Glasser Allison M, Nemeth Julianna M, Bolkovac Emma, Quisenberry Amanda J, Trapl Erika S, Klein Elizabeth G
Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, 1841 Neil Ave., Columbus, Columbus, Ohio, 43210, USA.
Rutgers Institute for Nicotine and Tobacco Studies, 303 George St., New Brunswick, New Jersey, 08901, USA.
Health Behav Res. 2025;8(2). doi: 10.4148/2572-1836.1293.
Co-use of cannabis and cigarillos ("co-use") is prevalent among young adults. The United States Food and Drug Administration proposed a rule to ban flavored cigars, which could impact co-use, particularly blunt use (removing tobacco from cigar and mixing or replacing with cannabis). We sought to explore the impact of cigarillo flavor on cannabis/cigarillo co-use. The sample included 38 young adults (21-28) who smoked cigarillos and cannabis in the past month recruited from a non-probability sample of participants in the Cigarillos Flavor and Abuse Liability, Attention, and Substitution (C-FLASH) Study. Semi-structured phone interviews were conducted, double-coded, and analyzed for emergent themes. Most participants believed cigarillo flavor enhances the co-use experience, but participants mostly felt that a cigar flavor ban would not impact their cannabis use. They would continue using unflavored cigarillos to roll blunts or migrate to another method of consuming cannabis. Other influential cigarillo characteristics (e.g., burn time) and social-contextual factors (e.g., management of mental health, easy access) emerged. Banning flavored cigars may have a neutral to positive impact on co-users. To reduce co-use, policymakers should consider approaches to address psychosocial and structural determinants of use.
大麻与小雪茄共同使用（“共同使用”）在年轻人中很普遍。美国食品药品监督管理局提议制定一项禁止调味雪茄的规定，这可能会影响共同使用情况，尤其是大麻卷烟使用（从雪茄中取出烟草并用大麻混合或替代）。我们试图探究小雪茄口味对大麻/小雪茄共同使用的影响。样本包括38名年龄在21至28岁之间、过去一个月内吸食过小雪茄和大麻的年轻人，他们是从参与小雪茄口味与成瘾可能性、注意力及替代（C-FLASH）研究的非概率样本参与者中招募而来。进行了半结构化电话访谈，进行双重编码，并分析出现的主题。大多数参与者认为小雪茄口味能提升共同使用体验，但参与者大多觉得禁止雪茄口味不会影响他们使用大麻。他们会继续使用无味小雪茄来卷大麻卷烟，或者转而采用其他吸食大麻的方式。还出现了其他有影响的小雪茄特征（如燃烧时间）和社会背景因素（如心理健康管理、容易获取）。禁止调味雪茄可能对共同使用者产生中性至积极的影响。为减少共同使用情况，政策制定者应考虑采取措施来解决使用的心理社会和结构决定因素。
