Addictive behaviors · 2025
Method and frequency of cannabis use: Results from the 2023 Behavioral Risk Factor Surveillance System.
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Amrock Stephen M, Brar Karmen, Pennington Nicolette, Sajkiewicz Agata J
Аннотация
BACKGROUND: Cannabis use remains common in the United States as legal and social norms evolve. Few studies have assessed cannabis use patterns, which is important for public health planning.
METHODS: Data from 119,068 individuals who responded to cannabis-related questions in the 2023 Behavioral Risk Factor Surveillance System, a national, cross-sectional survey, were analyzed. Cross-tabulations and logistic regression models were constructed to investigate patterns of cannabis use by demographic, health, and substance use correlates. A negative binomial regression was used to examine correlates of cannabis use frequency.
RESULTS: Past-30-day cannabis use was common (14.7 %, 95 % CI: 14.3-15.1 %), of whom 77.1 % (95 % CI: 75.8-78.4 %) smoked, 44.3 % (95 % CI: 42.7-45.9 %) ingested, 32.7 % (95 % CI: 31.2-34.3 %) vaped, and 14.0 % (95 % CI: 12.8-15.2) dabbed. Most commonly, individuals either exclusively smoked (35.4 %, 95 % CI: 33.8-36.9 %) or ingested (15.2 %, 95 % CI: 14.1-16.2 %). Exclusive vaping was uncommon (3.1 %; 95 % CI 2.6-3.6 %), though a large minority (32.7 %; 95 % CI: 31.2-34.3 %) reported vaping, typically as part of a multimodal use pattern. Multimodal cannabis use was associated with increased use frequency. Tobacco smoking and cannabis smoking (OR 3.65, 95 % CI: 2.97-4.49), and e-cigarette use and cannabis vaping (OR 3.58, 95 % CI: 2.99, 4.28) were highly corelated.
CONCLUSION: Exclusive smoking or ingesting were the most common cannabis use patterns; 3 of 5 cannabis users used one or both of those modalities. A significant minority use multiple cannabis modalities, but rarely exclusively vape or dab. Robust associations were identified between cannabis smoking and tobacco use, and between cannabis vaping and e-cigarette use.
METHODS: Data from 119,068 individuals who responded to cannabis-related questions in the 2023 Behavioral Risk Factor Surveillance System, a national, cross-sectional survey, were analyzed. Cross-tabulations and logistic regression models were constructed to investigate patterns of cannabis use by demographic, health, and substance use correlates. A negative binomial regression was used to examine correlates of cannabis use frequency.
RESULTS: Past-30-day cannabis use was common (14.7 %, 95 % CI: 14.3-15.1 %), of whom 77.1 % (95 % CI: 75.8-78.4 %) smoked, 44.3 % (95 % CI: 42.7-45.9 %) ingested, 32.7 % (95 % CI: 31.2-34.3 %) vaped, and 14.0 % (95 % CI: 12.8-15.2) dabbed. Most commonly, individuals either exclusively smoked (35.4 %, 95 % CI: 33.8-36.9 %) or ingested (15.2 %, 95 % CI: 14.1-16.2 %). Exclusive vaping was uncommon (3.1 %; 95 % CI 2.6-3.6 %), though a large minority (32.7 %; 95 % CI: 31.2-34.3 %) reported vaping, typically as part of a multimodal use pattern. Multimodal cannabis use was associated with increased use frequency. Tobacco smoking and cannabis smoking (OR 3.65, 95 % CI: 2.97-4.49), and e-cigarette use and cannabis vaping (OR 3.58, 95 % CI: 2.99, 4.28) were highly corelated.
CONCLUSION: Exclusive smoking or ingesting were the most common cannabis use patterns; 3 of 5 cannabis users used one or both of those modalities. A significant minority use multiple cannabis modalities, but rarely exclusively vape or dab. Robust associations were identified between cannabis smoking and tobacco use, and between cannabis vaping and e-cigarette use.