ArticleDrug and alcohol dependence2023
Accurately classifying cannabis blunt use as tobacco-cannabis co-use versus exclusive cannabis use.
Article in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Modes of cannabis administration, cannabis and tobacco co-use, and associations with respiratory and cannabis use outcomes in a permissive medical cannabis state.Addictive behaviors · 2026Article
- Daily patterns of substance use among young adults who vape nicotine and cannabis: Latent class analysis of smartphone-based daily diary data.Drug and alcohol dependence · 2026Article
- Putting the "Tobacco" in Tobacco-Free Blunt Wraps: Early Evidence From Adolescents Who Use Cannabis Blunts Signals a Potential Need for Regulatory Action.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Effects of Inhaled Tobacco and Cannabis Co-Use on Respiratory Health and Tobacco Cessation: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2025Article
- Prevalence of Blunt and Hemp Wrap Use Among Young Adults in the United States, 2022.Substance use & misuse · 2025Article
- Products and patterns through which adolescents, young adults, and adults initiate co-use of tobacco and cannabis.Addictive behaviors · 2024Article
- Knowledge and beliefs about blunts among youth in the United States.Preventive medicine reports · 2024Article
- Blunt smoking during emerging adulthood: Characterizing transitions in cannabis and cigar co-use among a diverse cohort in Texas.Addictive behaviors · 2024Article
- Metabolic and Other Endocrine Elements with Regard to Lifestyle Choices: Focus on E-Cigarettes.Metabolites · 2023Review
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Authors and funding
5 authors.
Funding
Abstract
backgroundHistorically, blunt use constituted tobacco-cannabis co-use based on the products available for creating blunts (e.g., hollowed-out cigars filled with cannabis). With the introduction of tobacco-free blunt wraps (e.g., hemp wraps), blunt use now may constitute tobacco-cannabis co-use or exclusive cannabis use. We examined adolescents' use of tobacco and tobacco-free blunt products and highlighted how misclassification of tobacco-cannabis co-use versus exclusive cannabis use may occur if products used to make blunts are not assessed.
methods4855 students from eight Connecticut high schools completed an online survey in 2022. Use of tobacco products for making blunts (e.g., cigarillos, tobacco blunt wraps) and tobacco-free blunt wraps were assessed as was the use of other tobacco products (e.g., e-cigarettes, cigarettes, hookah). The analytic sample comprised 475 students who endorsed lifetime blunt use.
resultsTobacco-free blunt wraps (72.6%) were the most popular product for making blunts, followed by cigarillos (56.5%), tobacco blunt wraps (49.2%), and large cigars (13.0%). When classified into mutually exclusive groups, students reported exclusive tobacco-free blunt use (32.3%), exclusive tobacco product blunt use (27.4%), or use of both tobacco product and tobacco-free blunts (40.3%). Among those exclusively using tobacco-free blunts, 13.4% endorsed no tobacco product use.
conclusionsTobacco-free blunt wraps were very popular among high school adolescents, highlighting the importance of assessing products used for making blunts. Assuming that blunts contain tobacco without considering tobacco-free blunts can lead to misclassification of blunt use as tobacco-cannabis co-use when it actually reflects exclusive cannabis use, potentially leading to inflated estimates of tobacco use. DATA AVAILABILITY: Data will be made available upon reasonable request to the corresponding author.
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