The Intersection between Spliff Usage, Tobacco Smoking, and Having the First Joint after Waking

Area of Science:

• Addiction research
• Cannabis and tobacco co-use studies
• Public health

Background:

• Cannabis and tobacco co-use is linked to increased dependence and psychosocial issues.
• Minimal research exists on specific spliff usage behaviors and morning cannabis use ('wake and bake').
• Morning cannabis use is associated with higher reported cannabis-related problems.

Purpose of the Study:

• To investigate the association between cannabis and tobacco mixing (spliff) behaviors and the likelihood of morning cannabis consumption ('wake and bake').
• To analyze how different patterns of spliff usage correlate with smoking the first joint within an hour of waking.

Main Methods:

• A survey of United States cannabis users was conducted.
• Data collected on cannabis and tobacco mixing behaviors, including spliff usage.
• Statistical analysis was performed to determine the likelihood of 'wake and bake' behavior across different user groups.

Main Results:

• Compared to those who smoked tobacco and used spliffs, individuals who never smoked tobacco and did not use spliffs were significantly less likely to engage in 'wake and bake' behavior (95%CI: 0.489-0.892).
• Similarly, those who never smoked tobacco but used spliffs also showed a reduced likelihood of 'wake and bake' (95%CI: 0.022-0.915).
• The group that smoked tobacco and used spliffs also demonstrated a lower likelihood of 'wake and bake' compared to a reference group not specified in the abstract.

Conclusions:

• Spliff usage patterns, particularly among non-tobacco smokers, are associated with a decreased likelihood of morning cannabis consumption ('wake and bake').
• Findings suggest a complex relationship between tobacco-cannabis co-use behaviors and the timing of first cannabis use.
• Further research is recommended to understand these associations, especially with the expansion of legal cannabis markets.