Characteristics of Adults Who Use Both Marijuana and E-Cigarette, or Vaping, Products: A Cross-Sectional Study, Utah, 2018

Characteristics of Adults Who Use Both Marijuana and E-Cigarette, or Vaping, Products: A Cross-Sectional Study, Utah, 2018

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 popul...

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Bibliographic Details
Published in:Public health reports (1974) Vol. 137; no. 4; pp. 695 - 701
Main Authors: Lewis, Nathaniel M., Friedrichs, Michael, Wagstaff, Shelly S., Nakashima, Allyn K., Dunn, Angela C.
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-07-2022
SAGE PUBLICATIONS, INC
Subjects:
Adolescent
Adult
Adults
Asthma
Cannabis
Cigarettes
Comorbidity
Cross-Sectional Studies
Electronic cigarettes
Electronic Nicotine Delivery Systems
Female
Health education
Health promotion
Humans
Male
Marijuana
Mental health
Mental health services
Pain
Prevention
Risk analysis
Risk assessment
Risk factors
Risk taking
Smoking
Specialists
Surveillance
Surveillance systems
Utah - epidemiology
Vaping
Vaping - epidemiology
Young adults
Youth
Utah
United States > US
EVALI
vaping
marijuana
pulmonary injury
cross-sectional study
e-cigarettes
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Summary: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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0033-3549
1468-2877
DOI:10.1177/00333549211018679