Nicotine and Toxicant Exposure Among Concurrent Users (Co-Users) of Tobacco and Cannabis

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
Danielle M SmithMaciej L Goniewicz

Abstract

Smoking cannabis may potentially increase exposure to numerous toxic chemicals that are commonly associated with tobacco use. There is a paucity of data related to toxicant exposures among concurrent users of tobacco and cannabis (co-users). Data are from the Population Assessment of Tobacco and Health Study Wave 1 Biomarker Restricted-Use Files. Analyses focused on adults who provided urine samples (N = 5859). Urine samples were analyzed for biomarkers of exposure to nicotine, tobacco-specific nitrosamines, polycyclic aromatic hydrocarbons, and volatile organic compounds. Using weighted linear regression, we compared adjusted geometric mean concentrations of 15 biomarkers between user groups of various tobacco product types according to their self-reported past 30-day cannabis use. Past 30-day cannabis use was similar across various types of tobacco product use subgroups (range: 13%-23%) and significantly more common compared to non-tobacco users (1.0%; p < .001). Across all groups of tobacco users, those who co-used cannabis exhibited significantly higher concentrations of the biomarker of exposure to acrylonitrile (CYMA) compared to non-cannabis users (by 39%-464%). Tobacco-cannabis co-users also showed significantly elevate...Continue Reading

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Citations

Aug 25, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Andrea H WeinbergerRenee D Goodwin
Jun 2, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Renee D Goodwin
Sep 10, 2020·International Journal of Environmental Research and Public Health·David L AshleyBenjamin C Blount
Jan 12, 2021·Journal of Exposure Science & Environmental Epidemiology·Víctor R De JesúsBenjamin C Blount
Jun 14, 2021·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Ellen MeierDorothy K Hatsukami
Aug 7, 2021·Environmental Research·Sandra F FernándezUNKNOWN BETTERMILK project
Jan 18, 2020·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Danielle M SmithDavid Hammond

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