The association between cannabis vaping and other substance use

Introduction: The popularity of cannabis vaping has increased rapidly, especially among adolescents and young adults. We posit some possible explanations and, to evaluate them, examine whether cannabis vapers differ from non-vaping cannabis users in other substance use. Methods: Using nationally rep...

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Main Authors: Ruoyan Sun, David Mendez, Kenneth E. Warner
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Addictive Behaviors Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235285322300041X
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author Ruoyan Sun
David Mendez
Kenneth E. Warner
author_facet Ruoyan Sun
David Mendez
Kenneth E. Warner
author_sort Ruoyan Sun
collection DOAJ
description Introduction: The popularity of cannabis vaping has increased rapidly, especially among adolescents and young adults. We posit some possible explanations and, to evaluate them, examine whether cannabis vapers differ from non-vaping cannabis users in other substance use. Methods: Using nationally representative data from the Population Assessment of Tobacco and Health (PATH) Study wave 5 (Dec. 2018-Nov. 2019), we assessed the association between cannabis vaping and other substance use. A total of 1,689 adolescents and 10,620 adults who reported cannabis use in the past 12 months were included in the study. We employed multivariable logistic regressions to assess the association between cannabis vaping and other substance use. Results: Among past 12-month cannabis users, compared with those who do not vape cannabis, participants who vape cannabis had higher risks of using alcohol (adjusted relative risk [aRR] = 1.04, 95 % CI, 1.01–1.07), cigarettes (aRR = 1.09, 95 % CI, 1.02–1.15), cigars (aRR = 1.17, 95 % CI, 1.06–1.30), other tobacco products (aRR = 1.29, 95 % CI, 1.14–1.45), electronic nicotine products (aRR = 4.64, 95 % CI, 4.32–4.99), other illicit drugs (aRR = 1.53, 95 % CI, 1.29–1.80), and misuse of prescription drugs (aRR = 1.43, 95 % CI, 1.19–1.72). Compared to older cannabis vapers, younger cannabis vapers were at risk of using more other substances. Cannabis vaping was associated with all seven measures of substance use among young adults. Conclusions: Compared to non-vaping cannabis users, cannabis vapers have higher likelihood of using other substances. Research is needed to understand why, as well as the implications of the association.
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spelling doaj.art-6c89f7baf62342d28d631677d64bac692023-12-15T07:24:57ZengElsevierAddictive Behaviors Reports2352-85322023-12-0118100519The association between cannabis vaping and other substance useRuoyan Sun0David Mendez1Kenneth E. Warner2Department of Health Policy and Organization, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, United States; Corresponding author at: University of Alabama at Birmingham, Health Policy and Organization, 310C Ryals Public Health Building, 1665 University Boulevard, Birmingham, AL 35294, United States.Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109, United StatesDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109, United StatesIntroduction: The popularity of cannabis vaping has increased rapidly, especially among adolescents and young adults. We posit some possible explanations and, to evaluate them, examine whether cannabis vapers differ from non-vaping cannabis users in other substance use. Methods: Using nationally representative data from the Population Assessment of Tobacco and Health (PATH) Study wave 5 (Dec. 2018-Nov. 2019), we assessed the association between cannabis vaping and other substance use. A total of 1,689 adolescents and 10,620 adults who reported cannabis use in the past 12 months were included in the study. We employed multivariable logistic regressions to assess the association between cannabis vaping and other substance use. Results: Among past 12-month cannabis users, compared with those who do not vape cannabis, participants who vape cannabis had higher risks of using alcohol (adjusted relative risk [aRR] = 1.04, 95 % CI, 1.01–1.07), cigarettes (aRR = 1.09, 95 % CI, 1.02–1.15), cigars (aRR = 1.17, 95 % CI, 1.06–1.30), other tobacco products (aRR = 1.29, 95 % CI, 1.14–1.45), electronic nicotine products (aRR = 4.64, 95 % CI, 4.32–4.99), other illicit drugs (aRR = 1.53, 95 % CI, 1.29–1.80), and misuse of prescription drugs (aRR = 1.43, 95 % CI, 1.19–1.72). Compared to older cannabis vapers, younger cannabis vapers were at risk of using more other substances. Cannabis vaping was associated with all seven measures of substance use among young adults. Conclusions: Compared to non-vaping cannabis users, cannabis vapers have higher likelihood of using other substances. Research is needed to understand why, as well as the implications of the association.http://www.sciencedirect.com/science/article/pii/S235285322300041XCannabisElectronic cigarettesVapingSubstance use
spellingShingle Ruoyan Sun
David Mendez
Kenneth E. Warner
The association between cannabis vaping and other substance use
Addictive Behaviors Reports
Cannabis
Electronic cigarettes
Vaping
Substance use
title The association between cannabis vaping and other substance use
title_full The association between cannabis vaping and other substance use
title_fullStr The association between cannabis vaping and other substance use
title_full_unstemmed The association between cannabis vaping and other substance use
title_short The association between cannabis vaping and other substance use
title_sort association between cannabis vaping and other substance use
topic Cannabis
Electronic cigarettes
Vaping
Substance use
url http://www.sciencedirect.com/science/article/pii/S235285322300041X
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