Is Cannabis Use Associated With Increased Risk of Cigarette Smoking Initiation, Persistence, and Relapse? Longitudinal Data From a Representative Sample of US Adults

Andrea H Weinberger; Jonathan Platt; Jan Copeland; Renee D Goodwin

doi:10.4088/JCP.17m11522

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Is Cannabis Use Associated With Increased Risk of Cigarette Smoking Initiation, Persistence, and Relapse? Longitudinal Data From a Representative Sample of US Adults

Journal article

Peer reviewed

Is Cannabis Use Associated With Increased Risk of Cigarette Smoking Initiation, Persistence, and Relapse? Longitudinal Data From a Representative Sample of US Adults

Andrea H Weinberger, Jonathan Platt, Jan Copeland and Renee D Goodwin

The journal of clinical psychiatry, Vol.79(2), p.17

03/2018

DOI: 10.4088/JCP.17m11522

PMCID: PMC6355334

PMID: 29570966

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https://www.ncbi.nlm.nih.gov/pmc/articles/6355334View

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Abstract

The current study prospectively investigated the relationship between cannabis use and cigarette smoking initiation, persistence, and relapse during a 3-year period among adults in the United States. Analyses included respondents who completed Waves 1 (2001-2002) and 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions and responded to questions about cannabis use and smoking status (n = 34,639). Multivariable logistic regression models were used to calculate the odds of cigarette use at Wave 2 among Wave 1 daily smokers, nondaily smokers, former smokers, and nonsmokers by Wave 1 cannabis use. In unadjusted analyses, Wave 1 cannabis use was associated with increased odds of Wave 2 daily and nondaily smoking for Wave 1 nonsmokers (daily OR = 2.90; 95% CI, 2.10-4.00; nondaily OR = 4.45; 95% CI, 3.97-5.00) and Wave 2 relapse to daily and nondaily smoking for Wave 1 former smokers (daily OR = 4.18, 95% CI, 3.01-5.81; nondaily OR = 5.24; 95% CI, 3.74-7.34). Wave 1 cannabis use was associated with decreased odds of Wave 2 smoking cessation for Wave 1 daily cigarette smokers (OR = 0.57; 95% CI, 0.51-0.64). The associations remained significant for daily smoking initiation (OR = 1.43; 95% CI, 1.06-1.93), daily smoking relapse (OR = 1.47; 95% CI, 1.00-2.16), and smoking cessation (OR = 0.77; 95% CI, 0.69-0.87) after adjusting for demographics and psychiatric disorders. Associations remained significant for nondaily smoking initiation (OR = 1.85; 95% CI, 1.59-2.16) and nondaily smoking relapse (OR = 1.63; 95% CI, 1.05-2.54) after adjusting for these covariates as well as for alcohol and substance use disorders. Cannabis use was associated with increased initiation of, persistence of, and relapse to cigarette smoking. Additional attention to cannabis use in tobacco control efforts and in clinical settings aimed at reducing cigarette smoking and smoking-related negative consequences may be warranted.

Adult

Aged

Cigarette Smoking - epidemiology

Cigarette Smoking - prevention & control

Cigarette Smoking - psychology

Comorbidity

Female

Humans

Longitudinal Studies

Male

Marijuana Smoking - epidemiology

Marijuana Smoking - psychology

Middle Aged

Needs Assessment

Recurrence

Risk Assessment - statistics & numerical data

Smoking Cessation

Smoking Prevention - organization & administration

Substance-Related Disorders - epidemiology

Substance-Related Disorders - prevention & control

United States - epidemiology

Details

Title: Subtitle: Is Cannabis Use Associated With Increased Risk of Cigarette Smoking Initiation, Persistence, and Relapse? Longitudinal Data From a Representative Sample of US Adults
Creators: Andrea H Weinberger - Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
Jonathan Platt - Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA
Jan Copeland - National Drug and Alcohol Research Centre, University of New South Wales Medicine, Sydney, Australia
Renee D Goodwin - Institute for Implementation Science in Population Health, The City University of New York, New York, New York, USA
Resource Type: Journal article
Publication Details: The journal of clinical psychiatry, Vol.79(2), p.17
DOI: 10.4088/JCP.17m11522
PMID: 29570966
PMCID: PMC6355334
NLM abbreviation: J Clin Psychiatry
ISSN: 0160-6689
eISSN: 1555-2101
Grant note: R01 DA020892 / NIDA NIH HHS T32 MH013043 / NIMH NIH HHS
Language: English
Date published: 03/2018
Academic Unit: Epidemiology; Injury Prevention Research Center
Record Identifier: 9984214822402771

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