Gender Differences in the Association between Marijuana and Menthol Cigarette Use among African American Adult Cigarette Smokers.
Gender Differences in the Association between Marijuana and Menthol Cigarette Use among African American Adult Cigarette Smokers.
复制标题
非裔美国成年吸烟者吸食大麻和薄荷醇香烟之间的性别差异。
DOI：
10.1080/10826084.2020.1741633
复制
发表时间：
2020
影响因子：
2
通讯作者：
WebbHooper,Monica
中科院分区：
文献类型：
--
作者：
Montgomery,LaTrice;WebbHooper,Monica
前言尽管大麻和烟草使用之间存在着密切的联系，尤其是在非裔美国人和男性中，但很少有研究考察大麻和薄荷醇香烟使用之间的联系。本研究旨在了解薄荷醇和非薄荷醇吸烟者过去一个月、过去一年和终生吸食大麻的情况和对大麻的依赖程度，以及非裔美国女性和男性吸烟者中吸食薄荷烟和薄荷醇香烟之间的关系。方法来自2017年全国药物使用与健康调查中的1173名非裔美国成年吸烟者的数据。结果总体上，报告过去一个月、过去一年和终生吸食大麻的非洲裔美国人薄荷醇和非薄荷醇吸烟者的比例分别为8.8%、13.9%和44.7%。加权多变量Logistic回归模型显示性别和过去一个月吸食大麻对薄荷醇香烟的使用有显著交互作用( =1.49，95%CI：1.21-2.42，p<；0.05)。过去一个月大麻的使用与女性上个月薄荷醇香烟的使用(相对于非薄荷醇香烟的使用)增加有关，但在男性中过去一个月薄荷醇香烟的使用增加。结论按性别分层，非裔美国成年人中大麻的使用与薄荷醇香烟的使用存在差异。鉴于薄荷醇香烟在这一人群中的普遍使用，重要的是检查诸如大麻使用等因素，这些因素可以作为对非裔美国人，特别是女性的预防和治疗干预的目标，她们有吸烟的风险或目前正在吸食薄荷醇香烟。这项研究发现，使用大麻与非裔美国女性使用薄荷醇香烟的几率增加相关，而大麻使用与男性同行使用薄荷醇香烟的几率降低相关。大麻使用对薄荷醇香烟吸烟的影响在女性和男性之间有所不同，这突显了需要针对性别量身定做的干预措施，针对有吸烟风险或目前正在吸食薄荷醇香烟的非裔美国人，特别是女性。
IntroductionDespite the strong relationship between marijuana and tobacco use, especially among African American individuals and males, very few studies have examined the association between marijuana and menthol cigarette use. This study was designed to identify the prevalence of past month, past year and lifetime marijuana use and marijuana dependence among menthol and non-menthol cigarette smokers, as well as the association between marijuana and menthol cigarette use among African American female and male cigarette smokers.MethodsData were drawn from 1,173 African American adult cigarette smokers in the 2017 National Survey on Drug Use and Health.ResultsOverall, 8.8%, 13.9% and 44.7% of African American menthol and non-menthol cigarette smokers reported past month, past year and lifetime marijuana use, respectively. Weighted multivariable logistic regression models revealed a significant interaction between gender and past month marijuana use on menthol cigarette use (AOR= 1.49, 95% CI: 1.21-2.42,p< .05). Past month marijuana use was associated with anincreasedodds of past month menthol cigarette use (relative to non-menthol cigarette use) among females, but adecreasedodds of past of past month menthol cigarette use among males.ConclusionsWhen stratified by gender, marijuana use is differentially related to menthol cigarette use among African American adults. Given the prevalence of menthol cigarette use among this population, it is important to examine factors such as marijuana use that could be targeted in prevention and treatment interventions for African Americans, especially females, who are at risk for smoking or are currently smoking menthol cigarettes.ImplicationsThis study found that marijuana use was associated with an increased odds of menthol cigarette use among African American females, while marijuana use was associated with a decreased odds of menthol cigarette use among their male counterparts. The impact of marijuana use on menthol cigarette smoking differs among females and males, highlighting the need for gender-tailored interventions that target marijuana use among African American individuals, especially females, who are at risk for smoking or are currently smoking menthol cigarettes.