PATH to understanding cannabis and nicotine initiation and co-use among emerging adults

Lisa M. Blair; Melinda Ickes; Andrea McCubbin; Kristin Ashford

doi:10.1111/phn.13094

PATH to understanding cannabis and nicotine initiation and co-use among emerging adults

Lisa M. Blair, Melinda Ickes, Andrea McCubbin, Kristin Ashford

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Objectives: The purpose of this study was to describe the characteristics and age of initiation of nicotine and cannabis use, with a particular focus on the emerging adult period (ages 18–24 years) and concurrent use of nicotine with cannabis. Design: A secondary analysis of Population Assessment of Tobacco and Health (PATH). Sample: 32,078 participants from a nationally representative study of tobacco use and health outcomes. Measurement: Variables of interest included ever use, regular use and age of initiation (first-time use) of nicotine (including tobacco) and/or cannabis and selected demographic factors. Results: Ever-use of nicotine was associated with a 13-fold increase in the likelihood of having ever used cannabis. Among those who reported cannabis use, 96.4% had also used nicotine. While initiation in adolescence was most common, 27.1% of those who use nicotine and 34.9% of those who use cannabis initiated during emerging adulthood. Among regular users of nicotine, 41.5% began regular use in emerging adulthood. Conclusions: These findings underscore the continued susceptibility of emerging adults to initiation of these substances. Co-use of nicotine and cannabis is an understudied phenomenon in emerging adults with significant potential to cause harm and should be a public health priority.

Original language	English
Journal	Public Health Nursing
DOIs	https://doi.org/10.1111/phn.13094
State	Published - Sep 1 2022

Bibliographical note

Funding Information:
The authors would like to thank Dr. Joshua Lile of the University of Kentucky College of Medicine for assisting with the development of the idea for this study. Data for this study are publicly available from the National Addiction & HIV Data Archive, Population Assessment of Tobacco and Health (PATH) study Public Use Files at https://doi.org/10.3886/ICPSR36498. The first author's time was supported by the National Institute on Drug Abuse of the National Institutes of Health under award number T32DA035200. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Funding Information:
The authors would like to thank Dr. Joshua Lile of the University of Kentucky College of Medicine for assisting with the development of the idea for this study. Data for this study are publicly available from the National Addiction & HIV Data Archive, Population Assessment of Tobacco and Health (PATH) study Public Use Files at https://doi.org/10.3886/ICPSR36498 . The first author's time was supported by the National Institute on Drug Abuse of the National Institutes of Health under award number T32DA035200. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Publisher Copyright:
© 2022 Wiley Periodicals LLC.

Keywords

cannabis
nicotine
population health
tobacco
young adults

ASJC Scopus subject areas

Nursing (all)
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/phn.13094

Cite this

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title = "PATH to understanding cannabis and nicotine initiation and co-use among emerging adults",

abstract = "Objectives: The purpose of this study was to describe the characteristics and age of initiation of nicotine and cannabis use, with a particular focus on the emerging adult period (ages 18–24 years) and concurrent use of nicotine with cannabis. Design: A secondary analysis of Population Assessment of Tobacco and Health (PATH). Sample: 32,078 participants from a nationally representative study of tobacco use and health outcomes. Measurement: Variables of interest included ever use, regular use and age of initiation (first-time use) of nicotine (including tobacco) and/or cannabis and selected demographic factors. Results: Ever-use of nicotine was associated with a 13-fold increase in the likelihood of having ever used cannabis. Among those who reported cannabis use, 96.4% had also used nicotine. While initiation in adolescence was most common, 27.1% of those who use nicotine and 34.9% of those who use cannabis initiated during emerging adulthood. Among regular users of nicotine, 41.5% began regular use in emerging adulthood. Conclusions: These findings underscore the continued susceptibility of emerging adults to initiation of these substances. Co-use of nicotine and cannabis is an understudied phenomenon in emerging adults with significant potential to cause harm and should be a public health priority.",

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author = "Blair, {Lisa M.} and Melinda Ickes and Andrea McCubbin and Kristin Ashford",

note = "Funding Information: The authors would like to thank Dr. Joshua Lile of the University of Kentucky College of Medicine for assisting with the development of the idea for this study. Data for this study are publicly available from the National Addiction & HIV Data Archive, Population Assessment of Tobacco and Health (PATH) study Public Use Files at https://doi.org/10.3886/ICPSR36498. The first author's time was supported by the National Institute on Drug Abuse of the National Institutes of Health under award number T32DA035200. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Funding Information: The authors would like to thank Dr. Joshua Lile of the University of Kentucky College of Medicine for assisting with the development of the idea for this study. Data for this study are publicly available from the National Addiction & HIV Data Archive, Population Assessment of Tobacco and Health (PATH) study Public Use Files at https://doi.org/10.3886/ICPSR36498 . The first author's time was supported by the National Institute on Drug Abuse of the National Institutes of Health under award number T32DA035200. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Publisher Copyright: {\textcopyright} 2022 Wiley Periodicals LLC.",

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AU - Ickes, Melinda

AU - McCubbin, Andrea

AU - Ashford, Kristin

N1 - Funding Information: The authors would like to thank Dr. Joshua Lile of the University of Kentucky College of Medicine for assisting with the development of the idea for this study. Data for this study are publicly available from the National Addiction & HIV Data Archive, Population Assessment of Tobacco and Health (PATH) study Public Use Files at https://doi.org/10.3886/ICPSR36498. The first author's time was supported by the National Institute on Drug Abuse of the National Institutes of Health under award number T32DA035200. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Funding Information: The authors would like to thank Dr. Joshua Lile of the University of Kentucky College of Medicine for assisting with the development of the idea for this study. Data for this study are publicly available from the National Addiction & HIV Data Archive, Population Assessment of Tobacco and Health (PATH) study Public Use Files at https://doi.org/10.3886/ICPSR36498 . The first author's time was supported by the National Institute on Drug Abuse of the National Institutes of Health under award number T32DA035200. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Publisher Copyright: © 2022 Wiley Periodicals LLC.

PY - 2022/9/1

Y1 - 2022/9/1

N2 - Objectives: The purpose of this study was to describe the characteristics and age of initiation of nicotine and cannabis use, with a particular focus on the emerging adult period (ages 18–24 years) and concurrent use of nicotine with cannabis. Design: A secondary analysis of Population Assessment of Tobacco and Health (PATH). Sample: 32,078 participants from a nationally representative study of tobacco use and health outcomes. Measurement: Variables of interest included ever use, regular use and age of initiation (first-time use) of nicotine (including tobacco) and/or cannabis and selected demographic factors. Results: Ever-use of nicotine was associated with a 13-fold increase in the likelihood of having ever used cannabis. Among those who reported cannabis use, 96.4% had also used nicotine. While initiation in adolescence was most common, 27.1% of those who use nicotine and 34.9% of those who use cannabis initiated during emerging adulthood. Among regular users of nicotine, 41.5% began regular use in emerging adulthood. Conclusions: These findings underscore the continued susceptibility of emerging adults to initiation of these substances. Co-use of nicotine and cannabis is an understudied phenomenon in emerging adults with significant potential to cause harm and should be a public health priority.

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KW - nicotine

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PATH to understanding cannabis and nicotine initiation and co-use among emerging adults

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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