Evidence map›Paper›PMID 31196904›Full record

ArticleBMJ open2019

Vaping cannabis among adolescents: prevalence and associations with tobacco use from a cross-sectional study in the USA.

Sarah D Kowitt, Amira Osman, Clare Meernik, Gary A Zarkin, Leah M Ranney, Jim Martin, Courtney Heck, Adam O Goldstein

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Dual-Vaping of Nicotine and Cannabis Among Adults Who Currently Use Tobacco Products in Five New England States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  6. Article
  7. Article
  8. A Review of the Effects of Adolescent Cannabis Use on Physical Health.The Psychiatric clinics of North America · 2023
    Review
  9. A Survey of Vaping Use, Perceptions, and Access in Adolescents from South-Central Texas Schools.International journal of environmental research and public health · 2023
    Article
  10. Article
  11. Article
  12. A Review of the Effects of Adolescent Cannabis Use on Physical Health.Child and adolescent psychiatric clinics of North America · 2023
    Review
  13. Review
  14. Review
  15. Article
  16. Dual Use of Nicotine and Cannabis Through Vaping Among Adolescents.American journal of preventive medicine · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Sarah D KowittFamily Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Amira OsmanLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Clare MeernikEpidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Gary A ZarkinBehavioral Health Research Division, RTI International, Research Triangle Park, North Carolina, USA.
Leah M RanneyFamily Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jim MartinNorth Carolina Department of Health and Human Services, Tobacco Prevention and Control Branch, Raleigh, USA.
Courtney HeckNorth Carolina Department of Health and Human Services, Tobacco Prevention and Control Branch, Raleigh, USA.
Adam O GoldsteinFamily Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · USNC Department of Health and Human Services · USRTI International · USZefat Academic College · IL

Funding

Training & Education Program p294-308P50CA180907 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RIBISL, KURT M. · 2013 to 2017
$20.2M
CDC HHSNCI NIH HHS P50 CA180907
6 · The paper itself

Abstract

objectivePrevious research suggests that some adolescents are using e-cigarette devices to vaporise ('vaping') cannabis in the form of hash oil, tetrahydrocannabinol (THC) wax or oil, or dried cannabis buds or leaves. However, it is unclear how adolescents who vape cannabis use other tobacco products. This study examined the extent to which adolescents reported ever vaping cannabis and investigated how demographic variables and tobacco behaviours were associated with use.

designWe used cross-sectional data from adolescents (total response rate 64.5%) who participated in the 2017 North Carolina Youth Tobacco Survey. SAS logistic regression survey procedures were used to account for the complex survey design and sampling weights.

settingNorth Carolina, USA.

participantsAdolescents in high school (n=2835). PRIMARY OUTCOME AND MEASURE: Adolescents were asked to indicate whether they had ever used an e-cigarette device with marijuana, THC or hash oil, or THC wax.

resultsApproximately 1 in 10 high school students reported ever vaping cannabis in the overall sample (9.6%). In multivariable models, adolescents who reported using cigars (adjusted OR (aOR) 3.76, 95% CI 2.33 to 6.07), waterpipe (aOR 2.32, 95% CI 1.37 to 3.93) or e-cigarettes (aOR 3.18, 95% CI 2.38 to 4.25) in the past 30 days had higher odds of reporting ever vaping cannabis compared with their counterparts. There was no significant association between use of smokeless tobacco (aOR 0.89, 95% CI 0.42 to 1.91) or use of cigarettes (aOR 1.27, 95% CI 0.71 to 2.29) in the past 30 days and odds of reporting ever vaping cannabis.

conclusionsThese findings provide evidence that large numbers of high school students who use tobacco products have vaped cannabis. As tobacco control policies-such as communication campaigns or smoke-free laws-increasingly focus on e-cigarettes, attention to understanding how adolescents use e-cigarettes to vape substances other than nicotine is essential.

Indexed as

Adolescent BehaviorAdolescentCannabisCluster AnalysisComorbidityCross-Sectional StudiesFemaleHumansMaleMarijuana UseNorth CarolinaPrevalenceTobacco UseVapingepidemiologypaediatricspublic health

Identifiers

PMID31196904
PMCPMC6585821
OpenAlexW2951944300

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.