Change over time in adolescent smoking, cannabis use and their association: findings from the school health research network in Wales
MetadataDangos cofnod eitem llawn
Background: While tobacco smoking has declined among UK youth in recent decades, cannabis use has begun to show some growth. Given their interrelationship, growth in cannabis use may act as a barrier to continued reduction in youth smoking. This paper assesses recent tobacco and cannabis use trends in Wales, and their association, to explore whether change in cannabis use might have impacted youth tobacco smoking prevalence. Methods: Repeat cross-sectional data on tobacco and cannabis use were obtained from biennial Welsh Student Health and Wellbeing surveys between 2013 and 2019. Data were pooled and analysed using logistic regression with adjustment for school-level clustering. Results: No change in regular youth tobacco smoking was observed between 2013 and 2019. In contrast, current cannabis use increased during this time, and cannabis users had significantly greater odds of regular tobacco smoking. After adjusting for change in cannabis use, a significant decline in youth tobacco smoking was observed (OR 0.95; 95% CIs: 0.92, 0.97). Conclusion: Recent growth in cannabis use among young people in Wales may have offset prospective declines in regular tobacco smoking. Further reductions in youth smoking may require more integrated policy approaches to address the co-use of tobacco and cannabis among adolescents.
Journal of Public Health;
Page, N., Hallingberg, B., Brown, R., Lowthian, E., Hewitt, G., Murphy, S. and Moore, G. (2020) 'Change over time in adolescent smoking, cannabis use and their association: findings from the school health research network in Wales', Journal of Public Health. https://doi.org/10.1093/pubmed/fdaa174
Dynodwr Gwrthrych Digidol (DOI)https://doi.org/10.1093/pubmed/fdaa174
Article published in Journal of Public Health available open access at https://doi.org/10.1093/pubmed/fdaa174
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
The Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer) is funded by Welsh Government through Health and Care Research Wales. This work was supported also by the Public Health Division, Welsh Government with the support of The Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UKCRC Public Health Research Centre of Excellence. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. The School Health Research Network is a partnership between DECIPHer at Cardiff University, Welsh Government, Public Health Wales and Cancer Research UK, funded by Health and Care Research Wales.
Yn dangos eitemau sy’n perthyn drwy deitl, awdur, pwnc a chrynodeb.
Have e-cigarettes renormalised or displaced youth smoking? Results of a segmented regression analysis of repeated cross sectional survey data in England, Scotland and Wales Hallingberg, Britt; Maynard, O.M.; Bauld, L.; Brown, R.; Gray, L.; Lowthian, E.; MacKintosh, A.M.; Moore, L.; Munafo, M.R.; Moore, G. (BMJ Publishing Group, 2019-04-01)Objectives To examine whether during a period of limited e-cigarette regulation and rapid growth in their use, smoking began to become renormalised among young people. Design Interrupted time-series analysis of repeated ...
Do stronger school smoking policies make a difference? Analysis of the health behaviour in school-aged children survey Hallingberg, Britt; Fletcher, A.; Murphy, S.; Morgan, K.; Littlecott, H.J.; Roberts, C.; Moore, G.F. (Oxford Academic, 2016-06-21)Background: Associations of the strength of school smoking policies with cigarette, e-cigarette and cannabis use in Wales were examined. Methods: Nationally representative cross-sectional survey of pupils aged 11–16 years ...
A qualitative study of e-cigarette emergence and the potential for renormalisation of smoking in UK youth Brown, R.; Bauld, L.; de Lacy, E.; Hallingberg, Britt; Maynard, O.; McKell, J.; Moore, L.; Moore, G. (Elsevier, 2019-11-27)Background: Growth of e-cigarette use among smokers has raised concerns over uptake by non-smokers, particularly young people. Legislative changes aimed in part at reducing youth exposure to e-cigarettes include the EU ...