2015
DOI: 10.1016/j.drugalcdep.2015.02.015
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Tobacco smoking and cannabis use in a longitudinal birth cohort: Evidence of reciprocal causal relationships

Abstract: Our results lend support to the notion of both of 'gateway' and 'reverse gateway' effects. That is, the association between tobacco and cannabis use arises from a reciprocal feedback loop involving simultaneous causation between tobacco use disorder and cannabis use disorder.

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Cited by 69 publications
(44 citation statements)
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“…It is very common for cannabis users to present with other substance use problems, most notably those related to use of tobacco. In fact, most cannabis users also smoke tobacco (Badiani 2015), and smoking tobacco may potentiate cannabis dependence (Hindocha 2015). …”
Section: Introductionmentioning
confidence: 99%
“…It is very common for cannabis users to present with other substance use problems, most notably those related to use of tobacco. In fact, most cannabis users also smoke tobacco (Badiani 2015), and smoking tobacco may potentiate cannabis dependence (Hindocha 2015). …”
Section: Introductionmentioning
confidence: 99%
“…Population studies have identified other licit and illicit substance use as a prospective risk factor for the development of CUD (3, 19, 20, 25). For example, the use of tobacco has been reported to predict the use of cannabis (and vice versa), and that the odds of co-use of these substances are greatly increased in heavy users of either substance alone (52). …”
Section: Introductionmentioning
confidence: 99%
“…Mothers who used other substances were more likely to be in one of the cannabis user groups and less likely to be in the non/unlikely to use group. Other investigators have shown that tobacco use is associated with cannabis use among adolescents and young adults (Badiani et al, 2015; Nelson et al, 2015; Passarotti et al, 2015) and a systematic review of the literature confirms the prevalence of co-use among male and female adolescents and young adults (Ramo et al, 2012). In our study, chronic tobacco use differed between “non/unlikely to use” and the other cannabis use trajectories, but the more problematic trajectory groups did not differ by tobacco use.…”
Section: Discussionmentioning
confidence: 69%