Use of Inhaled Nicotine and Cannabis Products among Adults Who Vape Both Substances.

Subst Use Misuse

Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, State University of New York, Buffalo, New York, USA.

Published: April 2022

Background: Co-occurring use (co-use) of nicotine and cannabis is common, and represents a broad range of use behaviors, including , , and . Co-use has primarily been examined through the lens of smoked tobacco and cannabis. Little is known about those who co-use vaped nicotine and cannabis, and the degree to which specific co-use behaviors are associated, based on mode of use and/or substance.

Methods: We conducted an online pilot survey on use behaviors related to inhaled modes of nicotine and cannabis. The survey was administered to 112 concurrent vapers of these substances. Descriptive analyses examined sample characteristics and co-administered vaping and smoking behaviors. Logistic regressions examined associations in use behaviors by mode and substance.

Results: Participants who vaped nicotine and cannabis monthly also reported monthly smoking of cannabis (100%), and cigarettes (58%). Most exhibited moderate-to-high degrees of mental health and substance use problems requiring clinical intervention. Monthly exhibited more differences by mode, and more similarities by substance. Specific practices showed mode-specific associations; with greater frequency of cigarette smoking and nicotine vaping. was associated with more frequent tobacco and cannabis smoking.

Conclusions: Those who regularly vape nicotine and cannabis tend to engage in some form of smoking. Different subsets of nicotine and cannabis co-use behaviors showed different associations with patterns of use and modes of drug delivery. Findings underscore the diversity of nicotine and cannabis use behaviors among co-users, and the importance of considering associations by both substance and mode of use.

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Source
http://dx.doi.org/10.1080/10826084.2021.2019773DOI Listing

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