Cigarette smoking among marijuana users in the United States

Kimber P. Richter, Harsohena Kaur, Ken Resnicow, Niaman Nazir, Michael C. Mosier, Jasjit S. Ahluwalia

Research output: Contribution to journalArticlepeer-review

48 Scopus citations


The vast majority of drug users smoke cigarettes. Most use marijuana and no other illicit drug. We analyzed adult responses to the 1997 NHSDA (n = 16,661) to explore relationships between marijuana use and cigarette smoking. Multivariate analyses controlled for other illicit drug use and other potential covariates. Nearly three-quarters of current marijuana users (74%) smoked cigarettes. Compared to nonusers, the adjusted odds of being a smoker were 5.43 for current marijuana users, 3.58 for past year marijuana users, and 2.02 for former marijuana users. Odds for cigarette smoking among current poly-drug users, compared to nonusers, were 2.3 to 1. Level of cigarette smoking was directly associated with frequency of marijuana use. Nationwide, an estimated 7 million adults smoke both substances and are at increased risk for respiratory illnesses and mortality. Cigarette smoking is a major co-morbidity of marijuana use and smoking cessation should be addressed among marijuana users in addition to their other illicit drug involvement.

Original languageEnglish (US)
Pages (from-to)35-43
Number of pages9
JournalSubstance Abuse
Issue number2
StatePublished - Jun 1 2004


  • Cannabis
  • Epidemiology
  • Marijuana
  • Tobacco
  • Treatment

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