Format

Send to

Choose Destination
Addict Behav. 2011 Dec;36(12):1141-7. doi: 10.1016/j.addbeh.2011.07.005. Epub 2011 Jul 23.

Patterns of use, sequence of onsets and correlates of tobacco and cannabis.

Author information

1
Washington University School of Medicine, Dept. of Psychiatry & the Midwest Alcoholism Research Center, Saint Louis, MO 63110, USA. arpana@wustl.edu

Abstract

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.

PMID:
21820810
PMCID:
PMC3183489
DOI:
10.1016/j.addbeh.2011.07.005
[Indexed for MEDLINE]
Free PMC Article

Publication types, MeSH terms, Grant support

Publication types

MeSH terms

Grant support

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center