Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, Ohio, USA.
Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Subst Use Misuse. 2023;58(5):717-727. doi: 10.1080/10826084.2023.2184206. Epub 2023 Mar 2.
: Research suggests flavor facilitates cigarillo use, but it is unknown if flavor impacts patterns of co-use of cigarillos and cannabis ("co-use"), which is common among young adult smokers. This study's aim was to determine the role of the cigarillo flavor in co-use among young adults. : Data were collected (2020-2021) in a cross-sectional online survey administered to young adults who smoked ≥2 cigarillos/week (N = 361), recruited from 15 urban areas in the United States. A structural equation model was used to assess the relationship between flavored cigarillo use and past 30-day cannabis use (flavored cigarillo perceived appeal and harm as parallel mediators), including several social-contextual covariates (e.g., flavor and cannabis policies). : Most participants reported usually using flavored cigarillos (81.8%) and cannabis use in the past 30 days ("co-use") (64.1%). Flavored cigarillo use was not directly associated with co-use (p = 0.90). Perceived cigarillo harm (β = 0.18, 95% CI = 0.06, 0.29), number of tobacco users in the household (β = 0.22, 95% CI = 0.10, 0.33), and past 30-day use of other tobacco products (β = 0.23, 95% CI = 0.15, 0.32) were significantly positively associated with co-use. Living in an area with a ban on flavored cigarillos was significantly negatively associated with co-use (β = -0.12, 95% CI = -0.21, -0.02). : Use of flavored cigarillos was not associated with co-use; however, exposure to a flavored cigarillo ban was negatively associated with co-use. Cigar product flavor bans may reduce co-use among young adults or have a neutral impact. Further research is needed to explore the interaction between tobacco and cannabis policy and use of these products.
: 研究表明，口味有助于小雪茄的使用，但目前尚不清楚口味是否会影响小雪茄和大麻的共同使用模式（“共同使用”），这种情况在年轻成年吸烟者中很常见。本研究旨在确定小雪茄口味在年轻成年人共同使用中的作用。: 数据来自于 2020 年至 2021 年期间在美国 15 个城市进行的一项横断面在线调查，共招募了每周至少吸食 2 支小雪茄的年轻成年人（N=361）。使用结构方程模型评估了吸食调味小雪茄与过去 30 天内吸食大麻之间的关系（调味小雪茄感知吸引力和危害作为平行中介），包括几个社会背景协变量（例如，口味和大麻政策）。: 大多数参与者报告通常使用调味小雪茄（81.8%）和过去 30 天内吸食大麻（“共同使用”）（64.1%）。调味小雪茄的使用与共同使用之间没有直接关联（p=0.90）。感知小雪茄危害（β=0.18，95%置信区间=0.06，0.29）、家庭中吸烟人数（β=0.22，95%置信区间=0.10，0.33）以及过去 30 天内使用其他烟草产品（β=0.23，95%置信区间=0.15，0.32）与共同使用显著正相关。生活在禁止调味小雪茄的地区与共同使用显著负相关（β=-0.12，95%置信区间=-0.21，-0.02）。: 调味小雪茄的使用与共同使用无关；然而，暴露于调味小雪茄禁令与共同使用呈负相关。烟草产品口味禁令可能会减少年轻成年人的共同使用，或者产生中性影响。需要进一步研究来探索烟草和大麻政策之间的相互作用以及这些产品的使用情况。
