understand the underlying mechanisms of these relationships and inform prevention efforts.