Nicotine and cannabis vaping among adolescents in treatment for substance use disorders Journal Article


Authors: Young-Wolff, K. C.; Adams, S. R.; Sterling, S. A.; Tan, A. S. L.; Salloum, R. G.; Torre, K.; Carter-Harris, L.; Prochaska, J. J.
Article Title: Nicotine and cannabis vaping among adolescents in treatment for substance use disorders
Abstract: This study examined nicotine and cannabis vaping among adolescents in treatment for substance use disorders. Participants were 363 adolescents aged 12–17 (66% male, mean age = 15.5 [SD = 1.3], 46% non-Hispanic white) seen for a specialty addiction intake evaluation between 2017 and 2019 at one of six medical offices of a large, integrated health care system in Northern California. Multivariable logistic regression models tested for associations of sociodemographics, cigarette smoking, and substance use disorders with vaping behaviors. A majority of adolescents reported ever (68%) or current vaping (60%) of nicotine and/or cannabis; current vaping was similar for nicotine (50%) and cannabis (51%); 40% reported current vaping of both. Current smokers (6% of the sample) had higher odds of ever vaping (aOR = 3.95, 95%CI: 1.04–14.95). Black (versus non-Hispanic white) adolescents had lower odds of current nicotine vaping (aOR = 0.08, 95%CI: 0.02–0.37) and current vaping of both nicotine and cannabis (aOR = 0.12, 95%CI: 0.03–0.60). Having an alcohol use disorder was associated with current vaping (aOR = 2.14, 95%CI: 1.06–4.33). Those who endorsed that most friends get drunk/high (aOR = 1.87, 95%CI: 1.02–3.42) or that cannabis was their substance of choice (aOR = 2.36, 95%CI: 1.16–4.81) had higher odds of current cannabis vaping. Higher neighborhood household income ($80,000–$120,000 and >$120,000 vs. <$80,000, aORs = 2.05–9.48), never versus ever blunt use (aORs = 2.47–8.68), and intakes in 2018 and 2019 versus 2017 (aORs = 2.18–5.38) were associated with higher odds of all vaping outcomes. Vaping was common among adolescents in addiction treatment and varied with sociodemographics and substance-related factors. Research should assess how vaping impacts the development of substance use disorders and whether it interferes with addiction treatment. © 2021 Elsevier Inc.
Keywords: nicotine; cannabis; adolescents; vaping; addiction treatment; e-cigarette
Journal Title: Journal of Substance Abuse Treatment
Volume: 125
ISSN: 0740-5472
Publisher: Elsevier Inc.  
Date Published: 2021-01-01
Start Page: 108304
Language: English
DOI: 10.1016/j.jsat.2021.108304
PROVIDER: scopus
PMCID: PMC8140195
PUBMED: 34016296
DOI/URL:
Notes: Article -- Export Date: 1 March 2021 -- Source: Scopus
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