All Articles
Issues
Aim & Scope
Editorial Board
Open Access
Indexing
Why publish with us
Contact us
Manuscript Formatting
Manuscript Types
How to submit
Supplements & Special Issues
Authorship & COI
Principles of Transparency Checklist
Publication Ethics and Publication Malpractice Statement
2018 Conference, Madrid 14-16 June 2018
About ENSP
Authors' Survey
|
The official journal of ENSP, the European Network for Smoking and Tobacco Prevention
|
|
Journal development is co-funded by the 3rd Health Programme of the European Commission
|
|
SHORT REPORT
The relationship between past-month marijuana, cigarette, and
cigar use among older adults in the United States
| 1 | Institute for Health Promotion
and Disease Prevention Research,
Keck School of Medicine,
Department of Preventive
Medicine, University of Southern
California, California, United
States |
| 2 | Schroeder Institute for
Tobacco Research and Policy
Studies at Truth Initiative,
Washington, DC, United States |
| 3 | Case Comprehensive Cancer
Center School of Medicine,
Case Western Reserve
University, Ohio, United States |
Publish date: 2018-02-13
Submission date: 2017-05-31
Final revision date: 2018-01-21
Acceptance date: 2018-01-28
Tob. Prev. Cessation 2018;4(February):6
KEYWORDS:
TOPICS:
AddictionCessationDiseases, due to tobaccoE-cigarettesPrevention of tobacco usePublic PolicySmokingStudy, NationalStudy, Population Based
ABSTRACT:
Introduction:
Previous research indicates that marijuana use may be interrelated with combustible tobacco use among U.S. adolescents and young adults. However, little is known about this relationship during older adulthood. The purpose of this study was: 1) examine the prevalence of past-month marijuana, cigarette and cigar use, and 2) assess the associations between demographic and tobaccouse variables with past-month marijuana use, among a nationally representative sample of U.S. adults 50 years and older.
Material and Methods:
Data are from the public-use files of the 2013 National Survey on Drug Use and Health (NSDUH). The sample consisted of 6325 adults aged ≥50 years.
Results:
Overall, 2.98% (N=216) of the sample reported past-month marijuana use; higher prevalence was noted for those who were past-month users of cigarettes (15.62%, N=1162) and lower prevalence was noted for those who were past-month users of cigars (2.68%, N=176). After accounting for covariables, past-month cigarette use was the strongest predictor of past-month marijuana use (adjusted odds ratio [AOR]=5.19, 95% CI, 3.51-7.66). Additionally, past-month cigar use showed a positive association with past-month marijuana use (AOR=2.41, 95% CI, 1.23-4.72).
Conclusions:
Tobacco prevention, cessation, and control efforts that target older adults should be tailored effectively to address the use of marijuana and other combustible tobacco products.
Previous research indicates that marijuana use may be interrelated with combustible tobacco use among U.S. adolescents and young adults. However, little is known about this relationship during older adulthood. The purpose of this study was: 1) examine the prevalence of past-month marijuana, cigarette and cigar use, and 2) assess the associations between demographic and tobaccouse variables with past-month marijuana use, among a nationally representative sample of U.S. adults 50 years and older.
Material and Methods:
Data are from the public-use files of the 2013 National Survey on Drug Use and Health (NSDUH). The sample consisted of 6325 adults aged ≥50 years.
Results:
Overall, 2.98% (N=216) of the sample reported past-month marijuana use; higher prevalence was noted for those who were past-month users of cigarettes (15.62%, N=1162) and lower prevalence was noted for those who were past-month users of cigars (2.68%, N=176). After accounting for covariables, past-month cigarette use was the strongest predictor of past-month marijuana use (adjusted odds ratio [AOR]=5.19, 95% CI, 3.51-7.66). Additionally, past-month cigar use showed a positive association with past-month marijuana use (AOR=2.41, 95% CI, 1.23-4.72).
Conclusions:
Tobacco prevention, cessation, and control efforts that target older adults should be tailored effectively to address the use of marijuana and other combustible tobacco products.
CORRESPONDING AUTHOR:
Sabrina L. Smiley
Institute
for Health Promotion and
Disease Prevention Research,
Keck School of Medicine,
Department of Preventive
Medicine, University of Southern
California, California, United
States.
REFERENCES (16):
| 1. | Substance Abuse and Mental Health Services Administration. Results from the 2013 national survey on drug use and health: summary of national findings. Office of Applied Studies, NSDUH Series H-48, HHS Publication No. SMA 14-4863. 2014:14-4863. |
| 2. | Joint Center for Housing Studies of Harvard University. Housing America's Older Adults-Meeting the Needs of an Aging Population. Joint Center for Housing Studies of Harvard University: Cambridge, MA, 2014. Available at: http://www.jchs.harvard.edu/si... (accessed 10 March 2017). |
| 3. | Delnevo CD, Hrywna M. The relationship of cigars, marijuana, and blunts to adolescent bidi use. Public Health Rep. 2006;121(5):603-608. doi: 10.1177/003335490612100516 |
| 4. | Sterling KL, Fryer CS, Fagan P. “The Most Natural Tobacco Used”: A Qualitative Investigation of Young Adult Smokers’ Risk Perceptions of Flavored Little Cigars and Cigarillos (LCCs). Nicotine Tob Res. 2015;18(5):827-33. doi: 10.1093/ntr/ntv151. |
| 5. | Stoltz AD, Sanders BD. Cigar and marijuana use: their relationship in teens. J Sch Nurs .2000;16(4):28-35. doi:10.1177/105984050001600404. |
| 6. | Sachs-Ericsson N, Collins N, Schmidt B, Zvolensky M. Older adults and smoking: Characteristics, nicotine dependence and prevalence of DSM-IV 12-month disorders. Aging Ment Health. 2011;15(1):132-141. doi: 10.1080/13607863.2010.505230. |
| 7. | Blazer DG, Wu L-T. Patterns of tobacco use and tobacco-related psychiatric morbidity and substance use among middle-aged and older adults in the United States. Aging Ment Health. 2012;16(3):296-304. doi: 10.1080/13607863.2011.615739. |
| 8. | Rolle IV, Kennedy SM, Agaku I, Everett Jones S, Bunnell R, Caraballo R, Schauer G, McAfee T. Cigarette, Cigar, and Marijuana Use Among High School Students – United States, 1997-2013. MMWR Morb Mortal Wkly. 2015;64(40);1136-1141. doi: 10.15585/mmwr.mm6440a2 |
| 9. | SAS Software [computer program]. Version 9.4. Cary, NC: SAS Institute Incorporated. 2011. |
| 10. | Office of Disease Prevention and Health Promotion. (2016). Heart disease and stroke. In Healthy People 2020. Available at: https://www.healthypeople.gov/... (accessed May 2017). |
| 11. | DiNitto DM, Choi NG. Marijuana use among older adults in the USA: user characteristics, patterns of use, and implications for intervention. Intl Psychogeriatr. 2011;23(5):732-741. doi: 10.1017/S1041610210002176. |
| 12. | Choi NG, DiNitto DM, Marti CN. Older-adult marijuana users and ex-users: Comparisons of sociodemographic characteristics and mental and substance use disorders. Drug Alcohol Depend. 2016;August 1(165):94-102. doi: 10.1016/j.drugalcdep.2016.05.023. |
| 13. | Peters EN, Budney AJ, Carroll KM. Clinical correlates of co-occurring cannabis and tobacco use: a systematic review. Addiction. 2012;107(8):1404-1417. doi: 10.1111/j.1360-0443.2012.03843.x |
| 14. | Haug NA, Padula CB, Sottile JE, Vandrey R, Heinz AJ, Bonn-Miller MO. Cannabis Use Patterns and Motives: A Comparison of Younger, Middle-Aged, and Older Medical Cannabis Dispensary Patients. Addict Behav. 2017;72:14-20. doi: 10.1016/j.addbeh.2017.03.006 |
| 15. | Salas-Wright CP, Vaughn MG, Cummings-Vaughn LA, Holzer KJ, Nelson EJ, AbiNader M, Oh S. Trends and correlates of marijuana use among late middle-aged and older adults in the United States, 2002-2014. Drug Alcohol Depend. 2017;171:97-106. doi: 10.1016/j.drugalcdep.2016.11.031. |
| 16. | Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Quick Reference Guide for Clinicians. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. April 2009. |
Related articles
Sign up for email alerts
