Characterizing polysubstance use: What do we know about use of cigarettes, vaping products, cannabis, and alcohol among Canadians?

IF 2.7 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Reports Pub Date : 2023-04-19 DOI:10.25318/82-003-x202300400002-eng

Christine Czoli, Gabriella Luongo, Trevor Mischki

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引用次数: 0

Abstract

Introduction: Polysubstance use--the use of multiple substances on the same or different occasions--is a risk factor for substance use disorder. However, national surveillance of substance use in Canada has often focused on use of a single substance. To better understand and address polysubstance use, this study characterized the use of vaping products, cigarettes, inhaled cannabis, and alcohol among Canadians aged 15 years and older.

Methods: Nationally representative data from the 2020 Canadian Tobacco and Nicotine Survey were analyzed. Polysubstance use was assessed as use of at least two of the following in the past 30 days: smoking cigarettes, using vaping products (containing nicotine or flavours), using cannabis (in smoked and/or vaped form) and drinking alcohol (daily or weekly frequency).

Results: In 2020, past-30-day use of the examined substances was 4.7% for vaping products (1.5 million), 10.3% for cigarettes (3.2 million), 11.0% for inhaled cannabis (3.4 million), and 37.6% for weekly or daily use of alcohol (11.7 million). Polysubstance use was reported by 12.2% of Canadians (3.8 million) and was more prevalent among young Canadians, men and those who vaped. The most common combination of substances among polysubstance users included inhaled cannabis and weekly or daily use of alcohol (29.0%, or 1.1 million).

Conclusion: The use of vaping products, cigarettes, inhaled cannabis, and alcohol-individually and in combination-is substantial among Canadians. Frequent consumption of alcohol was most prevalent overall and, in contrast to the other examined substances, was common among Canadians of all ages. Findings may inform a polysubstance use approach for prevention policies and programs.

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表征多物质使用:我们对加拿大人使用香烟、电子烟产品、大麻和酒精的情况了解多少?

多物质使用——在相同或不同场合使用多种物质——是物质使用障碍的一个危险因素。然而，加拿大对物质使用的国家监测往往侧重于单一物质的使用。为了更好地了解和解决多物质使用问题，这项研究描述了15岁及以上的加拿大人使用电子烟产品、香烟、吸入大麻和酒精的情况。方法:分析2020年加拿大烟草和尼古丁调查中具有全国代表性的数据。多物质使用被评估为在过去30天内至少使用以下两种:吸烟，使用电子烟产品(含有尼古丁或香料)，使用大麻(烟熏和/或电子烟形式)和饮酒(每天或每周频率)。结果:2020年，过去30天内使用这些物质的电子烟产品占4.7%(150万)，香烟占10.3%(320万)，吸入大麻占11.0%(340万)，每周或每天使用酒精占37.6%(1170万)。据报告，12.2%的加拿大人(380万)使用多种物质，在加拿大年轻人、男性和吸电子烟的人中更为普遍。多种物质使用者中最常见的物质组合包括吸入大麻和每周或每天使用酒精(29.0%，即110万人)。结论:电子烟产品、香烟、吸入大麻和酒精的使用——无论是单独使用还是组合使用——在加拿大人中都很普遍。总的来说，经常饮酒是最普遍的，与其他被调查的物质相比，在所有年龄段的加拿大人中都很普遍。研究结果可以为预防政策和项目的多物质使用方法提供信息。

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

Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

4.00%

发文量

期刊介绍： Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.