Examining the Relationship of Cannabis use Patterns, Mental Health, and Sociodemographic Factors: A Focus on Cannabis Vaping, Smoking and Dual-Use

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-01-19 DOI:10.1016/j.addbeh.2025.108263

Jack Y.C. Chung , Carmen C.W. Lim , Jason P. Connor , Wayne Hall , Daniel Stjepanović , Gary C.K. Chan

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引用次数: 0

Abstract

Background

Cannabis vaping, and co-use with cannabis smoking, can exacerbate the risks of developing respiratory diseases and cannabis dependence. This study aims to examine the mental health profiles and sociodemographic correlates of adults who vape cannabis and engage in dual cannabis use (vaping/ smoking), compared to those who smoke cannabis.

Methods

The most recent, cross-sectional wave of the Population Assessment of Tobacco and Health Study (Wave 6) was used in this study. Data were restricted to adults (18 + years) who currently use cannabis (n = 7,178). Participants were classified as ‘cannabis smoking only,’ ‘cannabis vaping only,’ ‘dual-use,’ or ‘other cannabis use methods only.’ Multinomial logistic regression was used to examine the sociodemographic, internalizing and externalizing symptom factors of cannabis vaping and dual-use compared to cannabis smoking.

Results

Over 56 % of participants currently smoked cannabis only, 9.1 % vaped cannabis only, while 20.0 % were engaging in dual-use. Adults experiencing severe externalizing symptoms (vs. mild symptoms) had higher odds of engaging in dual-use than smoking cannabis only (OR = 1.89, 99.5 %CI: 1.48, 2.40). Those with White racial background (vs. African-American background) (OR = 3.90, 99.5 %CI: 2.31, 6.58) and earning a higher income (vs. lower income) (OR = 2.56, 99.5 %CI: 1.79, 3.66) had higher odds of currently vaping cannabis only, compared to smoking cannabis only.

Conclusions

Our study has identified that mental health plays a significant role in cannabis use patterns, particularly with externalizing symptoms which are related to aggression and diagnoses of attention deficit disorders. This highlights the need for healthcare and mental health providers to address mental health symptoms when managing adult cannabis use.

查看原文本刊更多论文

研究大麻使用模式、心理健康和社会人口因素之间的关系：重点关注大麻雾化、吸烟和双重用途。

背景：吸食大麻并与吸食大麻同时使用，可加剧患呼吸道疾病和大麻依赖的风险。本研究旨在研究与吸食大麻的成年人相比，吸食大麻和双重使用大麻（吸电子烟/吸烟）的成年人的心理健康状况和社会人口统计学相关性。方法：本研究采用烟草与健康研究人口评估的最新横断面波（波6）。数据仅限于目前使用大麻的成年人（18岁以上）（n = 7178）。参与者被分为“只吸大麻”、“只吸大麻”、“两用”或“只使用其他大麻方法”。采用多项logistic回归分析了吸食大麻与吸食大麻相比，吸食大麻和军民两用的社会人口学、内化和外化症状因素。结果：超过56%的参与者目前只吸食大麻，9.1%的参与者只吸食大麻，而20.0%的参与者从事双重用途。经历严重外化症状（与轻度症状相比）的成年人从事双重用途的几率高于只吸食大麻（OR = 1.89, 99.5% CI: 1.48, 2.40）。白人种族背景（相对于非裔美国人背景）（OR = 3.90, 99.5% CI: 2.31, 6.58）和收入较高（相对于收入较低）（OR = 2.56, 99.5% CI: 1.79, 3.66）的人目前只吸大麻的几率高于只吸大麻的几率。结论：我们的研究已经确定，心理健康在大麻使用模式中起着重要作用，特别是与攻击和注意力缺陷障碍诊断相关的外化症状。这突出表明，保健和心理健康提供者在管理成人大麻使用时需要处理心理健康症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.