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Am J Public Health. 2018 Jan;108(1):137-142. doi: 10.2105/AJPH.2017.304050. Epub 2017 Nov 21.

Trends in Daily Cannabis Use Among Cigarette Smokers: United States, 2002-2014.

Author information

Renee D. Goodwin is with the Institute for Implementation Science in Population Health, Graduate School of Public Health and Health Policy, The City University of New York, New York, NY. Lauren R. Pacek is with the Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC. Jan Copeland is with the University of New South Wales Medicine, Sydney, New South Wales, Australia. Scott J. Moeller is with the Department of Psychiatry, Stony Brook University School of Medicine, Stony Brook, NY. Lisa Dierker is with the Department of Psychology, Wesleyan University, Middletown, CT. Andrea Weinberger is with the Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY. Michael J. Zvolensky is with the Department of Psychology, University of Houston, Houston, TX. Melanie M. Wall is with the Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY. Deborah S. Hasin is with the Department of Epidemiology, Mailman School of Public Health.



To estimate changes in the prevalence of daily cannabis use among current, former, and never cigarette smokers from 2002 to 2014 in the United States.


The National Survey on Drug Use and Health is a nationally representative cross-sectional study conducted annually among persons aged 12 years and older in the United States.


Daily cannabis use occurs nearly exclusively among nondaily and daily cigarette smokers compared with former and never smokers (8.03%, 9.01%, 2.79%, 1.05%, respectively). Daily cannabis use increased over the past decade among both nondaily (8.03% [2014] vs 2.85% [2002]; linear trend P < .001) and daily smokers (9.01% [2014]; 4.92% [2002]; linear trend P < .001). Daily cannabis use increased most rapidly among former cigarette smokers (2.79% [2014] vs 0.98% [2002]; linear trend P < .001).


Daily cannabis use occurs predominantly among cigarette smokers in the United States. Daily cannabis use increased among current, former, and never smokers over the past decade, with particularly rapid increases among youth and female cigarette smokers. Future research is needed to monitor the observed increase in daily cannabis use, especially among youths and adults who smoke cigarettes.

[Available on 2019-01-01]
[Indexed for MEDLINE]

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