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No smoke without tobacco: a global overview of cannabis and tobacco routes of administration and their association with intention to quit.

機(jī)譯：沒有煙草就沒有煙：大麻和煙草的管理途徑及其與戒煙聯(lián)系的全球概覽。

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Cannabis and tobacco are common drugs of abuse worldwide and are often used in combination through a variety of routes of administration. Here we aimed to provide an overview of how cannabis and tobacco routes varied across countries and assess the impact of tobacco based routes of administration on motivation to use less cannabis, and less tobacco, in separate models. \ud\udA cross-sectional online survey (Global Drugs Survey 2014) was completed by 33,687 respondents (mean age = 27.9; %female = 25.9) who smoked cannabis at least once in the last 12 months. Most common route of administration, frequency of cannabis/tobacco use, and questions about motivation to use less cannabis/tobacco were recorded. Tobacco based routes of administration were used by 65.6% of respondents. These were most common in Europe (77.2-90.9%) and Australasia (20.7-51.6%) and uncommon in the Americas (4.4-16.0%). Vaporizer use was most common in Canada (13.2%) and the United States (11.2%). \ud\udNon-tobacco based routes of administration were associated with a 10.7% increase in odds for ‘desire to use less’ tobacco, 80.6% increase in odds for ‘like help to use less tobacco’ and a 103.9% increase in the odds for ‘planning to seek help to use less tobacco’ in comparison to tobacco based routes of administration. Associations between route of administration and intentions to use less cannabis were inconsistent. \ud\udResults support considerable global variation in cannabis and tobacco routes of administration. Tobacco routes are common, especially ‘joints with tobacco’, especially in Europe, but not in the Americas. Non-tobacco based routes are associated with increased motivation to change tobacco use. Interventions addressing tobacco and cannabis need to accommodate this finding and encourage non-tobacco routes.
機(jī)譯：大麻和煙草是世界范圍內(nèi)常見的濫用藥物，通常通過多種給藥途徑結(jié)合使用。在這里，我們旨在概述不同國家之間的大麻和煙草路線如何變化，并評估以煙草為基礎(chǔ)的管理路線對在單獨(dú)模型中使用更少的大麻和更少的煙草的動機(jī)的影響。 \ ud \ ud一項橫斷面在線調(diào)查（2014年全球毒品調(diào)查）由33,687名受訪者（平均年齡= 27.9；女性百分比= 25.9）完成，他們在過去的12個月中至少抽煙一次。記錄了最常見的給藥途徑，大麻/煙草使用的頻率以及有關(guān)減少大麻/煙草使用動機(jī)的問題。 65.6％的受訪者使用基于煙草的管理途徑。這些在歐洲（77.2-90.9％）和澳大利亞（20.7-51.6％）最常見，而在美洲（4.4-16.0％）不常見。在加拿大（13.2％）和美國（11.2％），汽化劑的使用最為普遍。非煙草類給藥途徑與“希望少用煙草”的幾率增加10.7％，“希望幫助減少煙草使用”的幾率增加80.6％，幾率增加103.9％與基于煙草的管理途徑相比，“計劃尋求幫助以減少煙草使用”。行政途徑與使用較少大麻的意圖之間的關(guān)聯(lián)不一致。 \ ud \ ud結(jié)果支持大麻和煙草管理途徑的全球性差異。煙草路線很普遍，尤其是“與煙草結(jié)合”，尤其是在歐洲，但在美洲卻不常見。基于非煙草的途徑與改變煙草使用的動機(jī)增加有關(guān)。針對煙草和大麻的干預(yù)措施需要適應(yīng)這一發(fā)現(xiàn)，并鼓勵非煙草途徑。

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