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Cannabis, Vaping, and Respiratory Symptoms in a Probability Sample of U.S. Youth

      Abstract

      Purpose

      The purpose of this study was to explore the association between respiratory symptoms among U.S. adolescents who were current (past 30-day) users of cigarettes, e-cigarettes, and/or cannabis, as well as lifetime users of cannabis with electronic nicotine delivery systems (ENDS).

      Methods

      Wave 4 from a national probability sample (N = 14,798) of adolescents (12–17 years) using Population Assessment of Tobacco and Health Study data was used for this study. Retention rate was 88.4%.

      Results

      The odds of indicating “wheezing or whistling” in the chest were roughly two times higher among those who had used cannabis in ENDS (adjusted odds ratio 1.81, 95% confidence interval 1.47–2.22); neither e-cigarettes nor cigarettes had a significant association with all five respiratory symptoms in the fully adjusted models.

      Conclusions

      This study provides preliminary evidence that adolescents' cannabis use with ENDS may have negative health consequences. Lifetime cannabis use with ENDS was substantially associated with higher odds of respiratory symptoms.

      Keywords

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      References

        • Traboulsi H.
        • Cherian M.
        • Abou Rjeili M.
        • et al.
        Inhalation toxicology of vaping products and implications for pulmonary health.
        Int J Mol Sci. 2020; 21 (3495): 3495
        • Seaman E.L.
        • Stanton C.A.
        • Edwards K.A.
        • Halenar M.J.
        Use of tobacco products/devices for marijuana consumption and association with substance use problems among U.S. young adults (2015-2016).
        Addict Behav. 2020; 102 (106133)
        • Cullen K.A.
        • Ambrose B.K.
        • Gentzke A.S.
        • et al.
        Notes from the field: Use of electronic cigarettes and any tobacco product among middle and high school students – United States, 2011-2018.
        MMWR Morb Mortal Wkly Rep. 2018; 67: 1276-1277
        • Kowitt S.D.
        • Osman A.
        • Meernik C.
        • et al.
        Vaping cannabis among adolescents: Prevalence and associations with tobacco use from a cross-sectional study in the USA.
        BMJ Open. 2019; 9: e028535
        • Breitbarth A.K.
        • Morgan J.
        • Jones A.L.
        E-cigarettes-An unintended illicit drug delivery system.
        Drug Alcohol Depend. 2018; 192: 98-111
        • Centers for Disease Control and Prevention (CDC)
        New CDC report provides first analysis of lung injury Deaths associated with Use of E-cigarette, or vaping, products.
        (Press Release: October 28, 2019. Available at:)
        • Jiang N.
        • Wang M.P.
        • Ho S.Y.
        • et al.
        Electronic cigarette use among adolescents: A cross-sectional study in Hong Kong.
        BMC Public Health. 2016; 16: 202
        • Wang M.P.
        • Ho S.Y.
        • Leung L.T.
        • Lam T.H.
        Electronic cigarette use and respiratory symptoms in Chinese adolescents in Hong Kong.
        JAMA Pediatr. 2016; 170: 89-91
        • King B.A.
        • Jones C.M.
        • Baldwin G.T.
        • Briss P.A.
        The EVALI and youth vaping epidemics — implications for public health.
        N Engl J Med. 2020; 382: 689-691
        • Reinikovaite V.
        • Rodriguez I.E.
        • Karoor V.
        • et al.
        The effects of electronic cigarette vapour on the lung: Direct comparison to tobacco smoke.
        Eur Respir J. 2018; 51 (1701661)
        • Carroll B.J.
        • Kim M.
        • Hemyari A.
        • et al.
        Impaired lung function following e-cigarette or vaping product use associated lung injury in the first cohort of hospitalized adolescents.
        Pediatr Pulmonol. 2020; 55: 1712-1718
        • Rao D.R.
        • Maple K.L.
        • Dettori A.
        • et al.
        Clinical features of e-cigarette, or vaping, product use–associated lung injury in teenagers.
        Pediatrics. 2020; 146: e20194104
        • United States Department of Health and Human Services
        • National Institutes of Health
        • National Institute on Drug Abuse, and United States Department of Health and Human Services
        • Food and Drug Administration
        • Center for Tobacco Products
        Population Assessment of Tobacco and Health (PATH) Study [United States] Public-use Files. Inter-university Consortium for Political and Social research [distributor], 2019-11-21.
        (Available at:)
        https://doi.org/10.3886/ICPSR36498.v10
        Date accessed: November 4, 2019
        • Hanley J.A.
        • Negassa A.
        • Edwardes M.D.
        • Forrester J.E.
        Statistical analysis of correlated data using generalized estimating equations: An orientation.
        Am J Epidemiol. 2003; 157: 364-375
        • Adkins S.H.
        • Anderson K.N.
        • Goodman A.B.
        • et al.
        Demographics, substance use behaviors, and clinical characteristics of adolescents with e-cigarette, or vaping, product use–associated lung injury (EVALI) in the United States in 2019.
        JAMA Pediatr. 2020; 174: e200756
        • Correa J.B.
        • Myers M.G.
        • Tully L.K.
        • Doran N.
        Co-occurring use of cannabis and tobacco and the presence of acute respiratory symptoms among young adult light and intermittent smokers.
        Subst Use Misuse. 2020; 55: 2129-2137