Prevention Research Center, Pacific Institute for Research.valuation, Berkeley, CA 94704, USA.
Health Educ Res. 2010 Feb;25(1):83-96. doi: 10.1093/her/cyp066. Epub 2009 Dec 3.
Increased use of cigars has been noted among youth, as well as use of blunts (hollowed-out cigars filled with marijuana). Three types of relationships have been previously hypothesized between use of tobacco and marijuana in substance use progression. We aimed to assess these relationships for Southeast Asian American youth and adults in an urban population. We conducted in-person interviews with 164 Southeast Asians, smokers and non-smokers, in two low-income urban communities in Northern California, collecting both quantitative and qualitative data. Analysis of the quantitative data indicated distinct use patterns for blunts, cigars and other forms of marijuana in terms of associations with generation in the United States. The use of these items was also found to be related: ever having smoked cigarettes or blunts increased the risk of ever having smoked the other three items. Qualitative data found indications of all three hypothesized relationships between tobacco and marijuana for youths but not for older adults. For youths in the study, 'smoking' was found to constitute a social construct within which use of cigarettes, cigars and blunts were somewhat interchangeable. Youths in similar settings may initiate into and progress through smoking as an activity domain rather than any one of these items.
青少年使用雪茄的现象有所增加，同时也有使用空心雪茄吸食大麻的情况。在物质使用的进展过程中，此前曾假设过烟草和大麻使用之间存在三种关系。我们旨在评估在加利福尼亚州北部两个低收入城市社区的城市人群中，东南亚裔美国青少年和成年人中这些关系的存在情况。我们对 164 名东南亚裔吸烟者和非吸烟者进行了面对面访谈，收集了定量和定性数据。对定量数据的分析表明，在与在美国的代际关系方面，空心雪茄、雪茄和其他形式的大麻的使用模式存在明显差异。还发现这些物品的使用也存在关联：曾经吸烟或吸食空心雪茄会增加吸食其他三种物品的风险。定性数据表明，在青少年中发现了烟草和大麻之间所有三种假设关系的迹象，但在成年中没有发现。对于研究中的青少年来说，“吸烟”构成了一个社会结构，在这个结构中，香烟、雪茄和空心雪茄的使用在某种程度上是可以互换的。在类似的环境中，青少年可能会开始并通过吸烟作为一个活动领域来发展，而不是使用这些物品中的任何一种。
