The Social Context of Adolescent Co-Use of Cigarillos and Marijuana Blunts

Elizabeth Antognoli, Sarah Koopman Gonzalez, Erika Trapl, David Cavallo, Rock Lim, Brittany Lavanty, Sue Flocke

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: The use of cigarillos for smoking as a tobacco product and for making marijuana blunts is increasing among adolescents. Previous research has documented the co-use of these products, however little is known about the contextual features that generate and sustain this practice. Objective: This study aims for a deeper understanding of why and how co-use of cigarillos and marijuana blunts occurs. Methods: Between December 2015 and April 2016, we conducted in-depth interviews with 30 adolescents aged 14-18 who reported smoking ≥1 cigarillo per week. Semi-structured interviews were designed to capture participants' smoking products, practices, and preferences, as well as their beliefs and experiences about smoking. Interviews were audio-recorded and transcribed. Analysis was guided by a phenomenological approach designed to identify emergent themes. Results: All participants reported smoking cigarillos for use as a tobacco product, averaging 13 per week. Twenty-five (83%) also reported using cigarillos to smoke marijuana blunts. A preference for group smoking and product sharing, and the belief that cigarillos extend the high of marijuana were found to promote the co-use of these products. Cigarillos were also found to be used as a substitute for blunts when marijuana was unavailable or when its use was being restricted or monitored. Conclusions/Importance: This analysis of adolescent cigarillo and marijuana co-use demonstrates how marijuana use can initiate, increase, and reinforce tobacco use. These findings can be used to inform public health education campaigns and other programs and policies aimed at reducing cigarillo and marijuana use by youth.

Original languageEnglish (US)
Pages (from-to)654-661
Number of pages8
JournalSubstance Use and Misuse
Volume53
Issue number4
DOIs
StatePublished - Mar 21 2018
Externally publishedYes

Fingerprint

Cannabis
smoking
adolescent
Smoking
nicotine
Interviews
interview
Tobacco Products
health promotion
Tobacco Use
public health
campaign
Health Promotion
Health Education
Smoke
Public Health
experience
Group
Research

Keywords

  • Adolescents
  • blunts
  • cigarillos
  • little cigars
  • marijuana
  • smoking
  • youth

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Antognoli, E., Koopman Gonzalez, S., Trapl, E., Cavallo, D., Lim, R., Lavanty, B., & Flocke, S. (2018). The Social Context of Adolescent Co-Use of Cigarillos and Marijuana Blunts. Substance Use and Misuse, 53(4), 654-661. https://doi.org/10.1080/10826084.2017.1355388

The Social Context of Adolescent Co-Use of Cigarillos and Marijuana Blunts. / Antognoli, Elizabeth; Koopman Gonzalez, Sarah; Trapl, Erika; Cavallo, David; Lim, Rock; Lavanty, Brittany; Flocke, Sue.

In: Substance Use and Misuse, Vol. 53, No. 4, 21.03.2018, p. 654-661.

Research output: Contribution to journalArticle

Antognoli, E, Koopman Gonzalez, S, Trapl, E, Cavallo, D, Lim, R, Lavanty, B & Flocke, S 2018, 'The Social Context of Adolescent Co-Use of Cigarillos and Marijuana Blunts', Substance Use and Misuse, vol. 53, no. 4, pp. 654-661. https://doi.org/10.1080/10826084.2017.1355388
Antognoli E, Koopman Gonzalez S, Trapl E, Cavallo D, Lim R, Lavanty B et al. The Social Context of Adolescent Co-Use of Cigarillos and Marijuana Blunts. Substance Use and Misuse. 2018 Mar 21;53(4):654-661. https://doi.org/10.1080/10826084.2017.1355388
Antognoli, Elizabeth ; Koopman Gonzalez, Sarah ; Trapl, Erika ; Cavallo, David ; Lim, Rock ; Lavanty, Brittany ; Flocke, Sue. / The Social Context of Adolescent Co-Use of Cigarillos and Marijuana Blunts. In: Substance Use and Misuse. 2018 ; Vol. 53, No. 4. pp. 654-661.
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