Addictive behaviors · 2026
Modes of cannabis administration, cannabis and tobacco co-use, and associations with respiratory and cannabis use outcomes in a permissive medical cannabis state.
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Cohn Amy, Romm Katelyn F, Vogel Erin A, Pan Steven, Frank-Pearce Summer G, Smith Michael A, Appleseth Hannah, Boozary Laili, Sifat Munjireen S, Kendzor Darla E
Аннотация
OBJECTIVE: This study assessed differences in the prevalence and correlates of different cannabis modes of administration (MOAs) between those reporting co-use (past 30-day nicotine/tobacco and cannabis use and or cannabis-only use.
METHOD: Participants were adults reporting past 30-day cannabis use (n=3,488) who provided data for a repeated cross-sectional online survey (September 2020-September 2024). Prevalence and relative rankings of past 30-day use of nine different cannabis MOAs (smoking, vaping, dabbing, eating, drinking, oil, lotion, dissolvable, blunt use) were examined across past those reporting 30-day cannabis-only use and co-use. ANCOVA tests examined associations of co-use (vs cannabis-only use) and past 30-day combustible MOA use (combustible-only, non-combustible-only, both) with respiratory problems and past 30-day frequency of medical and recreational cannabis use.
RESULTS: Smoking cannabis was the most common MOA among cannabis-only (72%) and co-users (83.1%). Among those reporting co-users, blunt use was the second most popular MOA (64.8%), then vaping (44%), and then edibles (36.5%). In the cannabis-only group, edibles were the second most common MOA (47.8%), then blunt use (36.1%), and vaping (33.4%). Combustible MOA use and co-use (vs cannabis-only use) were associated with more severe respiratory problems and more frequent medical and recreational cannabis in the past 30-days. Conclusions Those who co-use nicotine/tobacco with cannabis and those consuming combustible MOAs may be at increased risk of health consequences and more frequent cannabis use.
METHOD: Participants were adults reporting past 30-day cannabis use (n=3,488) who provided data for a repeated cross-sectional online survey (September 2020-September 2024). Prevalence and relative rankings of past 30-day use of nine different cannabis MOAs (smoking, vaping, dabbing, eating, drinking, oil, lotion, dissolvable, blunt use) were examined across past those reporting 30-day cannabis-only use and co-use. ANCOVA tests examined associations of co-use (vs cannabis-only use) and past 30-day combustible MOA use (combustible-only, non-combustible-only, both) with respiratory problems and past 30-day frequency of medical and recreational cannabis use.
RESULTS: Smoking cannabis was the most common MOA among cannabis-only (72%) and co-users (83.1%). Among those reporting co-users, blunt use was the second most popular MOA (64.8%), then vaping (44%), and then edibles (36.5%). In the cannabis-only group, edibles were the second most common MOA (47.8%), then blunt use (36.1%), and vaping (33.4%). Combustible MOA use and co-use (vs cannabis-only use) were associated with more severe respiratory problems and more frequent medical and recreational cannabis in the past 30-days. Conclusions Those who co-use nicotine/tobacco with cannabis and those consuming combustible MOAs may be at increased risk of health consequences and more frequent cannabis use.