Cannabis vaping may make quitting tobacco harder for youth

Cannabis vaping and tobacco quit intentions, quit attempts, and symptoms of nicotine dependence among youth in the United States.

Drug and alcohol dependence β€’ β€’ Highly Relevant
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AI Summary

This study examined whether recent cannabis vaping was linked with tobacco-cessation measures among 5,444 middle and high school students who reported recent tobacco use. Researchers analyzed nationally representative 2023–2025 survey data and accounted for factors such as the number of tobacco products used, sex, race and ethnicity, school level, and survey year.

Among youth who used tobacco, recent cannabis vaping was associated with lower odds of intending to quit tobacco and higher odds of nicotine-dependence symptoms, including cravings and using tobacco within 30 minutes of waking. The study did not find that these relationships significantly differed according to whether students used one, two, or at least three categories of tobacco products. The findings suggest that addressing cannabis use may strengthen tobacco-cessation efforts for young people who use both substances.

πŸ’‘ Key Findings

1
Recent cannabis vaping was associated with lower odds of intending to quit tobacco among youth who used tobacco.
Good
75%
2
Youth who recently vaped cannabis had higher odds of cravings and of using tobacco within 30 minutes of waking, both indicators of nicotine dependence.
Good
75%
3
The association between cannabis vaping and the cessation indicators did not significantly differ by whether youth used one, two, or at least three categories of tobacco products.
Good
70%
4
The findings suggest that addressing cannabis use could be important when designing tobacco-cessation support for youth who use both substances.
Good
70%

πŸ“„ Original Abstract

Concurrent use of tobacco and cannabis is common among youth, yet the association between cannabis use and tobacco cessation remains unclear. This study examines the relationship between past 30-day cannabis vaping and four tobacco cessation indicators among a nationally representative sample of youth who use tobacco in the United States. We analyzed pooled 2023-2025 data from the National Youth Tobacco Survey. Participants (n = 5444) were middle and high school students who reported past 30-day tobacco use. Multivariable logistic regression examined the association between past 30-day cannabis vaping and four tobacco cessation indicators (quit intentions, quit attempts, cravings, use within 30min of waking), controlling for number of tobacco product categories used, sex, race/ethnicity, school level, and survey year. An interaction between cannabis vaping and number of tobacco product categories used (single, dual, ≥ 3) was tested to assess whether associations differed across tobacco use patterns. Past 30-day cannabis vaping was associated with lower odds of quit intentions (aOR: 0.76; 95%CI: 0.62-0.94) and higher odds of nicotine dependence symptoms, including cravings (aOR: 1.68; 95%CI: 1.35-2.09) and use within  30min of waking (aOR: 1.83; 95%CI: 1.42-2.36), relative to no cannabis vaping in past 30-days. The interaction between cannabis vaping and number of tobacco product categories used was not significantly associated with any of the four outcomes. Past 30-day cannabis vaping was associated with lower quit intentions and greater nicotine dependence among youth who use tobacco. Addressing cannabis use may be important for improving tobacco cessation efforts among this population.

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