Change over time in adolescent smoking, cannabis use and their association: findings from the School Health Research Network in Wales.
cannabis
public health
smoking
young people
Journal
Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638
Informations de publication
Date de publication:
10 12 2021
10 12 2021
Historique:
received:
29
04
2020
revised:
28
08
2020
accepted:
31
08
2020
pubmed:
30
9
2020
medline:
17
2
2022
entrez:
29
9
2020
Statut:
ppublish
Résumé
While tobacco smoking has declined among UK youth in recent decades, cannabis use has begun to show some growth. Given their interrelationship, growth in cannabis use may act as a barrier to continued reduction in youth smoking. This paper assesses recent tobacco and cannabis use trends in Wales, and their association, to explore whether change in cannabis use might have impacted youth tobacco smoking prevalence. Repeat cross-sectional data on tobacco and cannabis use were obtained from biennial Welsh Student Health and Wellbeing surveys between 2013 and 2019. Data were pooled and analysed using logistic regression with adjustment for school-level clustering. No change in regular youth tobacco smoking was observed between 2013 and 2019. In contrast, current cannabis use increased during this time, and cannabis users had significantly greater odds of regular tobacco smoking. After adjusting for change in cannabis use, a significant decline in youth tobacco smoking was observed (OR 0.95; 95% confidence intervals: 0.92, 0.97). Recent growth in cannabis use among young people in Wales may have offset prospective declines in regular tobacco smoking. Further reductions in youth smoking may require more integrated policy approaches to address the co-use of tobacco and cannabis among adolescents.
Sections du résumé
BACKGROUND
While tobacco smoking has declined among UK youth in recent decades, cannabis use has begun to show some growth. Given their interrelationship, growth in cannabis use may act as a barrier to continued reduction in youth smoking. This paper assesses recent tobacco and cannabis use trends in Wales, and their association, to explore whether change in cannabis use might have impacted youth tobacco smoking prevalence.
METHODS
Repeat cross-sectional data on tobacco and cannabis use were obtained from biennial Welsh Student Health and Wellbeing surveys between 2013 and 2019. Data were pooled and analysed using logistic regression with adjustment for school-level clustering.
RESULTS
No change in regular youth tobacco smoking was observed between 2013 and 2019. In contrast, current cannabis use increased during this time, and cannabis users had significantly greater odds of regular tobacco smoking. After adjusting for change in cannabis use, a significant decline in youth tobacco smoking was observed (OR 0.95; 95% confidence intervals: 0.92, 0.97).
CONCLUSION
Recent growth in cannabis use among young people in Wales may have offset prospective declines in regular tobacco smoking. Further reductions in youth smoking may require more integrated policy approaches to address the co-use of tobacco and cannabis among adolescents.
Identifiants
pubmed: 32989453
pii: 5912582
doi: 10.1093/pubmed/fdaa174
pmc: PMC8677436
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e620-e628Subventions
Organisme : Medical Research Council
ID : MR/L002787/1
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/K023233/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/K021400/1
Pays : United Kingdom
Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of Faculty of Public Health.
Références
BMJ. 2003 Jul 19;327(7407):154-7
pubmed: 12869461
Drug Alcohol Depend. 2009 Jan 1;99(1-3):240-7
pubmed: 18926646
J Clin Psychiatry. 2018 Mar/Apr;79(2):
pubmed: 29570966
JAMA Pediatr. 2017 Feb 1;171(2):142-149
pubmed: 28027345
Front Psychiatry. 2016 Jul 05;7:104
pubmed: 27458388
Addiction. 2005 Oct;100(10):1518-25
pubmed: 16185213
Addict Behav. 2015 Oct;49:26-32
pubmed: 26036666
Tob Control. 2018 Jan;27(1):26-34
pubmed: 27885168
Drug Alcohol Depend. 2010 Apr 1;108(1-2):49-55
pubmed: 20047801
Drug Alcohol Rev. 2015 Jul;34(4):418-26
pubmed: 25676414
Eur J Public Health. 2015 Apr;25 Suppl 2:73-5
pubmed: 25805793
Addiction. 2018 Jul;113(7):1317-1332
pubmed: 29484751
J Adolesc Health. 2013 Apr;52(4):473-9
pubmed: 23299007
Int J Drug Policy. 2009 Nov;20(6):502-8
pubmed: 19303760
Nicotine Tob Res. 2020 Jul 16;22(8):1374-1382
pubmed: 31612956
Addiction. 2012 Jul;107(7):1221-33
pubmed: 22300456
Soc Sci Med. 2010 Mar;70(6):795-9; discussion 800-1
pubmed: 20044187
Drug Alcohol Depend. 2019 Sep 1;202:104-110
pubmed: 31330330
Tob Control. 2020 Mar;29(2):207-216
pubmed: 30936390
Lancet. 2016 Oct 8;388(10053):1659-1724
pubmed: 27733284
Drug Alcohol Depend. 2018 Apr 1;185:238-244
pubmed: 29471228
Sociol Health Illn. 2013 Jun;35(5):699-715
pubmed: 23009704
Child Indic Res. 2016;9:233-245
pubmed: 26925177
Addiction. 2004 Jan;99(1):77-81
pubmed: 14678065
BMJ Open. 2019 Jul 10;9(7):e025880
pubmed: 31296507
J Epidemiol Community Health. 2017 Aug;71(8):764-770
pubmed: 28592420
Inhal Toxicol. 2009 Feb;21(2):87-90
pubmed: 18855154