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. 2019;54(10):1627-1632.
doi: 10.1080/10826084.2019.1597888. Epub 2019 Apr 11.

Prevalence and Correlates of Simultaneous and Separate 30-Day Use of Tobacco and Cannabis: Results from the California Adult Tobacco Survey

Dorie E Apollonio  1 , Joanne Spetz  1 , Laura Schmidt  1 , Laurie Jacobs  1 , Manpreet Kaur  1 , Danielle Ramo  1
Affiliations

Prevalence and Correlates of Simultaneous and Separate 30-Day Use of Tobacco and Cannabis: Results from the California Adult Tobacco Survey

Dorie E Apollonio et al. Subst Use Misuse. 2019.

Abstract

Background: There is limited information on separate use and simultaneous use of tobacco and cannabis products, particularly for new electronic nicotine delivery systems (ENDS). This study presents detailed information about the prevalence and correlates of individual use, separate use, and simultaneous use of tobacco and cannabis in California, the first state to allow medical marijuana in the US. It specifically distinguishes between simultaneous use (both substances used in the same occasion) and separate use (both products used, but not simultaneously). Objectives: Participants in the 2016 California Adult Tobacco Survey (N = 3,058; age range 18-64 years) completed online surveys between February and March 2016 that assessed tobacco and cannabis use in the past 30 days. Results: Participants' use of tobacco (15% cigarettes) was higher than use of ENDS (6%) or cannabis (10%); the overall rate of separate use was 6% and the overall rate of simultaneous use was 3%. Correlates of tobacco use included lower levels of education and income. Correlates of simultaneous tobacco and cannabis use included being unemployed or having a disability. Conclusions/Importance: This survey of California residents suggests how use patterns change in states that legalize medical marijuana prior to recreational cannabis, although it may underestimate prevalence due to reliance on self-reported use. Persons who were unemployed and persons with disabilities were at higher risk for simultaneous use of tobacco and cannabis. These findings suggest that prevention and cessation interventions intended to target simultaneous use should address these populations, as well as adolescents and young adults.

Keywords: California; Tobacco use; United States; cannabis use; marijuana.

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Conflict of interest statement

Declaration of interest

The authors declare that they have no conflict of interest. The authors alone are responsible for the content and writing of the article.

References

    1. Agrawal A, Budney AJ, & Lynskey MT (2012). The co-occurring use and misuse of cannabis and tobacco: A review. Addiction (Abingdon, England), 107(7), 1221–1233. doi: 10.1111/j.1360-0443.2012.03837.x - DOI - PMC - PubMed
    1. Agrawal A, Madden PA, Bucholz KK, Heath AC, & Lynskey MT (2008). Transitions to regular smoking and to nicotine dependence in women using cannabis. Drug and Alcohol Dependence, 95(1–2), 107–114. doi: 10.1016/j.drugalcdep.2007.12.017 - DOI - PMC - PubMed
    1. Baggio S, Studer J, Mohler-Kuo M, Daeppen JB, & Gmel G (2014). Concurrent and simultaneous polydrug use among young Swiss males: Use patterns and associations of number of substances used with health issues. International Journal of Adolescent Medicine and Health, 26(2), 217–224. - PubMed
    1. Barry RA, & Glantz S (2016). A public health framework for legalized retail marijuana based on the US Experience: Avoiding a new tobacco industry. PLoS Medicine, 13(9), e1002131. doi: 10.1371/journal.pmed.1002131 - DOI - PMC - PubMed
    1. Behrendt S, Wittchen HU, Hofler M, Lieb R, & Beesdo K (2009). Transitions from first substance use to substance use disorders in adolescence: is early onset associated with a rapid escalation? Drug and Alcohol Dependence, 99(1–3), 68–78. doi: 10.1016/j.drugalcdep.2008.06.014 - DOI - PubMed

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