Marijuana and tobacco co-administration in blunts, spliffs, and mulled cigarettes: A systematic literature review.

<bold>Background: </bold>Blunts and spliffs/mulled cigarettes combine marijuana and tobacco for co-administration (use at the same time, in the same product). Co-administration of marijuana and tobacco presents significant potential for nicotine exposure, and may lead to exclusive tobacco use patter...

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Publicado en:Addictive Behaviors Vol. 64; pp. 200 - 212
Autores principales: Schauer, Gillian L., Rosenberry, Zachary R., Peters, Erica N.
Formato: journal article
Publicado: Elsevier B.V. Jan2017
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2017
      vid: 64
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      pub: Elsevier B.V.
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        10.1016/j.addbeh.2016.09.001
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        atl: Marijuana and tobacco co-administration in blunts, spliffs, and mulled cigarettes: A systematic literature review.
      aug:
        au:
          Schauer, Gillian L.
          Rosenberry, Zachary R.
          Peters, Erica N.
        affil:
          Battelle Public Health Center for Tobacco Research, Battelle Memorial Institute, 1100 Dexter Avenue North, Suite 400, Seattle, WA 98109-3598, USA
          Health Services Department, School of Public Health, University of Washington, Seattle, WA 98195, USA
          Battelle Public Health Center for Tobacco Research, Battelle Memorial Institute, 6115 Falls Road, Suite 200, Baltimore, MD, USA
          Department of Psychiatry, Yale School of Medicine, One Long Wharf Drive, New Haven, CT 06511, USA
      su:
        Marijuana
        Cigarettes
        Tobacco
        Systematic reviews
        Drug administration
      sug:
        subj:
          Marijuana
          Cigarettes
          Tobacco product manufacturing
          Tobacco Manufacturing
          Tobacco and Tobacco Product Merchant Wholesalers
          All other miscellaneous store retailers (except beer and wine-making supplies stores)
          Tobacco Stores
          Cigarette and tobacco product merchant wholesalers
          All other miscellaneous crop farming
          Tobacco Farming
          Tobacco
          Systematic reviews
          Drug administration
      keyword:
        Blunts
        Cannabis
        Smoking
        Spliffs
        Blunts
        Cannabis
        Smoking
        Spliffs
      ab: <bold>Background: </bold>Blunts and spliffs/mulled cigarettes combine marijuana and tobacco for co-administration (use at the same time, in the same product). Co-administration of marijuana and tobacco presents significant potential for nicotine exposure, and may lead to exclusive tobacco use patterns, nicotine addiction, and compounded health effects. No review articles have summarized the number and nature of studies published on these co-administered products.<bold>Methods: </bold>Keywords "(blunt* OR spliff OR mull* OR joint) AND (tobacco OR smok* OR cigarette) AND (cannabis OR marijuana OR hashish)" were searched in the published literature. A total of 220 articles were considered for inclusion, 49 were reviewed by two independent qualitative coders, and 45 were included in this review.<bold>Results: </bold>Of the 45 articles, most (n=27) of studies were observational or descriptive; ten were qualitative, five employed causal designs, and three were mixed methods. A majority of the studies assessed blunts; only 11 studies assessed spliffs/mulled cigarettes. Many studies focused on sub-populations of youth, males, and African Americans. Use of co-administered marijuana and tobacco products was associated with several indicators of problematic use patterns, including perceptions of less risk, dependence on nicotine and marijuana, and greater subjective effects related to marijuana.<bold>Conclusions: </bold>Literature on marijuana and tobacco co-administration comes largely from qualitative and observational/descriptive studies. In addition to continued surveillance, experimental research that directly assesses the smoking patterns of co-administered marijuana and tobacco products as compared with to those of marijuana and tobacco only products is needed to determine the potential long-term health consequences of using blunts, spliffs, or other co-administered products.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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