Demographic and substance use-related differences among high school adolescents who vape cannabis versus use other cannabis modalities

Morean, Meghan E.; Davis, Danielle R.; Kong, Grace; Bold, Krysten W.; Suttiratana, Sakinah C.; Lee, Juhan; Rajesh-Kumar, Lavanya; Krishnan‐Sarin, Suchitra

doi:10.1016/j.drugalcdep.2021.109104

Cited by 17 publications

(16 citation statements)

References 34 publications

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“…This review identified 48 studies that reported on the etiology of cannabis vaping [ 3 , 21 , 24 , 28 , 29 , 31 , 33 , 43 , 47 , 50 , 64 , 163 – 196 , 197 •, 198 – 200 ]; most of these studies were cross-sectional ones (Table 1 ). The most commonly studied correlates were biological sex; age or grade level; race/ethnicity; socio-economic status (SES); other tobacco use, including nicotine vaping (i.e., e-cigarette use); and other modes of cannabis use (e.g., smoking).…”

Section: Resultsmentioning

confidence: 99%

“…Consistent findings are summarized here. Across studies, cannabis vaping was more common among males than females [ 21 , 24 , 28 , 29 , 47 , 170 , 173 , 178 , 179 , 182 , 185 , 198 , 200 ], and among older youth (e.g., high school compared to middle school students) in most studies [ 21 , 29 , 47 , 163 , 167 , 198 ], and among young adults compared to older adults [ 31 , 50 ]. Cannabis vaping was also more common among Hispanic youth compared with non-Hispanic White [ 28 , 163 , 167 , 190 ] or Black [ 21 , 28 , 167 , 190 , 198 ] youth.…”

Section: Resultsmentioning

confidence: 99%

“…Cannabis vaping was also more common among Hispanic youth compared with non-Hispanic White [ 28 , 163 , 167 , 190 ] or Black [ 21 , 28 , 167 , 190 , 198 ] youth. Some studies showed that Black youths were more likely to vape cannabis relative to White youth [ 64 , 163 ], while other studies showed the reverse [ 21 , 24 , 198 , 200 ]. Studies showed greater socio-economic status (SES) may be a risk factor for cannabis vaping [ 24 , 47 , 64 , 170 , 182 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies showed greater socio-economic status (SES) may be a risk factor for cannabis vaping [ 24 , 47 , 64 , 170 , 182 ]. E-cigarette use with nicotine only or flavors [ 28 , 29 , 163 , 166 , 172 – 174 , 180 , 186 , 197 •, 198 , 200 ], as well as use of cigarettes, cigars, hookah, and smokeless tobacco [ 21 , 28 , 29 , 50 , 163 , 166 , 174 , 178 , 179 , 186 , 195 , 197 •, 199 ] is associated with greater odds of cannabis vaping. Former cannabis use, susceptibility to use cannabis, and peer use of cannabis, via vaping and other forms of cannabis consumption (e.g., ingesting, smoking), have also been shown to be related to greater odds of cannabis vaping [ 21 , 169 , 170 , 173 , 175 , 179 , 180 , 184 , 200 ].…”

Section: Resultsmentioning

confidence: 99%

“…E-cigarette use with nicotine only or flavors [ 28 , 29 , 163 , 166 , 172 – 174 , 180 , 186 , 197 •, 198 , 200 ], as well as use of cigarettes, cigars, hookah, and smokeless tobacco [ 21 , 28 , 29 , 50 , 163 , 166 , 174 , 178 , 179 , 186 , 195 , 197 •, 199 ] is associated with greater odds of cannabis vaping. Former cannabis use, susceptibility to use cannabis, and peer use of cannabis, via vaping and other forms of cannabis consumption (e.g., ingesting, smoking), have also been shown to be related to greater odds of cannabis vaping [ 21 , 169 , 170 , 173 , 175 , 179 , 180 , 184 , 200 ]. Greater access to both e-cigarettes [ 33 , 167 , 197 •] and cannabis [ 167 ]; and parent, sibling, and peer cannabis vaping [ 28 , 64 , 166 , 180 , 197 •] are associated with cannabis vaping.…”

Section: Resultsmentioning

confidence: 99%

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Cannabis Vaping Among Youth and Young Adults: a Scoping Review

et al. 2022

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Purpose of Review The purpose of this review was to describe the state-of-the-literature on research specific to cannabis vaping among youth and young adults. Recent Findings Out of 1801 records identified, a total of 202 articles met eligibility criteria for inclusion in this review. Most of this literature (46.0% of studies) was specific to the health effects of cannabis vaping, particularly EVALI (e-cigarette and vaping associated lung injury). Other research areas identified in the review included the etiology (24.3%) and epidemiology (24.8%) of cannabis vaping, in addition to articles on regulation (8.4%) and marketing (5.5%) of the same. Summary Cannabis vaping is increasingly common among youth and young adults and more prevalent is settings where recreational use for adults has been legalized. The literature documents a number of negative health effects of cannabis vaping for young people, along with risk factors and reasons for the same.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Cannabis Vaping Among Youth and Young Adults: a Scoping Review

et al. 2022

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Electronic Nicotine Delivery Systems and E-Liquid Modifications to Vape Cannabis Depicted in Online Videos

Ouellette,

Selino,

Kong

2023

JAMA Netw Open

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ImportanceElectronic nicotine delivery systems (ENDS) were created to vape nicotine e-liquids; however, social media demonstrates increased ENDS modifications to vape cannabis. Analysis of social media content helps with understanding ENDS modifications for cannabis use, overlapping markets for ENDS and cannabis, and the need for additional regulation.ObjectiveTo analyze online videos for use, modification, and marketing of ENDS to vape cannabis.Design, Setting, and ParticipantsIn this qualitative study, 10 searches were performed on YouTube on July 14, 2022, using different combinations of relevant search terms to identify videos depicting modifications to ENDS and e-liquids to vape cannabis. The first 40 videos from each search (400 videos total, 152 without duplicates) were extracted, of which 59 included depiction or discussion of cannabis vaping content. Content analysis of videos included iterative development of codes, consensus building across team members, and reliability checks.Main Outcomes and MeasuresMetadata (ie, video length, number of likes, comments, and views) were extracted for included videos. Coding was performed for uploader type, modifications to ENDS and e-liquids, devices used, cannabis products vaped, age restriction, purchasing links, health claims, and discussion of warning messages and cannabis regulations.ResultsOf the 59 videos analyzed, 34 (58%) included tetrahydrocannabinol; 33 (56%), cannabidiol; and 8 (14%), both. A total of 21 videos (36%) were age-restricted, while 25 (42%) included purchasing links for cannabis products, 20 (34%) for ENDS, and 7 (12%) for nicotine e-liquids. Twenty-six videos (44%) made claims about health benefits of vaping cannabis. Forty-one videos (69%) demonstrated vaping manufacturer-made cannabis products (eg, cannabis concentrates) with no modifications needed. Eighteen videos (31%) depicted modifications to e-liquids or ENDS for cannabis use. The most frequent modification was mixing e-liquids with cannabis products to be compatible with ENDS. The most frequently reported reason for modifications was to vape cannabis in public by using the same devices used for nicotine.Conclusions and RelevanceThis qualitative study of online videos found high frequencies of statements about health benefits from vaping cannabis, frequent purchasing links, and inadequate age restrictions. Exposure to such content on social media platforms may increase risk of cannabis vaping among youth. Use of the same devices for multiple substances may also enable dual use and complicate the US Food and Drug Administration’s regulation of ENDS.

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