Cannabis Use Among Adults in Cigarette Smoking Cessation Treatment in Ontario, Canada: Prevalence and Association With Tobacco Cessation Outcome, 2015–2021.

Objectives. To examine cannabis use prevalence and its association with tobacco cessation among adults enrolled in cigarette smoking cessation treatment before and after Canada legalized recreational cannabis in October 2018. Methods. The sample comprised 83 206 adults enrolled in primary care–based...

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Publicado en:American Journal of Public Health Vol. 114; no. 1; pp. 98 - 108
Autores principales: Voci, Sabrina, Veldhuizen, Scott, Ivanova, Anna, Melamed, Osnat C., Selby, Peter, Zawertailo, Laurie
Formato: Artículo
Publicado: American Public Health Association Jan2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2024
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      pub: American Public Health Association
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        174205622
        10.2105/AJPH.2023.307445
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        atl: Cannabis Use Among Adults in Cigarette Smoking Cessation Treatment in Ontario, Canada: Prevalence and Association With Tobacco Cessation Outcome, 2015–2021.
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          Voci, Sabrina
          Veldhuizen, Scott
          Ivanova, Anna
          Melamed, Osnat C.
          Selby, Peter
          Zawertailo, Laurie
      su:
        Canada
        Substance abuse
        Self-evaluation
        Drug abuse
        Primary health care
        Patient aftercare
        Cannabis (Genus)
        Smoking cessation
        Confidence intervals
        Descriptive statistics
        Research funding
        Odds ratio
      sug:
        subj:
          Substance abuse
          Self-evaluation
          Drug abuse
          Primary health care
          Canada
          Home Health Care Services
          All other ambulatory health care services
          All Other Miscellaneous Ambulatory Health Care Services
          Patient aftercare
          Cannabis (Genus)
          Smoking cessation
          Confidence intervals
          Descriptive statistics
          Research funding
          Odds ratio
      ab: Objectives. To examine cannabis use prevalence and its association with tobacco cessation among adults enrolled in cigarette smoking cessation treatment before and after Canada legalized recreational cannabis in October 2018. Methods. The sample comprised 83 206 adults enrolled in primary care–based cigarette smoking cessation treatment between 2015 and 2021 in Ontario, Canada. Past-30-day cannabis use was self-reported at enrollment and cigarette smoking abstinence at 6-month follow-up. Results. Past-30-day prevalence of cannabis use increased from 20.2% in 2015 to 37.7% in 2021. The prevalence increased linearly both before and after legalization. Cannabis and tobacco co-use was associated with lower odds of self-reported cigarette smoking abstinence at 6-month follow-up than tobacco use only (24.4% vs 29.3%; odds ratio [OR] = 0.78; 95% confidence interval [CI] = 0.75, 0.81). This association was attenuated after adjustment for covariates (OR = 0.93; 95% CI = 0.89, 0.97) and weakened slightly over time. Conclusions. Cannabis use prevalence almost doubled from 2015 to 2021 among primary care patients in Ontario seeking treatment to quit cigarettes and was associated with poorer quit outcomes. Further research into the impact of cannabis policy on cannabis and tobacco co-use is warranted to mitigate harm. (Am J Public Health. 2024;114(1):98–107. https://doi.org/10.2105/AJPH.2023.307445)
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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