"You can't go without a fag... You need it for your hash" - a qualitative exploration of smoking, cannabis and young people

FRANÇAIS :
Deux études qualitatives menées en Ecosse (l'une sur 99 fumeurs de 16-19 ans et l'autre sur 46 fumeurs de 15-16 ans) explorent le rôle et la signification de l'acte de fumer du tabac dans la vie des jeunes, leurs intentions d'arrêter et le lien avec la consommation de cannabis. Les résultats montrent une forte corrélation entre consommation de tabac et de cannabis. Pour beaucoup, fumer des joints a été la porte d'entrée vers la consommation de tabac et l'arrêt du tabac, pour la plupart, est freinée par leur consommation de cannabis.
ENGLISH :
Aims: To examine the relationship between smoking tobacco and cannabis use among smokers in their mid-to-late teens. Design and participants: Two qualitative studies in Scotland. One study used semistructured paired interviews involving 99 16-19-year-old smokers, the other comprised eight focus groups involving 46 15-16-year-old smokers. Measurement: The interviews and focus groups explored the role and meaning of smoking in the participants' lives, smoking histories and future cessation intentions and how these related to other aspects of their lives, particularly cannabis use. Findings: Cannabis use was regarded as an important and enjoyable aspect of many of the participants' lives. Importantly, cannabis use and cigarette smoking were linked inextricably. Several reported how smoking joints had been a 'gateway' to smoking cigarettes. While most wanted to quit smoking cigarettes, cannabis use reinforced their cigarette smoking and few wanted to stop using cannabis. Conclusion: National studies need to be conducted to examine how widespread the problem identified is and tobacco control initiatives and smoking cessation treatment services need to consider urgently how to overcome the barrier that a desire on the part of young people to continue cannabis smoking poses to achieving a reduction in tobacco use. (Review' s abstract)