Frequency of adolescent cannabis smoking and vaping in the United States: Trends, disparities and concurrent substance use, 2017–19

Details

• Alternative Title:
  Addiction
• Personal Author:
  Keyes, Katherine M. ; Kreski, Noah T. ; Ankrum, Hadley ; Cerdá, Magdalena ; Chen, Qixuan ; Hasin, Deborah S. ; Martins, Silvia S. ; Olfson, Mark ; Miech, Richard
• Description:
  Aim:
  
  To quantify the trends in frequent and occasional cannabis vaping, demographic differences and concurrent nicotine and alcohol use.
  
  Design:
  
  Observational study. Survey-weighted multinomial logistic regression models assessed trends and disparities in past 30-day cannabis use. Trends were assessed overall and by sex, race/ethnicity, parental education and urbanicity. Multinomial logistic regression models also estimated associations of cannabis use (none, use without vaping, use with vaping) with past 2-week binge drinking and past 30-day nicotine/tobacco use.
  
  Setting:
  
  United States, 2017–19.
  
  Participants:
  
  Participants in the national Monitoring the Future (n = 51 052) survey.
  
  Measurements:
  
  Past 30-day frequent cannabis use (six or more times/30 days) and past 30-day occasional use (one to five times/30 days), with and without vaping.
  
  Findings:
  
  Past 30-day frequent cannabis use with vaping and occasional use with vaping rose from 2017 to 2019. Past 30-day frequent and occasional cannabis use without vaping declined. Certain groups, such as Hispanic/Latino or lower socio-economic status adolescents, experienced particularly notable increases in frequent cannabis use with vaping (e.g. prevalence among Hispanic/Latino adolescents). Adolescents who reported smoking and vaping nicotine, and 10+ occasions of binge drinking, were 42.28 [95% confidence interval (CI) = 33.14–53.93] and 10.09 (95% CI = 4.51–22.53) times more likely to report past 30-day cannabis use with vaping, respectively, compared with no use.
  
  Discussion:
  
  Cannabis use without vaping appears to be declining among adolescents in the United States, while cannabis use with vaping is accelerating; frequent cannabis vaping is especially increasing, with consistent increases across almost all adolescent demographic groups. Cannabis use among US adolescents remains highly associated with other substance use.
  
  
• Subjects:
  Adolescent Alcohol Article Binge Drinking Cannabis Concurrent Use Disparities Electronic Nicotine Delivery Systems Hallucinogens Humans Marijuana Smoking Nicotine Substance-Related Disorders Trends United States Vaping

  More +
• Source:
  Addiction. 117(8):2316-2324
• Pubmed ID:
  35588004
• Pubmed Central ID:
  PMC10037679
• Document Type:
  Journal Article
• Funding:
  R49 CE003094/CE/NCIPC CDC HHSUnited States/ ; R01 DA001411/DA/NIDA NIH HHSUnited States/ ; R01 DA048860/DA/NIDA NIH HHSUnited States/ ; R01 DA048853/DA/NIDA NIH HHSUnited States/ ; R01 DA037866/DA/NIDA NIH HHSUnited States/ ; R01 DA016575/DA/NIDA NIH HHSUnited States/ ; R49CE003094/ACL/ACL HHSUnited States/
• Volume:
  117
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e31c2594abccd404407188f299fa25bc2b9aa8ced002cdab2a46cbff3b5854b8
• Download URL:
  https://stacks.cdc.gov/view/cdc/126194/cdc_126194_DS1.pdf
• File Type:
  [PDF - 294.99 KB ]