Tobacco/Nicotine Use Among Individuals Using Cannabis for Therapeutic Purposes

2021 ◽  
Author(s):  
Marc L Steinberg ◽  
Rachel L. Rosen ◽  
Benjamin Billingsley ◽  
Drashya Shah ◽  
Michele Bender ◽  
...  

OBJECTIVE: While the relationship between recreational cannabis and nicotine use is well established, little is known about nicotine use among users of cannabis for therapeutic purposes (CTP). METHOD: Patients attending a medical marijuana dispensary (N = 697; 75.3% White; 60.0% male) completed a survey examining nicotine use, routes of administration of nicotine and cannabis, and CTP qualifying conditions. RESULTS: More than one-third (39.3%) of participants reported current nicotine use. Compared to exclusive cigarette smokers, non-users of nicotine, and e-cigarette users were approximately four times more likely to vape, rather than to smoke, cannabis. Almost a third of those reporting e-cigarette use (30.6%) and more than half (56.7%) of those reporting smoking cigarettes reported stopping for one day or longer in the past year because they were trying to quit. Furthermore, 46.8% of cigarette smokers reported plans to quit smoking in the next six months (but not in the next month) and an additional 31.6% planned to quit in the next month. Having a psychiatric condition was associated with nicotine use and higher motivation to quit smoking. CONCLUSIONS: Users of CTP are more likely to use nicotine products than the general population. Importantly, the route of administration of nicotine products is related to the route of administration of CTP. If aerosolized (vaped) CTP is a less harmful route of administration than smoked CTP, dispensary staff should be aware of this relationship and take this into account when recommending a non-combustible route.

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e025370 ◽  
Author(s):  
Sarah E Jackson ◽  
Lion Shahab ◽  
Robert West ◽  
Jamie Brown

ObjectivesRoll-your-own (RYO) cigarettes have become popular in the UK and reduce the cost of smoking, potentially mitigating the impact of tax increases on quitting. We examined whether RYO cigarette use was associated with reduced motivation to quit smoking, incidence of quit attempts and quit success.DesignCross-sectional survey.SettingEngland.Participants38 590 adults who reported currently smoking or having stopped within the past 12 months.Main outcome measuresMotivation to quit smoking, quit attempt in the last year, motives for quitting and quit success were regressed onto RYO cigarette use, adjusting for sociodemographic variables and level of cigarette addiction. Mediation by weekly spending on smoking was tested.ResultsCompared with manufactured cigarette smokers, RYO smokers had lower odds of high motivation to quit (OR=0.77, 95% CI 0.73 to 0.81) or having made a quit attempt (OR=0.87, 95% CI 0.84 to 0.91). Among those who had attempted to quit smoking, quit success did not differ by cigarette type (OR=1.00, 95% CI 0.89 to 1.12), but RYO smokers were less likely to report cost of smoking as a motive to quit (OR=0.68, 95% CI 0.61 to 0.74). Spending on smoking mediated the association between RYO use and quit attempts (β=−0.02, SE=0.003, 95% CI −0.03 to −0.02).ConclusionsIn England, compared with smokers of manufactured cigarettes, RYO cigarette smokers appear to have lower motivation to quit and lower incidence of quit attempts but similar success of quit attempts. The lower cost of RYO smoking appears to mediate the lower incidence of quit attempts among RYO users.


1994 ◽  
Vol 24 (4) ◽  
pp. 613-626 ◽  
Author(s):  
Frederick Adams

What is the relationship between trying, desire, and desiring to try? Is it necessary to desire to do something in order to try to do it? Must Dave desire to quit smoking in order to try to quit? I shall defend the view that desiring to do A is necessary for trying to do A. First, Dave needs motivation to quit smoking and motivation comes in the form of desire. So it seems straightforward that when one tries to do something A, one’s desire to do that thing A is one’s motivation. Second, when Dave throws out a pack of cigarettes, this may or may not be part of an attempt to quit smoking. It may be a political protest against R.J.R. Nabisco (Dave may be changing brands, not lifestyles). Dave’s throwing out the cigarettes only counts as part of his attempt to quit smoking, if it is done for the right reason, out of the right motivation. Again, the right motivation seems to be the desire to quit smoking. Thus, the desire to do A appears to play important roles in the attempt to do A. At the very least, it helps to motivate, guide, and constitute the attempt as the attempt to do A. It is because Dave wants to quit smoking that his throwing out his cigarettes counts as part of his attempt to quit smoking, not as a political protest.


2021 ◽  
pp. tobaccocontrol-2021-056769
Author(s):  
Maddy L Dyer ◽  
Jasmine N Khouja ◽  
Abigail R Jackson ◽  
Michelle A Havill ◽  
Martin J Dockrell ◽  
...  

BackgroundE-liquid flavour restrictions may discourage electronic cigarette (e-cigarette) uptake among youth. However, possible unintended consequences may include reduced appeal and effectiveness of e-cigarettes for smoking cessation. Non-tobacco flavours appear to be important for smoking cessation, but how and why are currently unclear.MethodsWe conducted an experimental study in a UK sample of adult daily smokers using an independent groups design (N=84). Participants were randomised to use an e-cigarette with nicotine-containing fruit/sweet-flavoured e-liquid (blackcurrant, strawberry, vanilla, caramel) or unflavoured e-liquid for 1 week. The primary outcomes were average, peak and cue-elicited cigarette craving (the latter was assessed using a cue exposure task). The secondary outcomes were smoking lapse occurrence, enjoyment of the e-cigarette, ease of transitioning from smoking to using an e-cigarette, intentions to continue using an e-cigarette, intentions and motivation to quit smoking, return to smoking, and continuation of e-cigarette use.ResultsE-liquid flavouring did not appear to have an effect on average cigarette craving (b 0.18, 95% CI −0.44 to 0.79, p=0.57), peak cigarette craving (b −0.12, 95% CI −0.59 to 0.35, p=0.62) or cue-elicited cigarette craving (b −0.21, 95% CI −3.86 to 3.43, p=0.91). We did not find evidence of a difference in secondary outcomes.ConclusionsWe did not find evidence to suggest that nicotine-containing fruit/sweet-flavoured and unflavoured e-liquids have different effects on cigarette cravings after 1 week of use. Further research is needed to establish if differences emerge over longer periods of exposure and extend to smoking cessation outcomes.


2018 ◽  
Vol 80 ◽  
pp. 65-70 ◽  
Author(s):  
Damaris J. Rohsenow ◽  
Jennifer W. Tidey ◽  
Rosemarie A. Martin ◽  
Suzanne M. Colby ◽  
Thomas Eissenberg

2020 ◽  
Vol 20 (3) ◽  
Author(s):  
Elda Nazriati ◽  
Zulharman Zulharman ◽  
Bening Osia Suseno ◽  
Habiburrahman Habiburrahman

One of the success factors in quitting smoking is motivation. while smoking dependence makes quitting smoking more difficult. The purpose of this study was to determine whether smoking dependence was related to the motivation to quit smoking. A survey was conducted on 137 Riau University academicians who had or wre currently smokers. Samples were taken using side voluntaries. The smoking dependence questionnaire used the Fagerstrom Test for Cigarettes Dependence (FTCD) and the motivation to quit smoking from the Center for Tobacco Independence which was distributed online. The relationship between fagerstrom score and motivation to quit smoking was tested by means of the spearmen correlation test. research showed that most respondents were at a low level of smoking dependence with level 8 motivation (ready to quit smoking). There was a significant relationship in the opposite direction between smoking dependence and motivation to quit smoking


Author(s):  
Belinda Borrelli ◽  
Romano Endrighi ◽  
Lisa M Quintiliani ◽  
Rosemary B Hughes ◽  
Sherry Pagoto

Abstract People with mobility impairments (MIs; use assistive devices to ambulate) have twice the smoking prevalence versus the general population. A Facebook intervention could improve reach to smokers with MIs, but use and patterns of use are unknown. The study examined: (a) Facebook use and relationship with Facebook-based social support and (b) whether Facebook use differs by motivation to quit smoking. Participants (N = 510; 56.3% female, mean age = 42.4 years) were recruited via a recruitment company to complete a one-time online survey assessing motivation to quit within 30 days, Facebook use (Facebook Activities Scale), reasons for use (Facebook Motives Scale), attitudes (Facebook Intensity Scale), and social support (Facebook Measure of Social Support). The vast majority said that Facebook is part of their daily routine (92.9%), 83% checked Facebook >once a day, and 69% spent >30 min/day on Facebook. Facebook was used to connect with similar others (68.4%), participate in groups (72.9%), decrease loneliness (69.2%), and obtain health information (62.5%); 88% said that they would join a Facebook program to help them quit smoking. A greater number of Facebook friends (rs = .18–.22, p < .001) and greater Facebook use (rs = .20 to rs = .59; p < .001) were correlated with greater perceived social and emotional support. Those motivated to quit posted more frequently (odds ratio [OR] = 1.56, 95% confidence interval [CI] = 1.10, 2.22) and were more likely to indicate that they would join a Facebook group for smoking cessation (OR = 4.15, 95% CI = 2.05, 8.38) than those not motivated. Facebook could circumvent disability and environmental barriers to accessing cessation among this health disparity population.


Author(s):  
Karishma Kaur Gill ◽  
Sander van der Moolen ◽  
Sobia Bilal

Sign in / Sign up

Export Citation Format

Share Document