The Association Between Cannabis Use and Subsequent Nicotine Electronic Cigarette Use Among US Adolescents

被引:1
作者
Sun, Ruoyan [1 ]
Mendez, David [2 ]
Warner, Kenneth E. [2 ]
机构
[1] Univ Alabama Birmingham, Sch Publ Hlth, Dept Hlth Policy & Org, 310C Ryals Publ Hlth Bldg,1665 Univ Blvd, Birmingham, AL 35294 USA
[2] Univ Michigan, Sch Publ Hlth, Dept Hlth Management & Policy, Ann Arbor, MI USA
关键词
Addiction; Electronic cigarettes; Substance use; Adolescent; Cannabis use; MARIJUANA USE; POLYSUBSTANCE USE; UNITED-STATES; SMOKING; TOBACCO; RISK; ONSET;
D O I
10.1016/j.jadohealth.2023.02.011
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: The current study assessed the association between cannabis use among youth never e-cigarette users and subsequent e-cigarette use. Methods: The Population Assessment of Tobacco and Health Study is a nationally representative cohort study. Participants aged 12 years and older were selected using a 4-stage, stratified prob-ability sample design from the US civilian, noninstitutionalized population. We included adoles-cents who participated in both wave 4.5 (2017-2018) and wave 5 (2018-2019) of Population Assessment of Tobacco and Health, and were never e-cigarette users at baseline (N = 9,925). Through multivariable logistic regressions, we examined the prospective association between cannabis use and subsequent e-cigarette use. Results: E-cigarette use at wave five was significantly more common among youth cannabis users at wave 4.5. The adjusted relative risks between ever cannabis use and subsequent past 12-month, past 30-day, and frequent e-cigarette use (>= 20 days per month) were 1.53 (95% CI, 1.26-1.81), 1.70 (95% CI, 1.25-2.15), and 2.10 (95% CI, 1.17-3.03), respectively. The adjusted relative risks between past 30-day cannabis use and subsequent past 12-month, past 30-day, and frequent e-cigarette use were 1.54 (95% CI, 1.04-2.28), 2.01 (95% CI, 1.23-3.29), and 2.87 (95% CI, 1.44-5.71), respectively. We also found significant associations between ever cannabis vaping with subsequent e-cigarette use. Discussion: While previous research associates e-cigarette use with subsequent onset of cannabis use, we identify a reverse directional effect, where adolescent cannabis use is associated with increased likelihood of future e-cigarette use.(c) 2023 Society for Adolescent Health and Medicine. All rights reserved.
引用
收藏
页码:133 / 140
页数:8
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