Kleine Ronja, Isensee Barbara, Nees Frauke, Hanewinkel Reiner
Institute for Therapy and Health Research, IFT-Nord, Kiel, Germany.
Institute of Medical Psychology and Medical Sociology, University Medical Center Schleswig-Holstein, University, Kiel, Germany.
J Cannabis Res. 2025 May 31;7(1):31. doi: 10.1186/s42238-025-00288-6.
This study examines the associations of current use of combustible cigarettes or e-cigarettes with perceived risk of cannabis use and intention to use cannabis within the next year.
Data from 8,521 German adolescents were collected between autumn 2021 and spring 2022. Former but not current users of cannabis or (e-)cigarettes were excluded from analyses. Mean age was 14.0 years, and 50.6% of the sample were female. Current cannabis use was reported by 5.8%, current use of combustible and/or e-cigarettes by 17.0%. We conducted linear regression models predicting 1) risk perception by (e-)cigarette use, and 2) intention to use cannabis by (e-)cigarette use and risk perception, among never cannabis users.
Use of cannabis and (e-)cigarettes were strongly associated. Perceiving cannabis as less harmful was associated with a higher intention to use cannabis. Among never cannabis users, dual users of combustible and e-cigarettes perceived cannabis as least harmful and had the highest intention to use cannabis, followed by combustible cigarette-only users, and then e-cigarette-only users. Never combustible nor e-cigarette users perceived cannabis as most harmful and had the lowest intention to use cannabis.
Perception of cannabis as harmful might be a protective factor for intentions to use cannabis among German adolescents. Prevention programs should consider that adolescent combustible and e-cigarette users are a high-risk group for initiation of cannabis use.
本研究探讨当前使用可燃香烟或电子烟与对大麻使用的感知风险以及未来一年内使用大麻的意图之间的关联。
在2021年秋季至2022年春季期间收集了8521名德国青少年的数据。分析中排除了曾经使用过大麻或（电子）香烟但目前不使用者。平均年龄为14.0岁，样本中50.6%为女性。报告当前使用大麻的比例为5.8%，当前使用可燃香烟和/或电子烟的比例为17.0%。我们建立了线性回归模型，以预测1）从不使用大麻者中（电子）香烟使用情况对风险感知的影响，以及2）从不使用大麻者中（电子）香烟使用情况和风险感知对使用大麻意图的影响。
大麻使用与（电子）香烟使用密切相关。认为大麻危害较小与使用大麻的意愿较高有关。在从不使用大麻者中，同时使用可燃香烟和电子烟者认为大麻危害最小且使用大麻的意愿最高，其次是仅使用可燃香烟者，然后是仅使用电子烟者。从不使用可燃香烟和电子烟者认为大麻危害最大且使用大麻的意愿最低。
认为大麻有害可能是德国青少年使用大麻意图的一个保护因素。预防项目应考虑到青少年可燃香烟和电子烟使用者是开始使用大麻的高危人群。
