Developmental Trajectories of Tobacco/Nicotine and Cannabis Use and Patterns of Product Co-use in Young Adulthood.

Introduction: Concurrent co-use of tobacco/nicotine and cannabis (T/C) products is common among young people and may increase risks for negative health and psychosocial outcomes, but little is known about developmental patterns of T/C co-use. This study aimed to identify distinct trajectory classes...

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Publicado en:Tobacco Use Insights pp. 1 - 11
Autores principales: Dunbar, Michael S, Davis, Jordan P, Tucker, Joan S, Seelam, Rachana, Shih, Regina A, D'Amico, Elizabeth J
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 8/13/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/13/2020
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/1179173X20949271
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        atl: Developmental Trajectories of Tobacco/Nicotine and Cannabis Use and Patterns of Product Co-use in Young Adulthood.
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          Dunbar, Michael S
          Davis, Jordan P
          Tucker, Joan S
          Seelam, Rachana
          Shih, Regina A
          D'Amico, Elizabeth J
        affil: RAND Corporation, Pittsburgh, PA, USA
      sug:
        subj:
          Tobacco Products
          Smoking
          Cannabis
          Substance Use Disorders In Adolescence
          Substance Use Disorders In Adulthood
          California
          Human
          Female
          Male
          Adolescence
          Young Adult
          Adolescent: 13-18 years
          Female
          Male
      ab: Introduction: Concurrent co-use of tobacco/nicotine and cannabis (T/C) products is common among young people and may increase risks for negative health and psychosocial outcomes, but little is known about developmental patterns of T/C co-use. This study aimed to identify distinct trajectory classes of concurrent T/C co-use from ages 16 to 21 and compare groups on T/C co-use behaviors in young adulthood. Methods: Participants (n = 2497) reported T/C use on annual online surveys from 2015 to 2019 (ages 16-22). We used parallel process growth mixture models to model simultaneous trajectories of past-month cigarette, e-cigarette, smokeless tobacco, and cannabis use and identify latent classes of T/C trajectories. Classes were then compared on types and number of T/C products used and types of T/C co-use in young adulthood. Results: Models revealed 4 T/C classes: Low/No T/C Use, Early Concurrent T/C Co-use, Late Concurrent T/C Co-use, and Tobacco Quitters/Cannabis Maintainers. Compared to other classes, the Early Concurrent T/C Co-use group—individuals with rapid progression to concurrent T/C co-use during adolescence—were more likely to report poly-tobacco use, poly-cannabis use, same-occasion sequential T/C co-use and T/C co-administration (ie, mixing T/C) of both combustible and vaping products in young adulthood. Conclusion: Early progression to concurrent T/C co-use in adolescence is prospectively linked to poly-product use and co-use of T/C products in young adulthood. Prevention efforts targeting co-use of T/C products in adolescence may help to reduce riskier patterns of T/C use and co-use in young adulthood.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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