Method and frequency of cannabis use: Results from the 2023 Behavioral Risk Factor Surveillance System

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-07-04 DOI:10.1016/j.addbeh.2025.108418

Stephen M. Amrock , Karmen Brar , Nicolette Pennington , Agata J. Sajkiewicz

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Abstract

Background

Cannabis use remains common in the United States as legal and social norms evolve. Few studies have assessed cannabis use patterns, which is important for public health planning.

Methods

Data from 119,068 individuals who responded to cannabis-related questions in the 2023 Behavioral Risk Factor Surveillance System, a national, cross-sectional survey, were analyzed. Cross-tabulations and logistic regression models were constructed to investigate patterns of cannabis use by demographic, health, and substance use correlates. A negative binomial regression was used to examine correlates of cannabis use frequency.

Results

Past-30-day cannabis use was common (14.7 %, 95 % CI: 14.3–15.1 %), of whom 77.1 % (95 % CI: 75.8–78.4 %) smoked, 44.3 % (95 % CI: 42.7–45.9 %) ingested, 32.7 % (95 % CI: 31.2–34.3 %) vaped, and 14.0 % (95 % CI: 12.8–15.2) dabbed. Most commonly, individuals either exclusively smoked (35.4 %, 95 % CI: 33.8–36.9 %) or ingested (15.2 %, 95 % CI: 14.1–16.2 %). Exclusive vaping was uncommon (3.1 %; 95 % CI 2.6–3.6 %), though a large minority (32.7 %; 95 % CI: 31.2–34.3 %) reported vaping, typically as part of a multimodal use pattern. Multimodal cannabis use was associated with increased use frequency. Tobacco smoking and cannabis smoking (OR 3.65, 95 % CI: 2.97–4.49), and e-cigarette use and cannabis vaping (OR 3.58, 95 % CI: 2.99, 4.28) were highly corelated.

Conclusion

Exclusive smoking or ingesting were the most common cannabis use patterns; 3 of 5 cannabis users used one or both of those modalities. A significant minority use multiple cannabis modalities, but rarely exclusively vape or dab. Robust associations were identified between cannabis smoking and tobacco use, and between cannabis vaping and e-cigarette use.

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大麻使用方法和频率：来自2023年行为风险因素监测系统的结果

随着法律和社会规范的发展，大麻的使用在美国仍然很普遍。很少有研究评估大麻的使用模式，这对公共卫生规划很重要。方法分析2023年行为风险因素监测系统（一项全国性横断面调查）中119,068人对大麻相关问题的回答数据。建立了交叉表和逻辑回归模型，根据人口、健康和物质使用相关因素调查大麻使用模式。使用负二项回归来检查大麻使用频率的相关性。结果过去30天吸食大麻的比例为14.7% (95% CI: 14.3 ~ 15.1%)，其中吸食占77.1% (95% CI: 75.5 ~ 78.4%)，摄入占44.3% (95% CI: 42.7 ~ 45.9%)，吸食占32.7% (95% CI: 31.2 ~ 34.3%)，吸食占14.0% （95% CI: 12.8 ~ 15.2）。最常见的是，个体完全吸烟（35.4%,95% CI: 33.8 - 36.9%）或摄入（15.2%,95% CI: 14.1 - 16.2%）。完全吸电子烟不常见(3.1%；95%可信区间为2.6 - 3.6%)，尽管有大量少数人(32.7%；95%可信区间：31.2 - 34.3%)报告了电子烟，通常是多模式使用模式的一部分。多模式大麻使用与使用频率增加有关。吸烟和吸食大麻（OR 3.65, 95% CI: 2.97-4.49），使用电子烟和吸食大麻（OR 3.58, 95% CI: 2.99, 4.28）高度相关。结论单纯吸食或吞食是最常见的大麻使用方式；五分之三的大麻使用者使用其中一种或两种方式。少数人使用多种大麻方式，但很少只使用电子烟或dab。研究发现，吸食大麻与使用烟草、吸食大麻与使用电子烟之间存在密切关联。

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.