Longitudinal associations between marijuana and cigar use in young adults. 2020

Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC, 27157, USA. Electronic address: jcornacc@wakehealth.edu.

BACKGROUND We assess the longitudinal associations between marijuana and cigar (little cigars and cigarillos [LCCs] and large cigars) use on subsequent initiation of marijuana and cigar use. METHODS Data are from a cohort study of 2189 young adults recruited in fall 2010 from 11 colleges in the Southeast. We used discrete-time survival analysis to examine whether ever use of marijuana at baseline (spring 2011, freshman year) predicted initiation of LCCs and large cigars and whether ever use of these cigar products predicted initiation of marijuana use across 10 waves of data collection (2011-2018). RESULTS The sample was 65.3 % female, 83.6 % White, 5.9 % Hispanic, and 61.8 % had college-educated mothers. At baseline, 70 % reported never using LCCs, 71 % reported never using large cigars, and 74 % reported never using marijuana. Ever use of marijuana at baseline was associated with an increased risk of LCC initiation (Incident rate ratio [IRR] = 1.6, 95 %CI = 1.0, 2.5) but not large cigar initiation. Ever use of LCCs (IRR = 1.4, 95 %CI = 1.1, 1.8) and ever use of large cigars (IRR = 1.3, 95 %CI = 1.1, 1.8) at baseline both predicted initiation of marijuana use. CONCLUSIONS Our findings support growing evidence that marijuana and LCCs are strongly associated and use of one substance predicts use of the other. In contrast to studies of adults, we also found that young adults who have tried large cigars may be at increased risk for subsequent marijuana use. These findings highlight the need to consider each product as a potential gateway of the other when developing interventions for young adults.

UI MeSH Term Description Entries

Related Publications

Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
November 2018, Journal of substance abuse treatment,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
November 2016, Journal of studies on alcohol and drugs,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
September 2018, Drug and alcohol dependence,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
May 2021, Addictive behaviors,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
May 2014, American journal of epidemiology,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
January 2018, Tobacco prevention & cessation,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
December 2023, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
October 2000, The Journal of school nursing : the official publication of the National Association of School Nurses,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
January 2024, Substance use & misuse,
Jennifer Cornacchione Ross, and Erin L Sutfin, and Cynthia Suerken, and Stephannie Walker, and Mark Wolfson, and Beth A Reboussin
February 2019, Prevention science : the official journal of the Society for Prevention Research,
Copied contents to your clipboard!