Flavored cannabis use and cannabis-tobacco co-use: Use patterns is US states with legalized non-medical adult use

Shannon Lea Watkins; Jesse Thompson; Ashley L Feld; Pamela M Ling; Youn Ok Lee

doi:10.1016/j.amepre.2023.05.006

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Flavored cannabis use and cannabis-tobacco co-use: Use patterns is US states with legalized non-medical adult use

Journal article

Peer reviewed

Flavored cannabis use and cannabis-tobacco co-use: Use patterns is US states with legalized non-medical adult use

Shannon Lea Watkins, Jesse Thompson, Ashley L Feld, Pamela M Ling and Youn Ok Lee

American journal of preventive medicine, Vol.65(4), pp.551-559

10/2023

DOI: 10.1016/j.amepre.2023.05.006

PMCID: PMC10527725

PMID: 37169316

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Abstract

Little is known about inhaled flavored cannabis use. This study aimed to investigate the prevalence and patterns of flavored cannabis use and cannabis-tobacco co-use. This study surveyed adult past 30-day cannabis users in US states and districts that have legalized cannabis for non-medical/adult use (n=9) (November 2018; n=2,978). By product/behavior (any cannabis, cannabis extract vaporizers, mixed cannabis-nicotine vaporizers, blunts, chasing) the association between flavored (vs. non-flavored) use and sociodemographic characteristics, cannabis use disorder symptoms, and tobacco use was estimated using weighted multivariable logistic regression in January, 2022. Almost half of adult cannabis users reported using at least one flavored cannabis product (46.5%). Flavored cannabis use was more likely among respondents who were female (AOR: 1.2; CI: 1.0, 1.4), Black (ref: White; AOR: 2.2; CI: 1.5, 3.1), Hispanic/Latinx (ref: White; AOR: 1.6; CI: 1.2, 1.9), had cannabis use disorder symptoms (AOR: 2.0; CI: 1.6, 2.4) or current tobacco use (AOR: 2.4; CI: 2.1, 2.9). Use was less likely among middle-aged/older adults (ref: 21-34 vs. 35-49; AOR: 0.6; CI: 0.5, 0.7). Observed differences in flavored cannabis use are concerning if flavors raise appeal or dependence. Integrating flavored cannabis and tobacco research and practice is warranted.

substance use

recreational marijuana legalization

marijuana use

Details

Title: Subtitle: Flavored cannabis use and cannabis-tobacco co-use: Use patterns is US states with legalized non-medical adult use
Creators: Shannon Lea Watkins - Assistant Professor, Community and Behavioral Health, College of Public Health, University of Iowa, 145 N. Riverside Dr., Iowa City, IA 52242. Electronic address: shannon-watkins@uiowa.edu
Jesse Thompson - RTI International
Ashley L Feld - RTI International
Pamela M Ling - University of California, San Francisco
Youn Ok Lee - RTI International
Resource Type: Journal article
Publication Details: American journal of preventive medicine, Vol.65(4), pp.551-559
DOI: 10.1016/j.amepre.2023.05.006
PMID: 37169316
PMCID: PMC10527725
NLM abbreviation: Am J Prev Med
ISSN: 0749-3797
eISSN: 1873-2607
Grant note: DOI: 10.13039/100000026, name: National Institute on Drug Abuse, award: 5R21DA044377; DOI: 10.13039/100000002, name: National Institutes of Health
Language: English
Electronic publication date: 05/09/2023
Date published: 10/2023
Academic Unit: Community and Behavioral Health
Record Identifier: 9984406592302771

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