{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T06:51:54Z","timestamp":1793083914813,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The purpose of this study was to describe the characteristics and age of initiation of nicotine and cannabis use, with a particular focus on the emerging adult period (ages 18\u201324 years) and concurrent use of nicotine with cannabis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A secondary analysis of Population Assessment of Tobacco and Health (PATH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>32,078 participants from a nationally representative study of tobacco use and health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurement<\/jats:title><jats:p>Variables of interest included ever use, regular use and age of initiation (first\u2010time use) of nicotine (including tobacco) and\/or cannabis and selected demographic factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ever\u2010use of nicotine was associated with a 13\u2010fold increase in the likelihood of having ever used cannabis. Among those who reported cannabis use, 96.4% had also used nicotine. While initiation in adolescence was most common, 27.1% of those who use nicotine and 34.9% of those who use cannabis initiated during emerging adulthood. Among regular users of nicotine, 41.5% began regular use in emerging adulthood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings underscore the continued susceptibility of emerging adults to initiation of these substances. Co\u2010use of nicotine and cannabis is an understudied phenomenon in emerging adults with significant potential to cause harm and should be a public health priority.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.13094","type":"journal-article","created":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T19:09:21Z","timestamp":1653419361000},"page":"973-981","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["PATH to understanding cannabis and nicotine initiation and co\u2010use among emerging adults"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6169-5876","authenticated-orcid":false,"given":"Lisa M.","family":"Blair","sequence":"first","affiliation":[{"name":"University of Kentucky College of Medicine  Lexington Kentucky USA"},{"name":"University of Kentucky College of Nursing Perinatal Research and Wellness Center  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Ickes","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Education  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"McCubbin","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Nursing Perinatal Research and Wellness Center  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Ashford","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Nursing Perinatal Research and Wellness Center  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,24]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"American College Health Association. 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