Adding tobacco to cannabis: its frequency and likely implications.

Details

Ressource 1Request a copy Sous embargo indéterminé.
State: Public
Version: author
Serval ID
serval:BIB_ED63705CF788
Type
Article: article from journal or magazin.
Collection
Publications
Title
Adding tobacco to cannabis: its frequency and likely implications.
Journal
Nicotine and Tobacco Research
Author(s)
Bélanger Richard E., Akré Christina, Kuntsche Emmanuel N., Gmel Gerhard, Suris Joan Carles
ISSN
1469-994X (Electronic)
ISSN-L
1462-2203
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
13
Number
8
Pages
746-750
Language
english
Abstract
INTRODUCTION: Young cannabis users are at increased risk of later cigarette initiation and progression to nicotine addiction. The present study addresses the frequency at which mulling (adding tobacco to cannabis smoked as joints) is performed and in which way this practice varies according to cigarette smoking status. METHODS: Data were issued from the Swiss 2007 European School Survey Project on Alcohol and other Drugs (ESPAD). A total of 881 past month cannabis users (mean age 15 years, boys 60.1%) were inquired on mulling using an anonymous self-administered questionnaire. Participants were further grouped according to their cigarette smoking status (daily, occasional, former, and never-smokers). RESULTS: Four of every 5 cannabis users depicted mulling as frequently performed. The highest occurrence was found among daily cigarette smokers (DSC; 90.3%), while former cigarette smokers reported the lowest (58.9%). The multinomial logistic regression showed DSC more likely reporting mulling as frequent compared with never-smokers (risk ratio = 3.56 [95% CI 1.55-8.21]). Conclusions: Mulling appears to be a very common process among young cannabis users, especially among concomitant cigarette smokers. Nevertheless, the majority of cigarette abstainers also reported frequently adding tobacco to the cannabis they smoke. Because it may represent a significant exposition to nicotine, mulling should be taken into account when assessing substance use among adolescents and in supporting their quitting attempts.
Pubmed
Web of science
Create date
28/04/2011 14:38
Last modification date
20/08/2019 17:15
Usage data