Cannabis use among a nationally representative cross-sectional sample of smokers and non-smokers in the Netherlands: results from the 2015 ITC Netherlands Gold Magic Survey
Cannabis use among a nationally representative cross-sectional sample of smokers and non-smokers in the Netherlands: results from the 2015 ITC Netherlands Gold Magic Survey
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DOI：
10.1136/bmjopen-2018-024497
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发表时间：
2019-06-01
期刊：
影响因子：
2.9
通讯作者：
Fong, Geoffrey
中科院分区：
文献类型：
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作者：
Fix, Brian Vincent;Smith, Danielle;Fong, Geoffrey
目的现有证据表明，烟草和大麻的共生使用十分普遍。随着更多的司法管辖区将医用和/或娱乐性大麻销售合法化，烟草和大麻的共同使用模式可能会发生变化。这项分析考察了吸烟者和不吸烟者当前大麻使用的预测因素，并描述了吸烟者和不吸烟者在大麻使用合法化的背景下的消费方式。2015年7月至8月间进行的2015年国际烟草控制荷兰-Gold Magic调查。参与者(n=1599人；1003名当前吸烟者、283名以前吸烟者和390名不吸烟者)被要求报告他们目前(过去30天)的香烟和大麻使用情况。吸烟者报告说，他们是否主要使用工厂生产的卷烟。那些报告在过去30天内使用过大麻的人被问及使用的大麻形式。结果吸烟史30d吸烟者(n=57/987=5.8%)高于既往吸烟者(n=10/288=3.5%)和从不吸烟者(n=6/316=1.9%)。关节是目前吸烟者(96.9%)和不吸烟者(76.5%)最常用的大麻使用形式。在吸食大麻的人中，95%的现在吸烟者和67%的不吸烟者报告说他们“总是”将大麻与烟草卷在一起。结论在荷兰的样本中，据报道大多数大麻是通过吸烟点消费的，最常与烟草混合。这种行为可能会给不吸烟的大麻使用者带来独特的健康问题，因为烟草使用可能会导致尼古丁依赖。此外，许多不吸烟的大麻使用者似乎被错误地归类为实际接触烟草/尼古丁的人。
Objectives Existing evidence shows that co-occurring use of tobacco and cannabis is widespread. Patterns of co-use of tobacco and cannabis may change as more jurisdictions legalise medicinal and/or recreational cannabis sales. This analysis examined predictors of current cannabis use and characterised methods of consumption among smokers and non-smokers in a context where cannabis use is legal.Setting The 2015 International Tobacco Control Netherlands-Gold Magic Survey conducted between July and August 2015.Participants Participants (n=1599; 1003 current smokers, 283 former smokers and 390 non-smokers) were asked to report their current (past 30-day) use of cigarettes and cannabis. Cigarette smokers reported whether they primarily used factory made of roll-your-own cigarettes. Those who reported any cannabis use in the last 30 days were asked about forms of cannabis used. X(2)and logistic regression analyses were used to assess relationships among combustible tobacco and cannabis use.Results Past 30-day cannabis use was somewhat higher among current tobacco (or cigarette) smokers (n=57/987=5.8%) than among former or never smokers (n=10/288=3.5% and n=6/316=1.9%, respectively). Joints were the most commonly used form of cannabis use for both current cigarette smokers (96.9%) and non-smokers (76.5%). Among those who smoked cannabis joints, 95% current smokers and 67% of non-smokers reported that they 'always' roll cannabis with tobacco.Conclusions In this Netherlands-based sample, most cannabis was reported to be consumed via smoking joints, most often mixed with tobacco. This behaviour may present unique health concerns for non-cigarette smoking cannabis users, since tobacco use could lead to nicotine dependence. Moreover, many non-cigarette smoking cannabis users appear to be misclassified as to their actual tobacco/nicotine exposure.