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State Medical Marijuana Laws and Initiation of Cigarettes among Adolescents in the U.S., 1991–2015

OBJECTIVE. Although cigarette use has declined among adolescents, marijuana use has increased in subgroups of this population. The association between medical marijuana laws (MMLs) and cigarette initiation among adolescents, however, needs further examination. We investigated the association between...

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Autores principales: Das, Abhery, Johnson, Julie K., Hard, Gregory A., Jones, Abenaa A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research Society on Marijuana 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674114/
https://www.ncbi.nlm.nih.gov/pubmed/36405952
http://dx.doi.org/10.26828/cannabis/2021.01.004
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author Das, Abhery
Johnson, Julie K.
Hard, Gregory A.
Jones, Abenaa A.
author_facet Das, Abhery
Johnson, Julie K.
Hard, Gregory A.
Jones, Abenaa A.
author_sort Das, Abhery
collection PubMed
description OBJECTIVE. Although cigarette use has declined among adolescents, marijuana use has increased in subgroups of this population. The association between medical marijuana laws (MMLs) and cigarette initiation among adolescents, however, needs further examination. We investigated the association between MMLs and age of cigarette initiation and stratified findings by gender, race/ethnicity, and state dispensary status. METHOD. Data were from N=939,725 adolescents in 9th-12th grade living in 46 states who participated in the Youth Risk Behavior Surveillance System between 1991–2015. Participants were asked the age they first smoked a cigarette and other sociodemographic characteristics. States were categorized as MML states if they had legalized marijuana for medicinal purposes by 2015. We used a difference-in-difference methodology and logistic regressions to assess the relationship between MMLs and cigarette initiation. RESULTS. Our results indicate lower odds of initiating cigarettes, in every age group (8 years old or younger, 9-10, 11-12, 13-14, 15-16, 17 years old or older) in states with MMLs when compared to non-MML states. After stratification, we find lower odds of cigarette initiation in certain age groups by gender, race/ethnicity, and state dispensary status. We report no difference in state MML implementation and age of cigarette initiation among Hispanic adolescents in every age group, and Black adolescents 8 years or younger and 17 years or older. CONCLUSIONS. Cigarette initiation has decreased among adolescents in MML states compared with those in non-MML states. Further research should evaluate how MMLs and recreational marijuana policies are associated with e-cigarette initiation and use.
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spelling pubmed-96741142022-11-18 State Medical Marijuana Laws and Initiation of Cigarettes among Adolescents in the U.S., 1991–2015 Das, Abhery Johnson, Julie K. Hard, Gregory A. Jones, Abenaa A. Cannabis Research Article OBJECTIVE. Although cigarette use has declined among adolescents, marijuana use has increased in subgroups of this population. The association between medical marijuana laws (MMLs) and cigarette initiation among adolescents, however, needs further examination. We investigated the association between MMLs and age of cigarette initiation and stratified findings by gender, race/ethnicity, and state dispensary status. METHOD. Data were from N=939,725 adolescents in 9th-12th grade living in 46 states who participated in the Youth Risk Behavior Surveillance System between 1991–2015. Participants were asked the age they first smoked a cigarette and other sociodemographic characteristics. States were categorized as MML states if they had legalized marijuana for medicinal purposes by 2015. We used a difference-in-difference methodology and logistic regressions to assess the relationship between MMLs and cigarette initiation. RESULTS. Our results indicate lower odds of initiating cigarettes, in every age group (8 years old or younger, 9-10, 11-12, 13-14, 15-16, 17 years old or older) in states with MMLs when compared to non-MML states. After stratification, we find lower odds of cigarette initiation in certain age groups by gender, race/ethnicity, and state dispensary status. We report no difference in state MML implementation and age of cigarette initiation among Hispanic adolescents in every age group, and Black adolescents 8 years or younger and 17 years or older. CONCLUSIONS. Cigarette initiation has decreased among adolescents in MML states compared with those in non-MML states. Further research should evaluate how MMLs and recreational marijuana policies are associated with e-cigarette initiation and use. Research Society on Marijuana 2021-04-22 /pmc/articles/PMC9674114/ /pubmed/36405952 http://dx.doi.org/10.26828/cannabis/2021.01.004 Text en © 2021 Authors et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits unrestricted use, distribution, and reproduction, provided the original author and source are credited, the original sources is not modified, and the source is not used for commercial purposes.
spellingShingle Research Article
Das, Abhery
Johnson, Julie K.
Hard, Gregory A.
Jones, Abenaa A.
State Medical Marijuana Laws and Initiation of Cigarettes among Adolescents in the U.S., 1991–2015
title State Medical Marijuana Laws and Initiation of Cigarettes among Adolescents in the U.S., 1991–2015
title_full State Medical Marijuana Laws and Initiation of Cigarettes among Adolescents in the U.S., 1991–2015
title_fullStr State Medical Marijuana Laws and Initiation of Cigarettes among Adolescents in the U.S., 1991–2015
title_full_unstemmed State Medical Marijuana Laws and Initiation of Cigarettes among Adolescents in the U.S., 1991–2015
title_short State Medical Marijuana Laws and Initiation of Cigarettes among Adolescents in the U.S., 1991–2015
title_sort state medical marijuana laws and initiation of cigarettes among adolescents in the u.s., 1991–2015
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674114/
https://www.ncbi.nlm.nih.gov/pubmed/36405952
http://dx.doi.org/10.26828/cannabis/2021.01.004
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