Marijuana and tobacco use and co-use among African Americans: Results from the 2013, National Survey on Drug Use and Health

Montgomery, LaTrice

doi:10.1016/j.addbeh.2015.06.046

Cited by 41 publications

(34 citation statements)

References 31 publications

(55 reference statements)

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“…The high prevalence of blunt use among Black adolescents and adults found in this study is consistent with existing literature (Mariani et al, 2011;Montgomery, 2015;Ramo et al, 2012). One plausible explanation for the high prevalence of blunt use is the belief that blunts are less harmful or addictive than other products.…”

Section: Discussionsupporting

confidence: 80%

Let’s Be Blunt: Consumption Methods Matter Among Black Marijuana Smokers

Montgomery

Bagot

2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Despite the high prevalence of blunt (i.e., hollowed-out cigars that are filled with marijuana) use among Black marijuana smokers, few studies have examined if and how blunt users differ from traditional joint users. Method: The current study compared the prevalence and patterns of use for those who smoked blunts in the past month (i.e., blunt users) with those who used marijuana through other methods (i.e., other marijuana users). The sample included 935 Black past-month marijuana smokers participating in the 2013 National Survey on Drug Use and Health. Results: Among past-month marijuana smokers, 73.2% were blunt users and 26.8% were other marijuana users. Overall, blunt users initiated marijuana use at an earlier age (15.9 vs. 17.3 years, p < .01) and reported more days of marijuana use in the past month (16 vs. 8 days, p < .01) than did other marijuana users. There were also differences by gender. Among females, blunt users reported a higher odds of past-year marijuana abuse or dependence (23.8%) than other marijuana users (11.2%) (adjusted odds ratio = 1.23, 95% CI [1.12, 3.17], p < .01). However, blunt-using males reported similar odds of past-year marijuana abuse or dependence (approximately 25%) as other marijuana-using males. Conclusions: These findings highlight the need for targeted interventions for blunt users as a subgroup of marijuana users, especially among Black females, who may be at increased risk for developing a marijuana use disorder as a result of blunt smoking. (J.

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Section: Discussionsupporting

confidence: 80%

Let’s Be Blunt: Consumption Methods Matter Among Black Marijuana Smokers

Montgomery

Bagot

2016

J. Stud. Alcohol Drugs

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“…Second , blunt use was found to be comparatively prevalent among blacks that may be related to the elevated prevalence of cannabis use problems (Golub et al, 2006; Timberlake, 2013). For example, Montgomery (2015) found that blunt use among blacks was related to a pattern of an earlier age of onset of cigarette, cigar and cannabis use than no use of blunt (tobacco use only). Recent studies showed that blunt use was associated with increased odds of cannabis use disorder among blacks (Cohn et al, 2016; Fairman, 2015).…”

Section: Discussionmentioning

confidence: 99%

Trends and Correlates of Cannabis-involved Emergency Department Visits: 2004 to 2011

Zhu

2016

Journal of Addiction Medicine

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Objectives To examine trends and correlates of cannabis-involved emergency department (ED) visits in the United States from 2004 to 2011. Methods Data were obtained from the 2004-2011 Drug Abuse Warning Network. We analyzed trend in cannabis-involved ED visits for persons aged ≥12 years and stratified by type of cannabis involvement (cannabis-only, cannabis-polydrug). We used logistic regressions to determine correlates of cannabis-involved hospitalization versus cannabis-involved ED visits only. Results Between 2004 and 2011, the ED visit rate increased from 51 to 73 visits per 100,000 population aged ≥ 12 years for cannabis-only use (P-value for trend=0.004) and from 63 to 100 for cannabis-polydrug use (P-value for trend<0.001). Adolescents aged 12-17 years showed the largest increase in the cannabis-only-involved ED visit rate (Rate difference=80 per 100,000 adolescents). Across racial/ethnic groups, the most prevalent ED visits were noted among non-Hispanic blacks. Among cannabis-involved visits, the odds of hospitalization (versus ED visits only) increased with age strata compared with aged 12-17 years. Conclusions These findings suggest a notable increase in the ED visit numbers and rates for both the use of cannabis-only and cannabis-polydrug during the studied period, particularly among young people and non-Hispanic blacks.

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“…Among African American adults who reported past month cannabis or tobacco use, approximately 28% reported dual use of cannabis and tobacco (Montgomery, 2015). Co-occurring cannabis and tobacco use has been associated with several negative health consequences, such as a greater likelihood of cannabis use disorders (Peters, Budney, & Carroll, 2012) and higher levels of toxicant exposure (e.g., carbon monoxide, carcinogens; Meier & Hatsukami, 2016) relative to either tobacco or cannabis use alone.…”

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confidence: 99%

A scoping review and meta-analysis of psychosocial and pharmacological treatments for cannabis and tobacco use among African Americans.

Montgomery

Robinson

Seaman

et al. 2017

Psychology of Addictive Behaviors

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The rates of co-occurring cannabis and tobacco use are higher among African Americans relative to other racial/ethnic groups. One plausible approach to treating co-use among African Americans is to examine the effectiveness of treatments for the sole use of cannabis and tobacco to identify effective approaches that might be combined to treat the dual use of these substances. The current meta-analysis sought to include studies that reported cannabis and/or tobacco use outcomes from randomized clinical trials (RCTs) with 100% African American samples. A total of 843 articles were considered for inclusion, 29 were reviewed by independent qualitative coders, and 22 were included in the review. There were no articles on cannabis use treatment with a 100% African American sample, resulting in a need to lower the threshold (60%) and conduct a scoping review of cannabis studies. Preliminary evidence from a small number of studies (k = 7) supports the use of Motivational Interviewing and Cognitive–Behavioral Therapy to treat cannabis use among African Americans, but not Contingency Management. Results from a meta-analysis of 15 tobacco studies found higher rates of smoking abstinence in the treatment condition relative to control conditions overall and across short and long-term follow-up periods. Significant differences in smoking abstinence were also found when examining the effects of pharmacological treatments relative to their control conditions. The clinical and research implications of these findings for future psychosocial and pharmacological trials for cannabis and tobacco use and co-use among African Americans are described.

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Marijuana and tobacco use and co-use among African Americans: Results from the 2013, National Survey on Drug Use and Health

Cited by 41 publications

References 31 publications

Let’s Be Blunt: Consumption Methods Matter Among Black Marijuana Smokers

Let’s Be Blunt: Consumption Methods Matter Among Black Marijuana Smokers

Trends and Correlates of Cannabis-involved Emergency Department Visits: 2004 to 2011

A scoping review and meta-analysis of psychosocial and pharmacological treatments for cannabis and tobacco use among African Americans.

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