Cigarette and cannabis use and co-use among U.S. adults: An examination of prevalence and trends during 2015–2023

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-10-14 DOI:10.1016/j.addbeh.2025.108521

Joanne Constantin , Jayani Jayawardhana

{"title":"Cigarette and cannabis use and co-use among U.S. adults: An examination of prevalence and trends during 2015–2023","authors":"Joanne Constantin , Jayani Jayawardhana","doi":"10.1016/j.addbeh.2025.108521","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The shifting dynamics of cannabis legislation in the U.S. has over half the states legalizing recreational use for adults and others opting for decriminalization. As tobacco use wanes, the surge in cannabis use presents a worrisome trend among adults. This study examines cigarette and cannabis use and co-use among U.S. adults from 2015 to 2023, emphasizing key sociodemographic variations.</div></div><div><h3>Methods</h3><div>Utilizing the National Survey on Drug Use and Health, we explored the prevalence and trends of past 30-day cigarette and cannabis co-use, cannabis-only use, and cigarette-only use among adults 18 and older over three periods: 2015–2019, 2020, and 2021–2023. Analyses were conducted across various sociodemographic factors, and predictors of substance use were identified using multivariable logistic regressions.</div></div><div><h3>Results</h3><div>Cannabis-only use increased from 3.9% to 6.5% in 2015–2019, was 7.1% in 2020, and increased again from 7.9% to 10.6% in 2021–2023. Cigarette-only use decreased from 15.0% to 12.0% in 2015–2019, was 10.3% in 2020, and declined again from 10.8% to 8.8% in 2021–2023. Co-use was relatively stable across the different periods. Among socioeconomically disadvantaged adults (with lower education, income, or lacking insurance), cigarette-only use was most prevalent. In contrast, cannabis-only use predominated among more socioeconomically advantaged groups (college-educated, high-income, and privately insured).</div></div><div><h3>Conclusion</h3><div>Cannabis-only use and co-use trends pose public health risks akin to cigarettes, necessitating targeted prevention campaigns. A multi-pronged strategy of public health education, early detection, and effective treatment development is vital to prevent cannabis from becoming the next public health crisis.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"172 ","pages":"Article 108521"},"PeriodicalIF":3.6000,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addictive behaviors","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306460325002904","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

The shifting dynamics of cannabis legislation in the U.S. has over half the states legalizing recreational use for adults and others opting for decriminalization. As tobacco use wanes, the surge in cannabis use presents a worrisome trend among adults. This study examines cigarette and cannabis use and co-use among U.S. adults from 2015 to 2023, emphasizing key sociodemographic variations.

Methods

Utilizing the National Survey on Drug Use and Health, we explored the prevalence and trends of past 30-day cigarette and cannabis co-use, cannabis-only use, and cigarette-only use among adults 18 and older over three periods: 2015–2019, 2020, and 2021–2023. Analyses were conducted across various sociodemographic factors, and predictors of substance use were identified using multivariable logistic regressions.

Results

Cannabis-only use increased from 3.9% to 6.5% in 2015–2019, was 7.1% in 2020, and increased again from 7.9% to 10.6% in 2021–2023. Cigarette-only use decreased from 15.0% to 12.0% in 2015–2019, was 10.3% in 2020, and declined again from 10.8% to 8.8% in 2021–2023. Co-use was relatively stable across the different periods. Among socioeconomically disadvantaged adults (with lower education, income, or lacking insurance), cigarette-only use was most prevalent. In contrast, cannabis-only use predominated among more socioeconomically advantaged groups (college-educated, high-income, and privately insured).

Conclusion

Cannabis-only use and co-use trends pose public health risks akin to cigarettes, necessitating targeted prevention campaigns. A multi-pronged strategy of public health education, early detection, and effective treatment development is vital to prevent cannabis from becoming the next public health crisis.

查看原文本刊更多论文

美国成年人中香烟和大麻的使用和共同使用：2015-2023年流行率和趋势的研究。

背景：美国大麻立法的动态变化使超过一半的州将成人娱乐用途合法化，而其他州则选择将其合法化。随着烟草使用的减少，大麻使用的激增在成年人中呈现出令人担忧的趋势。这项研究调查了2015年至2023年美国成年人吸烟和大麻的使用情况，并强调了主要的社会人口变化。方法：利用全国药物使用和健康调查，研究了2015-2019年、2020年和2021-2023年三个时期18岁及以上成年人过去30天吸烟和大麻共同使用、仅使用大麻和仅使用香烟的流行情况和趋势。对各种社会人口因素进行了分析，并使用多变量逻辑回归确定了药物使用的预测因素。结果：2015-2019年大麻使用率从3.9%上升到6.5%，2020年为7.1%，2021-2023年再次从7.9%上升到10.6%。2015-2019年，纯卷烟使用率从15.0%降至12.0%，2020年为10.3%，2021-2023年再次从10.8%降至8.8%。不同时期的共利用相对稳定。在社会经济上处于不利地位的成年人（教育程度、收入较低或缺乏保险）中，只吸烟最为普遍。相比之下，只使用大麻在社会经济上更有利的群体（受过大学教育、高收入和私人保险）中占主导地位。结论：仅使用大麻和共同使用大麻的趋势构成与卷烟类似的公共卫生风险，需要有针对性的预防运动。一项多管齐下的公共卫生教育、早期发现和有效治疗发展战略对于防止大麻成为下一个公共卫生危机至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.