Adolescents' self-defined tobacco use status, marijuana use, and tobacco dependence.

Abstract:

AIMS:To examine differences in tobacco use and dependence between adolescents who are and are not marijuana users. DESIGN:Cross-sectional analysis of existing survey data. PARTICIPANTS:Data were obtained from 7440 adolescents who completed the British Columbia Youth Survey of Smoking and Health II (BCYSOSH-II), a school based survey conducted in 2004. MEASURES:Responses to demographic, current smoking, alcohol use, self-defined tobacco and marijuana use status questions, perceived physical and mental addiction to tobacco, modified-Fagerstrom Tolerance Questionnaire (M-FTQ), and the Dimensions of Tobacco Dependence Scale (DTDS) were obtained. FINDINGS:Marijuana users were 5.9 times more likely to be current tobacco smokers and reported higher levels of perceived addiction to tobacco as compared with marijuana non-users. After controlling for demographics, life-time tobacco use, and alcohol use, marijuana use was associated with the nicotine dependent and sensory dimensions of tobacco dependence. CONCLUSIONS:Adolescents who concurrently use tobacco and marijuana may be more tobacco dependent than are marijuana non-users. Concurrent use of marijuana may be a factor associated with tobacco dependence among a sub-group of concomitant drug-using adolescents.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Okoli CTC,Richardson CG,Ratner PA,Johnson JL

doi

10.1016/j.addbeh.2008.05.008

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1491-1499

issue

11

eissn

0306-4603

issn

1873-6327

pii

S0306-4603(08)00151-2

journal_volume

33

pub_type

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