TY - JOUR
T1 - Patterns of use, sequence of onsets and correlates of tobacco and cannabis
AU - Agrawal, Arpana
AU - Scherrer, Jeffrey F.
AU - Lynskey, Michael T.
AU - Sartor, Carolyn E.
AU - Grant, Julia D.
AU - Haber, Jon Randolph
AU - Madden, Pamela A.F.
AU - Jacob, Theodore
AU - Bucholz, Kathleen K.
AU - Xian, Hong
N1 - Funding Information:
This work was supported by grants from the National Institutes of Health: DA23668, DA020810, DA18660, DA14363, DA18267 and from the National Institute on Drug Abuse (NIDA), grants AA11667, AA11822, AA007580, and AA11998 from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and from a Merit Review Grant (Jacob) from the Department of Veterans Affairs Medical Research Service. The United States Department of Veterans Affairs has provided financial support for the development and maintenance of the VET Registry. None of the funding agencies was involved in this manuscript.
PY - 2011/12
Y1 - 2011/12
N2 - Background: While most individuals initiate their use of tobacco prior to onset of cannabis use, recent reports have identified a smaller subset of youth who report onset of cannabis use prior to tobacco use. In this study, we characterize patterns of cannabis and tobacco use (tobacco but not cannabis, cannabis but not tobacco or both) and compare the factors associated with onset of tobacco before cannabis and cannabis before tobacco. Methods: Data on 1812 offspring aged 12-32. years, drawn from two related offspring of Vietnam Era twin studies, were used. Individuals were divided into tobacco but not cannabis (T), cannabis but not tobacco (C) and users of both substances (CT). Those who used both could be further classified by the timing of onset of tobacco and cannabis use. Multinomial logistic regression was used to characterize the groups using socio-demographic and psychiatric covariates. Furthermore, data on parental smoking and drug use was used to identify whether certain groups represented greater genetic or environmental vulnerability. Results: 22% (N = 398) reported T, 3% (N = 55) reported C and 44% reported CT (N = 801). Of the 801 CT individuals, 72.8% (N = 583), 9.9% (N = 77) and 17.3% (N = 139) reported onset of tobacco before cannabis, cannabis before tobacco and onsets at the same age. C users were as likely as CT users to report peer drug use and psychopathology, such as conduct problems while CT was associated with increased tobacco use relative to T. Onset of tobacco prior to cannabis, when compared onset of cannabis before tobacco or reporting initiation at the same age was associated with greater cigarettes smoked per day, however no distinct factors distinguished the group with onset of cannabis before tobacco from those with initiation at the same age. Conclusion: A small subset of individuals report cannabis without tobacco use. Of those who use both cannabis and tobacco, a small group report cannabis use prior to tobacco use. Follow-up analyses that chart the trajectories of these individuals will be required to delineate their course of substance involvement.
AB - Background: While most individuals initiate their use of tobacco prior to onset of cannabis use, recent reports have identified a smaller subset of youth who report onset of cannabis use prior to tobacco use. In this study, we characterize patterns of cannabis and tobacco use (tobacco but not cannabis, cannabis but not tobacco or both) and compare the factors associated with onset of tobacco before cannabis and cannabis before tobacco. Methods: Data on 1812 offspring aged 12-32. years, drawn from two related offspring of Vietnam Era twin studies, were used. Individuals were divided into tobacco but not cannabis (T), cannabis but not tobacco (C) and users of both substances (CT). Those who used both could be further classified by the timing of onset of tobacco and cannabis use. Multinomial logistic regression was used to characterize the groups using socio-demographic and psychiatric covariates. Furthermore, data on parental smoking and drug use was used to identify whether certain groups represented greater genetic or environmental vulnerability. Results: 22% (N = 398) reported T, 3% (N = 55) reported C and 44% reported CT (N = 801). Of the 801 CT individuals, 72.8% (N = 583), 9.9% (N = 77) and 17.3% (N = 139) reported onset of tobacco before cannabis, cannabis before tobacco and onsets at the same age. C users were as likely as CT users to report peer drug use and psychopathology, such as conduct problems while CT was associated with increased tobacco use relative to T. Onset of tobacco prior to cannabis, when compared onset of cannabis before tobacco or reporting initiation at the same age was associated with greater cigarettes smoked per day, however no distinct factors distinguished the group with onset of cannabis before tobacco from those with initiation at the same age. Conclusion: A small subset of individuals report cannabis without tobacco use. Of those who use both cannabis and tobacco, a small group report cannabis use prior to tobacco use. Follow-up analyses that chart the trajectories of these individuals will be required to delineate their course of substance involvement.
KW - Cannabis
KW - Reverse gateways
KW - Tobacco
UR - http://www.scopus.com/inward/record.url?scp=80053219717&partnerID=8YFLogxK
U2 - 10.1016/j.addbeh.2011.07.005
DO - 10.1016/j.addbeh.2011.07.005
M3 - Article
C2 - 21820810
AN - SCOPUS:80053219717
SN - 0306-4603
VL - 36
SP - 1141
EP - 1147
JO - Addictive Behaviors
JF - Addictive Behaviors
IS - 12
ER -