@article{1e5648216863403ea5b4bd48ec6325fe,
title = "Associations of Cannabis Use, High-Risk Alcohol Use, and Depressive Symptomology with Motivation and Attempts to Quit Cigarette Smoking Among Adults: Findings from the 2020 ITC Four Country Smoking and Vaping Survey",
abstract = "This study assessed independent and interaction effects of the frequency of cannabis use, high-risk alcohol use, and depressive symptomology on motivation and attempts to quit cigarette smoking among adults who regularly smoked. Cross-sectional data are from the 2020 International Tobacco Control Four Country Smoking and Vaping Survey and included 7044 adults (ages 18 + years) who smoked cigarettes daily in Australia (n = 1113), Canada (n = 2069), England (n = 2444), and the United States (USA) (n = 1418). Among all respondents, 33.1% of adults reported wanting to quit smoking “a lot,” and 29.1% made a past-year quit attempt. Cannabis use was not significantly associated with either outcome (both p ≥ 0.05). High-risk alcohol use was significantly associated with decreased odds of motivation to quit (p = 0.02) and making a quit attempt (p = 0.004). Depressive symptomology was associated with increased odds for both outcomes (both p < 0.001). There were no significant 2- or 3-way interactions between cannabis use, alcohol consumption, and depressive symptomatology. Overall, just over a quarter of adults who smoked daily reported making a recent quit attempt, and most were not highly motivated to quit. Longitudinal research should investigate whether there are linkages between cannabis use, risky alcohol consumption, and/or depression on successful long-term smoking cessation.",
keywords = "Alcohol, Cannabis, Cigarette smoking, Depressive symptomology, International, Public health",
author = "Shannon Gravely and Pete Driezen and Lion Shahab and McClure, {Erin A.} and Andrew Hyland and Cummings, {K. Michael} and East, {Katherine A.} and Chan, {Gary C.K.} and Hannah Walsh and Benowitz, {Neal L.} and Gartner, {Coral E.} and Fong, {Geoffrey T.} and Quah, {Anne C.K.} and Smith, {Danielle M.}",
note = "Funding Information: This study was supported by grants from the US National Cancer Institute (P01 CA200512), the Canadian Institutes of Health Research (FDN-148477), and the National Health and Medical Research Council of Australia (APP 1106451). GTF was supported by a Senior Investigator Award from the Ontario Institute for Cancer Research (IA-004). AH is supported by a Tobacco Centres of Regulatory Science US National Cancer Institute grant (U54 CA238110). KE is the recipient of fellowship funding from the Society for the Study of Addiction. LS is supported by a Cancer Research UK program grant (PRCRPG-Nov21\100002) and is a member of SPECTRUM, a UK Prevention Research Partnership Consortium (MR/S037519/1). CG is supported by an Australian Research Council Future Fellowship (FT220100186). The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. Publisher Copyright: {\textcopyright} 2023, The Author(s).",
year = "2023",
month = dec,
day = "14",
doi = "10.1007/s11469-023-01214-8",
language = "English",
journal = "International Journal of Mental Health and Addiction",
issn = "1557-1874",
publisher = "Springer New York",
}
