Cannabis use patterns among emerging adults in California who use tobacco: Differences by sexual identity, gender identity, and sex assigned at birth.

Evan A Krueger, Luisita Cordero, Chenglin Hong, Risa Flynn, Ian W Holloway

Abstract read

In one paragraph

Article in Addictive behaviors reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Evan A KruegerSchool of Social Work, Tulane University, New Orleans, LA 70112, USA.

Luisita CorderoDepartment of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, CA 90095, USA.

Chenglin HongSchool of Social Work, University of Connecticut, Hartford, CT 06103, USA.

Risa FlynnLos Angeles LGBT Center, Los Angeles, CA 90028, USA.

Ian W HollowayDepartment of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, CA 90095, USA.

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026

$6.9M

NICHD NIH HHS P2C HD041022

6 · The paper itself

Abstract

Background: Sexual and/or gender minority (SGM) emerging adults use both cannabis and tobacco products at higher rates than their non-SGM peers. Co-use of cannabis and tobacco is of increasing public health concern, yet relatively little is known about co-use among SGM emerging adults. Methods: Data were from a cross-sectional survey (2020 - 2021) of 1,467 SGM (n = 868) and non-SGM (n = 623) emerging adults from California. To be eligible, participants reported using at least one tobacco product in the prior 30 days. We assessed differences in lifetime and recent (past 3-month) cannabis use, and in concurrent use of both substances, across six groups: cisgender heterosexual, cisgender sexual minority (SM), transgender/gender non-conforming (TGNC) participants assigned female at birth (AFAB), and cisgender heterosexual, cisgender SM, and TGNC participants assigned male at birth (AMAB). Results: Among AFAB, cisgender SM and TGNC participants (vs. cisgender heterosexual) had higher odds of lifetime (cisgender SM: aOR = 2.38, 95 % CI = 1.54, 3.72; TGNC: aOR = 1.97, 95 % CI = 1.17, 3.40) and recent cannabis use (cisgender SM: aOR = 1.72, 95 % CI = 1.29, 2.30; TGNC: aOR = 1.83, 95 % CI = 1.29, 2.61), and of concurrent use (cisgender SM: aOR = 1.49, 95 % CI = 1.11, 2.00; TGNC: aOR = 1.98, 95 % CI = 1.39, 2.82). No differences in cannabis and tobacco co-use were noted among AMAB. Conclusion: Cisgender SM and TGNC AFAB are at high risk for cannabis and tobacco co-use. Prevention and harm reduction interventions should be tailored to these groups.

Indexed as

CannabisCo-useEmerging adultsGender minoritySexual minority

Identifiers

PMID40726811

DOI10.1016/j.abrep.2025.100624

PMCPMC12302247

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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.