Stephen M. Amrock , Karmen Brar , Nicolette Pennington , Agata J. Sajkiewicz
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A negative binomial regression was used to examine correlates of cannabis use frequency.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"170 ","pages":"Article 108418"},"PeriodicalIF":3.6000,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Method and frequency of cannabis use: Results from the 2023 Behavioral Risk Factor Surveillance System\",\"authors\":\"Stephen M. Amrock , Karmen Brar , Nicolette Pennington , Agata J. Sajkiewicz\",\"doi\":\"10.1016/j.addbeh.2025.108418\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>\",\"PeriodicalId\":7155,\"journal\":{\"name\":\"Addictive behaviors\",\"volume\":\"170 \",\"pages\":\"Article 108418\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2025-07-04\",\"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/S0306460325001790\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addictive behaviors","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306460325001790","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Method and frequency of cannabis use: Results from the 2023 Behavioral Risk Factor Surveillance System
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.
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.