ArticlePediatrics2021
Concurrent Use of E-cigarettes, Combustible Cigarettes, and Marijuana.
Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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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.
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Who cites it
18 citing papers in PubMed.
- Dual abstinence from nicotine vaping and cannabis use among young people: secondary analyses from two U.S.-based randomized controlled trials of vaping cessation.Substance abuse treatment, prevention, and policy · 2025Trial
- E-cigarette and cannabis use and co-use patterns and dependence trajectories among young adults in the United States.Addiction (Abingdon, England) · 2026Article
- Trends in Cannabis and Tobacco Use by Racial and Ethnic Groups Among U.S. Youth: 1991-2021.Journal of racial and ethnic health disparities · 2026Article
- A pilot stratified cluster randomized trial of school-based e-cigarette and other tobacco product use prevention for Pacific Island youths: An evaluation of the Fuetsan Manhoben curriculum.Tobacco induced diseases · 2026Article
- Multilevel Correlates of Same Day Poly-Product Use/Co-Use among Adolescents Who Use Tobacco and Cannabis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Detecting spatiotemporal clusters of tobacco and cannabis use and co-use to inform smartphone-based interventions.Experimental and clinical psychopharmacology · 2025Article
- Nicotine-Cannabis Transitions and Nicotine Abstinence Among United States Adults.Epidemiology (Cambridge, Mass.) · 2025Article
- E-cigarette and cannabis use among current and recently quit smokers: Co-use and Co-cessation.Addictive behaviors reports · 2025Article
- A systematic review investigating the impact of dual use of e-cigarettes and conventional cigarettes on smoking cessation.ERJ open research · 2025Article
- Association between cannabis use and nicotine use persistence among adolescents.Addictive behaviors · 2024Article
- Reactions to vaping cessation messaging and strategies among US young adults who use e-cigarettes.Tobacco prevention & cessation · 2024Article
- Associations for subgroups of E-cigarette, cigarette, and cannabis use with asthma in a population sample of California adolescents.Addictive behaviors · 2023Article
- Effects of dual use of e-cigarette and cannabis during adolescence on cigarette use in young adulthood.Tobacco control · 2023Article
- Blunt and non-blunt cannabis use associated with cigarette, e-cigarette, and cigar initiation: Findings from the population assessment of tobacco and health (PATH) study.Drug and alcohol dependence · 2023Article
- Biomarkers of Airway Immune Homeostasis Differ Significantly with Generation of E-Cigarettes.American journal of respiratory and critical care medicine · 2022Article
- Dual Use of E-Cigarettes and Cannabis Among Young People in America: A New Public Health Hurdle?Journal of studies on alcohol and drugs · 2022Article
- A Mixed Methods Approach to Improving Provider Counseling of Patients Who Vape.HCA healthcare journal of medicine · 2022Article
- Associations between muscle-building exercise and concurrent e-cigarette, cigarette, and cannabis use among U.S. adolescents.PloS one · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveSubgroups of adolescent single and dual e-cigarette and cigarette users have been identified, but usage patterns have changed in recent years, and there has been an increase in marijuana use. Research is needed with current data to identify subgroups of use including marijuana and determine their behavioral correlates.
methodsWe cross classified ever and recent use of e-cigarettes, combustible cigarettes, and marijuana among US high school students in the 2019 Youth Risk Behavior Survey (YRBS), providing 8 different groups. Levels of 14 risk and protective factors were compared across groups in general linear models with demographic covariates using omnibus tests, pairwise comparisons, and planned contrasts. Replicability was tested through identical analyses for 2017 YRBS data.
resultsThe nonuser group was 43.9% of the sample. The most frequent user groups were triple users (ever-use proportion: 16.9%), dual (e-cigarette and marijuana) users (15.8%), and exclusive e-cigarette users (13.2%). For risk profiles on levels of psychosocial variables, the triple-user group was typically elevated above all other groups. Exclusive e-cigarette users were above nonusers in risk profile but below dual users (both cigarettes and marijuana). Results were similar for ever use and recent use. The patterning of results in 2019 YRBS data were closely replicated in 2017 YRBS data.
conclusionsCo-occurrence of e-cigarette, cigarette, and marijuana use is currently substantial among adolescents and is associated with an elevated psychosocial risk profile. This has implications for both epidemiology and prevention studies. Further research is needed to study prevalence and identify pathways to triple use.
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