A Longitudinal Study of E-Cigarette, Cigarette, and Marijuana Use Sequence in Youth

Objective There is evidence linking youth use of electronic (e-) cigarettes to subsequent cigarette and marijuana use, raising public health concerns. We examined the sequence of use of e-cigarettes, conventional cigarettes, and marijuana in a longitudinal sample of adolescents, to determine if use...

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Main Authors: Erika Westling, Julie C. Rusby, Ryann Crowley, John M. Light
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Tobacco Use Insights
Online Access:https://doi.org/10.1177/1179173X221101813
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author Erika Westling
Julie C. Rusby
Ryann Crowley
John M. Light
author_facet Erika Westling
Julie C. Rusby
Ryann Crowley
John M. Light
author_sort Erika Westling
collection DOAJ
description Objective There is evidence linking youth use of electronic (e-) cigarettes to subsequent cigarette and marijuana use, raising public health concerns. We examined the sequence of use of e-cigarettes, conventional cigarettes, and marijuana in a longitudinal sample of adolescents, to determine if use of e-cigarettes often preceded use of other substances. Methods We collected self-reports from 1123 Oregon adolescents (52% female; 37% Hispanic) longitudinally from 8 th to 11 th grade (8 total surveys) regarding their lifetime (ever use) and current use (last 30 days) of e-cigarettes, cigarettes, and marijuana. If applicable, students also reported the delivery method of their current marijuana use. Results Almost 10% of adolescents reported using e-cigarettes prior to use of cigarettes or marijuana, and the majority of these youth initiated use of marijuana, cigarettes, or both by 11 th grade. More youth transitioned from e-cigarette use to marijuana use then from e-cigarettes to use of conventional cigarettes. Participants who were co-using e-cigarettes and marijuana in 11 th grade had an increased likelihood of consuming marijuana via vaping, dabbing, and edibles, compared to those who were only using marijuana. Discussion E-cigarettes were often the first substance used in this longitudinal sample, and more of these youth subsequently used marijuana compared to cigarettes. While research has focused on the progression from e-cigarettes to cigarettes in youth, these findings indicate that more attention should be focused on the subsequent initiation of marijuana.
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spelling doaj.art-124b9262a8014aa992f63f5b1e000bb22022-12-22T00:47:58ZengSAGE PublishingTobacco Use Insights1179-173X2022-05-011510.1177/1179173X221101813A Longitudinal Study of E-Cigarette, Cigarette, and Marijuana Use Sequence in YouthErika WestlingJulie C. RusbyRyann CrowleyJohn M. LightObjective There is evidence linking youth use of electronic (e-) cigarettes to subsequent cigarette and marijuana use, raising public health concerns. We examined the sequence of use of e-cigarettes, conventional cigarettes, and marijuana in a longitudinal sample of adolescents, to determine if use of e-cigarettes often preceded use of other substances. Methods We collected self-reports from 1123 Oregon adolescents (52% female; 37% Hispanic) longitudinally from 8 th to 11 th grade (8 total surveys) regarding their lifetime (ever use) and current use (last 30 days) of e-cigarettes, cigarettes, and marijuana. If applicable, students also reported the delivery method of their current marijuana use. Results Almost 10% of adolescents reported using e-cigarettes prior to use of cigarettes or marijuana, and the majority of these youth initiated use of marijuana, cigarettes, or both by 11 th grade. More youth transitioned from e-cigarette use to marijuana use then from e-cigarettes to use of conventional cigarettes. Participants who were co-using e-cigarettes and marijuana in 11 th grade had an increased likelihood of consuming marijuana via vaping, dabbing, and edibles, compared to those who were only using marijuana. Discussion E-cigarettes were often the first substance used in this longitudinal sample, and more of these youth subsequently used marijuana compared to cigarettes. While research has focused on the progression from e-cigarettes to cigarettes in youth, these findings indicate that more attention should be focused on the subsequent initiation of marijuana.https://doi.org/10.1177/1179173X221101813
spellingShingle Erika Westling
Julie C. Rusby
Ryann Crowley
John M. Light
A Longitudinal Study of E-Cigarette, Cigarette, and Marijuana Use Sequence in Youth
Tobacco Use Insights
title A Longitudinal Study of E-Cigarette, Cigarette, and Marijuana Use Sequence in Youth
title_full A Longitudinal Study of E-Cigarette, Cigarette, and Marijuana Use Sequence in Youth
title_fullStr A Longitudinal Study of E-Cigarette, Cigarette, and Marijuana Use Sequence in Youth
title_full_unstemmed A Longitudinal Study of E-Cigarette, Cigarette, and Marijuana Use Sequence in Youth
title_short A Longitudinal Study of E-Cigarette, Cigarette, and Marijuana Use Sequence in Youth
title_sort longitudinal study of e cigarette cigarette and marijuana use sequence in youth
url https://doi.org/10.1177/1179173X221101813
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