Adolescents' self-defined tobacco use status, marijuana use, and tobacco dependence

Addict Behav. 2008 Nov;33(11):1491-1499. doi: 10.1016/j.addbeh.2008.05.008. Epub 2008 May 24.


Aims: To examine differences in tobacco use and dependence between adolescents who are and are not marijuana users.

Design: Cross-sectional analysis of existing survey data.

Participants: Data were obtained from 7440 adolescents who completed the British Columbia Youth Survey of Smoking and Health II (BCYSOSH-II), a school based survey conducted in 2004.

Measures: Responses to demographic, current smoking, alcohol use, self-defined tobacco and marijuana use status questions, perceived physical and mental addiction to tobacco, modified-Fagerstrom Tolerance Questionnaire (M-FTQ), and the Dimensions of Tobacco Dependence Scale (DTDS) were obtained.

Findings: Marijuana users were 5.9 times more likely to be current tobacco smokers and reported higher levels of perceived addiction to tobacco as compared with marijuana non-users. After controlling for demographics, life-time tobacco use, and alcohol use, marijuana use was associated with the nicotine dependent and sensory dimensions of tobacco dependence.

Conclusions: Adolescents who concurrently use tobacco and marijuana may be more tobacco dependent than are marijuana non-users. Concurrent use of marijuana may be a factor associated with tobacco dependence among a sub-group of concomitant drug-using adolescents.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Behavior, Addictive
  • British Columbia / epidemiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Marijuana Abuse / epidemiology
  • Marijuana Abuse / psychology*
  • Reproducibility of Results
  • School Health Services
  • Smoking / epidemiology
  • Smoking / psychology*
  • Surveys and Questionnaires
  • Tobacco Use Disorder / epidemiology
  • Tobacco Use Disorder / psychology*