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. 2015 Sep 2:15:843.
doi: 10.1186/s12889-015-2194-3.

Cannabis use and other predictors of the onset of daily cigarette use in young men: what matters most? Results from a longitudinal study

Julia Becker  1 , Michael P Schaub  2 , Gerhard Gmel  3   4   5   6 , Severin Haug  7
Affiliations

Cannabis use and other predictors of the onset of daily cigarette use in young men: what matters most? Results from a longitudinal study

Julia Becker et al. BMC Public Health. .

Abstract

Background: According to the gateway hypothesis, tobacco use is a gateway of cannabis use. However, there is increasing evidence that cannabis use also predicts the progression of tobacco use (reverse gateway hypothesis). Unfortunately, the importance of cannabis use compared to other predictors of tobacco use is less clear. The aim of this study was to examine which variables, in addition to cannabis use, best predict the onset of daily cigarette smoking in young men.

Methods: A total of 5,590 young Swiss men (mean age = 19.4 years, SD = 1.2) provided data on their substance use, socio-demographic background, religion, health, social context, and personality at baseline and after 18 months. We modelled the predictors of progression to daily cigarette smoking using logistic regression analyses (n = 4,230).

Results: In the multivariate overall model, use of cannabis remained among the strongest predictors for the onset of daily cigarette use. Daily cigarette use was also predicted by a lifetime use of at least 50 cigarettes, occasional cigarette use, educational level, religious affiliation, parental situation, peers with psychiatric problems, and sociability.

Conclusions: Our results highlight the relevance of cannabis use compared to other potential predictors of the progression of tobacco use and thereby support the reverse gateway hypothesis.

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References

    1. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2224–60. doi: 10.1016/S0140-6736(12)61766-8. - DOI - PMC - PubMed
    1. Bentler PM, Newcomb MD, Zimmerman MA. Cigarette use and drug use progression. Growth trajectory and lagged effect hypotheses. In: Kandel DB, editor. Stages and pathways of drug involvement. Examining the gateway hypothesis. Cambridge: Cambridge University Press; 2002. pp. 223–53.
    1. Tullis LM, DuPont R, Frost-Pineda K, Gold MS. Marijuana and tobacco: a major connection? J Addict Dis. 2003;22:51–62. doi: 10.1300/J069v22n03_05. - DOI - PubMed
    1. Patton GC, Coffey C, Carlin JB, Sawyer SM, Lynskey M. Reverse gateways? Frequent cannabis use as a predictor of tobacco initiation and nicotine dependence. Addiction. 2005;100:1518–25. doi: 10.1111/j.1360-0443.2005.01220.x. - DOI - PubMed
    1. Agrawal A, Madden PAF, Bucholz KK, Heath AC, Lynskey MT. Transitions to regular smoking and to nicotine dependence in women using cannabis. Drug Alcohol Depend. 2008;95:107–14. doi: 10.1016/j.drugalcdep.2007.12.017. - DOI - PMC - PubMed

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