TY - JOUR
T1 - Trends in cannabis use disorder by cigarette smoking status in the United States, 2002–2016
AU - Weinberger, Andrea H.
AU - Pacek, Lauren R.
AU - Wall, Melanie M.
AU - Zvolensky, Michael J.
AU - Copeland, Jan
AU - Galea, Sandro
AU - Nahvi, Shadi
AU - Moeller, Scott J.
AU - Hasin, Deborah S.
AU - Goodwin, Renee D.
N1 - Publisher Copyright:
© 2018
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Background: Cannabis use is on the rise in the United States (US) and is disproportionately common among cigarette smokers. Cannabis use disorder (CUD) occurs among a small subset of cannabis users and may impact cigarette use. The objective of this study was to estimate trends in the prevalence of CUD among daily, non-daily, former, and never cigarette smokers from 2002 to 2016. Methods: Data were drawn from cross-sectional, nationally representative samples of individuals ages 12 and older in the US that were collected annually. The prevalence of past 12-month CUD was estimated each year from 2002 to 2016 among daily, non-daily, former, and never cigarette smokers (total analytic N = 837,326). Results: Overall, the prevalence of CUD decreased from 2002 to 2016. Yet, trends differed by cigarette smoking status. Adjusting for demographics, the prevalence of CUD increased significantly among non-daily smokers (aOR = 1.02; 95% CI = 1.01–1.03) from 2002 to 2016 and did not change among daily, former, or never smokers. CUD was significantly more common among non-daily (4.32%) and daily cigarette smokers (2.92%) compared with former (0.99%) and never smokers (1.11%) in 2016. Approximately one in five (18.11%–22.87%) youth ages 12–17 who smoke cigarettes met criteria for CUD in 2016, compared with approximately 2% of non-smoking youth. Conclusions: Despite downward trends in CUD observed at the general population level, the prevalence of CUD significantly increased among non-daily cigarette smokers from 2002 to 2016. In the US, CUD remains significantly higher among cigarette smokers relative to non-cigarette smokers.
AB - Background: Cannabis use is on the rise in the United States (US) and is disproportionately common among cigarette smokers. Cannabis use disorder (CUD) occurs among a small subset of cannabis users and may impact cigarette use. The objective of this study was to estimate trends in the prevalence of CUD among daily, non-daily, former, and never cigarette smokers from 2002 to 2016. Methods: Data were drawn from cross-sectional, nationally representative samples of individuals ages 12 and older in the US that were collected annually. The prevalence of past 12-month CUD was estimated each year from 2002 to 2016 among daily, non-daily, former, and never cigarette smokers (total analytic N = 837,326). Results: Overall, the prevalence of CUD decreased from 2002 to 2016. Yet, trends differed by cigarette smoking status. Adjusting for demographics, the prevalence of CUD increased significantly among non-daily smokers (aOR = 1.02; 95% CI = 1.01–1.03) from 2002 to 2016 and did not change among daily, former, or never smokers. CUD was significantly more common among non-daily (4.32%) and daily cigarette smokers (2.92%) compared with former (0.99%) and never smokers (1.11%) in 2016. Approximately one in five (18.11%–22.87%) youth ages 12–17 who smoke cigarettes met criteria for CUD in 2016, compared with approximately 2% of non-smoking youth. Conclusions: Despite downward trends in CUD observed at the general population level, the prevalence of CUD significantly increased among non-daily cigarette smokers from 2002 to 2016. In the US, CUD remains significantly higher among cigarette smokers relative to non-cigarette smokers.
KW - Cannabis
KW - Cannabis use disorder
KW - Cigarettes
KW - Epidemiology
KW - NSDUH
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=85050822713&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85050822713&partnerID=8YFLogxK
U2 - 10.1016/j.drugalcdep.2018.06.016
DO - 10.1016/j.drugalcdep.2018.06.016
M3 - Article
AN - SCOPUS:85050822713
SN - 0376-8716
VL - 191
SP - 45
EP - 51
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
ER -
