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- Title
Characteristics of Adults Who Use Both Marijuana and E-Cigarette, or Vaping, Products: A Cross-Sectional Study, Utah, 2018.
- Authors
Lewis, Nathaniel M.; Friedrichs, Michael; Wagstaff, Shelly S.; Nakashima, Allyn K.; Dunn, Angela C.
- Abstract
Objectives: Among young people, dual use of marijuana and e-cigarette, or vaping, products (EVPs) is linked with using more inhalant substances and other substances, and poorer mental health. To understand antecedents and potential risks of dual use in adults, we analyzed a representative adult population in Utah. Methods: We used data from the 2018 Utah Behavioral Risk Factor Surveillance System (n = 10 380) and multivariable logistic regression to evaluate differences in sociodemographic characteristics, comorbidities, and risk factors among adults aged ≥18 who reported currently using both EVPs (any substance) and marijuana (any intake mode), compared with a referent group of adults who used either or neither. Results: Compared with the referent group, adults using EVPs and marijuana had greater odds of being aged 18-29 (adjusted odds ratio [aOR] = 12.44; 95% CI, 6.15-25.14) or 30-39 (aOR = 3.75; 95% CI, 1.73-8.12) versus ≥40, being male (aOR = 3.29; 95% CI, 1.82-5.96) versus female, reporting ≥14 days of poor mental health in previous 30 days (aOR = 2.30; 95% CI, 1.23-4.32) versus <14 days, and reporting asthma (aOR = 2.09; 95% CI, 1.02-4.31), chronic obstructive pulmonary disorder (aOR = 2.94; 95% CI, 1.19-7.93), currently smoking cigarettes (aOR = 4.56; 95% CI, 2.63-7.93), or past-year use of prescribed chronic pain medications (aOR = 2.13; 95% CI, 1.06-4.30), all versus not. Conclusions: Clinicians and health promotion specialists working with adults using both EVPs and marijuana should assess risk factors and comorbidities that could contribute to dual use or associated outcomes and tailor prevention messaging accordingly.
- Subjects
UTAH; SUBSTANCE abuse risk factors; SUBSTANCE abuse &; psychology; CANNABIS (Genus); ELECTRONIC cigarettes; CONFIDENCE intervals; CROSS-sectional method; PSYCHOLOGY of drug abusers; MULTIPLE regression analysis; AGE distribution; RISK assessment; COMPARATIVE studies; SEX distribution; DESCRIPTIVE statistics; OBSTRUCTIVE lung diseases; SMOKING; SOCIODEMOGRAPHIC factors; ODDS ratio; SECONDARY analysis; COMORBIDITY; MENTAL illness; ADULTS
- Publication
Public Health Reports, 2022, Vol 137, Issue 4, p695
- ISSN
0033-3549
- Publication type
Article
- DOI
10.1177/00333549211018679