Patterns and Correlates of Tobacco and Cannabis co-use by Tobacco Product Type: Findings from the Virginia Youth Survey
| Autor: | Alyssa K Rudy, Megan E. Sutter, Caroline O. Cobb, Amy M. Cohn, Eric K. Soule |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Health (social science) Tobacco use Adolescent Alcohol Drinking Prescription Drug Misuse 030508 substance abuse Medicine (miscellaneous) Marijuana Smoking Logistic regression Article Cigarette Smoking Tobacco Use 03 medical and health sciences 0302 clinical medicine Risk Factors Environmental health Prevalence Humans Medicine 030212 general & internal medicine Child Students biology business.industry Virginia Public Health Environmental and Occupational Health Cannabis use biology.organism_classification Health Surveys Psychiatry and Mental health Smokeless tobacco Female Cannabis Substance use 0305 other medical science business Tobacco product |
| Zdroj: | Substance Use & Misuse. 53:2310-2319 |
| ISSN: | 1532-2491 1082-6084 |
| DOI: | 10.1080/10826084.2018.1473437 |
| Popis: | BACKGROUND: Cannabis use is more common among tobacco users than non-users, and co-use (i.e., use of both substances individually) may be increasing. Better understanding of patterns and correlates of co-use is needed. The current study aimed to compare rates and correlates of tobacco and cannabis co-use by tobacco product among youth. METHODS: High school students who completed the 2013 Virginia Youth Survey and reported past 30-day tobacco use (cigarette, smokeless tobacco, cigar) were included (n=1390). Prevalence of past 30-day tobacco-only and cannabis co-use was calculated. Demographic, tobacco, and other substance use characteristics were compared by co-use status. Multivariate logistic regression models examined correlates of co-use overall and by tobacco product. RESULTS: Over half of tobacco users were co-users. Poly-tobacco use, particularly combusted tobacco, was more prevalent among co-users. Past 30-day alcohol use and lifetime other illegal drug use/prescription drug misuse were common correlates of co-use. Black NH race/ethnicity was associated with co-use when restricted to cigarette users. “Other” race/ethnicity was associated with co-use in the overall model and when restricted to cigar users. Past 30-day cigarette smoking was associated with co-use in all models except among cigar smoking co-users. CONCLUSIONS/IMPORTANCE: Rates and correlates of tobacco and cannabis co-use were not uniform and differed by tobacco product type. Concurrent tobacco and cannabis users may be at greater risk for negative health effects associated with inhaled tobacco and other risky substance use. The efficacy of prevention efforts may be improved if risk factors associated with product-specific concurrent use are considered. |
| Databáze: | OpenAIRE |
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