Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, and
Institute for Implementation Science in Population Health, City University of New York, New York, New York.
Pediatrics. 2018 Jun;141(6). doi: 10.1542/peds.2017-3506. Epub 2018 May 14.
In this study, we investigated trends in cannabis use among parents with children at home in the United States and estimated changes in prevalence of any cannabis use and daily cannabis use among parents who identified as cigarette smokers and nonsmokers with children in the home from 2002 to 2015.
The National Survey on Drug Use and Health is an annual, nationally representative, cross-sectional study conducted in the United States. Using logistic regression models, associations between cigarette smoking and any past-month and daily past-month cannabis use among parents with children in the home from 2002 to 2015 were estimated. Moderation of these associations by demographics and trends over time was examined.
Past-month cannabis use among parents with children in the home increased from 4.9% in 2002 to 6.8% in 2015, whereas cigarette smoking declined from 27.6% to 20.2%. Cannabis use increased from 11.0% in 2002 to 17.4% in 2015 among cigarette-smoking parents and from 2.4% to 4.0% among non-cigarette-smoking parents ( value for trends <.0001). Cannabis use was nearly 4 times more common among cigarette smokers versus nonsmokers (17.4% vs 4.0%; adjusted odds ratio = 3.88 [3.16-4.75]), as was daily cannabis use (4.6% vs 0.8%; adjusted odds ratio = 3.70 [2.46-5.55]). The overall percentage of parents who used either cigarettes and/or cannabis decreased from 29.7% in 2002 to 23.5% in 2015.
Efforts to decrease secondhand smoke exposure via cigarette smoking cessation may be complicated by increases in cannabis use. Educating parents about secondhand cannabis smoke exposure should be integrated into public education programs on secondhand tobacco smoke exposure.
本研究旨在调查美国有子女在家的父母中，大麻使用的趋势，并估计从 2002 年到 2015 年，家中有子女的自报吸烟和非吸烟父母中，任何大麻使用和每日大麻使用的流行率变化。
国家毒品使用与健康调查是一项在美国进行的年度、全国代表性、横断面研究。使用逻辑回归模型，估计了 2002 年至 2015 年家中有子女的自报吸烟父母与任何过去一个月和每日过去一个月大麻使用者之间的关联。还检查了这些关联是否受人口统计学因素和随时间的变化的影响。
家中有子女的父母过去一个月大麻使用的比例从 2002 年的 4.9%上升到 2015 年的 6.8%，而吸烟率从 27.6%下降到 20.2%。在吸烟父母中，大麻使用率从 2002 年的 11.0%上升到 2015 年的 17.4%，在非吸烟父母中，大麻使用率从 2.4%上升到 4.0%（趋势值<.0001）。与非吸烟者相比，吸烟者使用大麻的情况要常见近 4 倍（17.4%与 4.0%；调整后的优势比=3.88[3.16-4.75]），每日使用大麻的情况也是如此（4.6%与 0.8%；调整后的优势比=3.70[2.46-5.55]）。2002 年有子女的父母同时使用香烟和/或大麻的比例为 29.7%，到 2015 年下降到 23.5%。
通过戒烟减少二手烟暴露的努力可能会因大麻使用的增加而变得复杂。应将教育父母了解二手大麻烟雾暴露纳入关于二手烟草烟雾暴露的公共教育计划中。
