{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:20:02Z","timestamp":1791894002194,"version":"4.3.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100013384","name":"Kaiser Permanente Washington Health Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013384","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dual use of tobacco and cannabis is increasingly common, but it is unclear how it impacts individuals\u2019 interest in or ability to stop smoking. If dual users fail to engage in treatment or have worse treatment outcomes, it would suggest that tobacco treatment programs may need to be tailored to the specific needs of those using cannabis and tobacco.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted an observational study using electronic treatment records from adults (18\u2009years and older) who (a) were enrolled in a regional healthcare system in Washington state, (b) sought tobacco cessation treatment through an insurance-covered quitline from July 2016 to December 2018 and (c) had cannabis use frequency during the period of their quitline enrollment documented in their electronic health record (EHR) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091,390). Treatment engagement was defined by the total number of quitline counseling calls and web-logins completed. Point prevalent self-reported tobacco abstinence was assessed 6\u2009months post-quitline enrollment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty-two percent of participants (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009441) reported dual use of tobacco and any cannabis during the observation period; 9.4% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009130) reported daily cannabis use. Among dual users reporting daily cannabis use, 13.9% had a diagnosed cannabis user disorder in the EHR. Neither engagement with quitline counseling nor long-term tobacco abstinence rates differed between those using tobacco-only and either dual-use group (i.e., persons using any cannabis or daily cannabis).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dual use of tobacco and cannabis is common among smokers seen in primary care and those enrolling in quitline care, but it may not undermine tobacco quitline engagement or smoking cessation. Opportunities exist in the US to leverage quitlines to identify and intervene with dual users of tobacco and cannabis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>HIGHLIGHTS<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:label>\u2022<\/jats:label>\n                        <jats:p>Tobacco quitline care was equally engaging and effective among tobacco users and dual users of tobacco and cannabis<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:label>\u2022<\/jats:label>\n                        <jats:p>Many daily cannabis users calling tobacco quitlines likely have a cannabis use disorder<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:label>\u2022<\/jats:label>\n                        <jats:p>Tobacco quitlines can be leveraged to identify and intervene with dual users of tobacco and cannabis<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>","DOI":"10.1080\/08897077.2020.1846665","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T15:50:10Z","timestamp":1607010610000},"page":"417-422","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Tobacco quitline engagement and outcomes among primary care patients reporting use of tobacco or dual tobacco and cannabis: An observational study"],"prefix":"10.1177","volume":"42","author":[{"given":"Jennifer B.","family":"McClure","sequence":"first","affiliation":[{"name":"Research, Faculty, and Development, Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwen","family":"Lapham","sequence":"additional","affiliation":[{"name":"Research, Faculty, and Development, Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta GA: U.S. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Office of Smoking and Health; 2014."},{"key":"e_1_3_4_3_2","unstructured":"Center for Behavioral Statistics and Quality. 2015 National survey on drug use and health: Detailed tables; 2016. https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/NSDUH-DetTabs-2015\/NSDUH-DetTabs-2015\/NSDUH-DetTabs-2015.pdf. 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NAQC FY2018 annual survey: progress update on state quitlines; 2019. https:\/\/cdn.ymaws.com\/www.naquitline.org\/resource\/resmgr\/2018_survey\/NAQC_FY2018_Annual_Survey_Da.pdf. Accessed August 30 2020."},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.999"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2010.01.024"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2007.00403.x"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.140"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2002.00185.x"},{"issue":"2015","key":"e_1_3_4_23_2","first-page":"106","article-title":"Patterns of cigarette, e-cigarette, and cannabis use among adult smokers in primary care","volume":"100","author":"Thrul J","year":"2014","unstructured":"Thrul J, , Vijayaraghavan M, , Kalkhoran S, , Satterfield JM. Patterns of cigarette, e-cigarette, and cannabis use among adult smokers in primary care. Addict Behav. 2014;100(2015):106\u2013109.","journal-title":"Addict Behav"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1037\/pha0000244"},{"key":"e_1_3_4_25_2","unstructured":"Governors Highway Safety Association. Drug-impaired driving: Marijuana and opioids raise critical issues for states; 2018. https:\/\/www.insurancejournal.com\/app\/uploads\/2018\/05\/GHSA_DrugImpairedDriving_FINAL-1.pdf. 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