Historique
Article de Périodique
Patterns of use, sequence of onsets and correlates of tobacco and cannabis (2011)
Auteur(s) :
AGRAWAL, A. ;
SCHERRER, J. F. ;
LYNSKEY, M. T. ;
SARTOR, C. E. ;
GRANT, J. D. ;
HABER, J. R. ;
MADDEN, P. A. F. ;
JACOB, T. ;
BUCHOLZ, K. K. ;
XIAN, H.
Année
2011
Page(s) :
1141-1147
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs ; Tabac / Tobacco / e-cigarette
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
CANNABIS
;
TABAC
;
THEORIE DE L'ESCALADE
;
TYPE D'USAGE
;
TRAJECTOIRE
;
FACTEUR DE VULNERABILITE
Résumé :
Background: While most individuals initiate their use of tobacco prior to onset of cannabis use, recent reports have identified a smaller subset of youth who report onset of cannabis use prior to tobacco use. In this study, we characterize patterns of cannabis and tobacco use (tobacco but not cannabis, cannabis but not tobacco or both) and compare the factors associated with onset of tobacco before cannabis and cannabis before tobacco.
Methods: Data on 1812 offspring aged 12–32 years, drawn from two related offspring of Vietnam Era twin studies, were used. Individuals were divided into tobacco but not cannabis (T), cannabis but not tobacco (C) and users of both substances (CT). Those who used both could be further classified by the timing of onset of tobacco and cannabis use. Multinomial logistic regression was used to characterize the groups using socio-demographic and psychiatric covariates. Furthermore, data on parental smoking and drug use was used to identify whether certain groups represented greater genetic or environmental vulnerability.
Results: 22% (N = 398) reported T, 3% (N = 55) reported C and 44% reported CT (N = 801). Of the 801 CT individuals, 72.8% (N = 583), 9.9% (N = 77) and 17.3% (N = 139) reported onset of tobacco before cannabis, cannabis before tobacco and onsets at the same age. C users were as likely as CT users to report peer drug use and psychopathology, such as conduct problems while CT was associated with increased tobacco use relative to T. Onset of tobacco prior to cannabis, when compared onset of cannabis before tobacco or reporting initiation at the same age was associated with greater cigarettes smoked per day, however no distinct factors distinguished the group with onset of cannabis before tobacco from those with initiation at the same age.
Conclusion: A small subset of individuals report cannabis without tobacco use. Of those who use both cannabis and tobacco, a small group report cannabis use prior to tobacco use. Follow-up analyses that chart the trajectories of these individuals will be required to delineate their course of substance involvement.
Methods: Data on 1812 offspring aged 12–32 years, drawn from two related offspring of Vietnam Era twin studies, were used. Individuals were divided into tobacco but not cannabis (T), cannabis but not tobacco (C) and users of both substances (CT). Those who used both could be further classified by the timing of onset of tobacco and cannabis use. Multinomial logistic regression was used to characterize the groups using socio-demographic and psychiatric covariates. Furthermore, data on parental smoking and drug use was used to identify whether certain groups represented greater genetic or environmental vulnerability.
Results: 22% (N = 398) reported T, 3% (N = 55) reported C and 44% reported CT (N = 801). Of the 801 CT individuals, 72.8% (N = 583), 9.9% (N = 77) and 17.3% (N = 139) reported onset of tobacco before cannabis, cannabis before tobacco and onsets at the same age. C users were as likely as CT users to report peer drug use and psychopathology, such as conduct problems while CT was associated with increased tobacco use relative to T. Onset of tobacco prior to cannabis, when compared onset of cannabis before tobacco or reporting initiation at the same age was associated with greater cigarettes smoked per day, however no distinct factors distinguished the group with onset of cannabis before tobacco from those with initiation at the same age.
Conclusion: A small subset of individuals report cannabis without tobacco use. Of those who use both cannabis and tobacco, a small group report cannabis use prior to tobacco use. Follow-up analyses that chart the trajectories of these individuals will be required to delineate their course of substance involvement.
Affiliation :
Washington University School of Medicine, Dept. of Psychiatry & the Midwest Alcoholism Research Center, USA