Trends in blunt smoking among adults in the United States, 2015–2022

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-10-10 DOI:10.1016/j.addbeh.2025.108507

Dale S. Mantey , Ashlynn M. Ruleman , Dilara K. Üsküp , Dylanne Twitty , LaTrice Montgomery

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引用次数: 0

Abstract

Objective

We quantify and compare population-level trends in blunt smoking across demographics as well as behavioral and regulatory factors among adults in the US from 2015 to 2022.

Methods

We analyzed eight (8) years of data from the National Survey of Drug Use and Health (NSDUH). Participants were n = 326,087 adults; a subsample of n = 22,294 current blunt smokers was used to examine daily blunt smoking. We modeled linear trends in lifetime (ever), current (past 30-day), and daily (30/30 days) blunt smoking by: sex, race/ethnicity, age category, income, Major Depressive Episodes, alcohol use, and state-level cannabis regulatory policy.

Results

From 2015 to 2022, lifetime blunt smoking increased ∼21.7 % (p < 0.001), current blunt smoking increased ∼34.4 % (p < 0.001), and daily blunt smoking among current users increased ∼24.5 % (p < 0.001). Lifetime blunt smoking increased significantly more among non-Hispanic White (23.7 %) and Hispanic (30.2 %) relative to non-Hispanic Black (8.6 %) adults; similar increases were observed among those older than 18–25 years. Current blunt smoking increased significantly greater among females (63.6 %) relative to males (19.0 %) and among those who did not use alcohol (92.3 %) relative to those who did use alcohol (23.4 %). Daily blunt smoking increased significantly greater among non-Hispanic White (80.4 %) relative to non-Hispanic Black (3.7 %) adults.

Conclusion

Blunt smoking increased substantially from 2015 to 2022. The greatest increases in blunt smoking were observed among females, older adults, and those who did not use alcohol; groups with historically lower rates of blunt smoking. Future study is needed to understand patterns of blunt initiation, escalation, and use disorder.

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2015-2022年美国成年人吸烟趋势

目的：我们量化和比较2015年至2022年美国成年人在人口统计学以及行为和监管因素方面的钝性吸烟人口水平趋势。方法对全国药物使用与健康调查（NSDUH） 8年的数据进行分析。参与者为326,087名成年人；一个子样本n = 22294目前的钝性吸烟者被用来检查每日钝性吸烟。我们对终生（曾经）、当前（过去30天）和每日（30/30天）钝性吸烟的线性趋势进行建模：性别、种族/民族、年龄类别、收入、重度抑郁发作、酒精使用和州一级大麻监管政策。结果从2015年到2022年，终生钝性吸烟增加了~ 21.7% (p < 0.001)，当前钝性吸烟增加了~ 34.4% (p < 0.001)，当前用户的每日钝性吸烟增加了~ 24.5% （p < 0.001）。与非西班牙裔黑人（8.6%）相比，非西班牙裔白人（23.7%）和西班牙裔（30.2%）的终生钝性吸烟增加明显更多；在18-25岁以上的人群中也观察到类似的增长。女性（63.6%）相对于男性（19.0%）和不饮酒的人群（92.3%）相对于饮酒的人群（23.4%），目前直接吸烟的人数明显增加。非西班牙裔白人（80.4%）比非西班牙裔黑人（3.7%）的吸烟率明显增加。结论2015 - 2022年钝性吸烟明显增加。直接吸烟人数增加最多的是女性、老年人和不饮酒的人；这些群体的钝性吸烟率历来较低。未来的研究需要了解钝性启动、升级和使用障碍的模式。

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.