Evidence map›Paper›PMID 40763833›Full record

ArticleAmerican journal of preventive medicine2025

Heterogeneity in Nicotine, Tobacco, and Cannabis Use Among U.S. Adolescents and Adults Aged 12-34 Years.

Rebecca J Evans-Polce, Jessica M Mongilio, Sean Esteban McCabe, Phil T Veliz

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Co-Use of Some Substances Associated With Higher Doses in Adolescents: Findings From the Adolescent Brain Cognitive Development Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
    Article
  2. Article
  3. Article
  4. Review
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

4 authors.

Rebecca J Evans-PolceCenter for the Study of Drugs, Alcohol, Smoking, and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan. Electronic address: bjevans@umich.edu.
Jessica M MongilioCenter for the Study of Drugs, Alcohol, Smoking, and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan.
Sean Esteban McCabeCenter for the Study of Drugs, Alcohol, Smoking, and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan.
Phil T VelizCenter for the Study of Drugs, Alcohol, Smoking, and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan; Applied Biostatistics Laboratory, School of Nursing, University of Michigan, Ann Arbor, Michigan.

Funding

Smoking and Cancer-Related Health Disparities among Sexual and Gender Minority AdultsR01CA276500 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Philip T Veliz · 2024 to 2026
$2.4M
E-Cigarette Use among U.S. Adolescents and Young Adults: Longitudinal Associations with Tobacco Use and Health and Dimensions of Risk and ProtectionR01CA270546 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI EVANS-POLCE, REBECCA J · 2023 to 2025
$1.1M
NCI NIH HHS R01 CA270546NCI NIH HHS R01 CA276500
6 · The paper itself

Abstract

introductionNicotine, tobacco, and cannabis use continues to evolve in the U.S., with new forms of use (e.g., oral nicotine, cannabis edibles) emerging and increasing. It is critical to understand how these substances are being used and co-used. This study identified subgroups of adolescents and younger adults aged 12-34 years on the basis of nicotine, tobacco, and cannabis use using recent nationally representative data.

methodsCross-sectional data from the Population Assessment of Tobacco and Health Wave 7 (2022-2023) were used. Analyses focused on those aged 12-34 years who reported any past 30-day nicotine, tobacco, or cannabis use (n=8,722). Latent class analysis was conducted using 8 indicators: combustible tobacco use, nicotine vaping, oral nicotine product use, other noncombustible tobacco use (e.g., snus/chew), blunt use, cannabis smoking, cannabis vaping, and cannabis edibles. Differences were examined by sex, age, race, ethnicity, and region.

resultsOn average, individuals reported use of approximately 2 products in the past 30 days (mean=2.08). Six subgroups of nicotine, tobacco, and cannabis use were identified: combustible tobacco (30.77%), multimodal cannabis (26.72%), vaping nicotine (18.37%), multimodal co-use (13.87%), cannabis edibles (5.31%), and multimodal nicotine/tobacco (4.95%). Sociodemographic characteristics were associated with class membership.

conclusionsThere is substantial heterogeneity in nicotine, tobacco, and cannabis use among U.S. adolescents and younger adults. Of particular concern is that most of the sample reported combustible use, including 3 subgroups that reported multiple modes of use. Continued surveillance of nicotine, tobacco, and cannabis use is needed, particularly as the products and their regulation continue to evolve.

Indexed as

Marijuana SmokingMarijuana UseTobacco UseAdolescentAdultChildCross-Sectional StudiesFemaleHumansMaleNicotineTobacco ProductsUnited StatesVapingYoung AdultNicotine

Identifiers

PMID40763833
PMCPMC13188204

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.