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Understanding Tobacco and Cannabis Co-Use, Cessation Strategies and Intervention Opportunities with Young Adults in UK Further Education Colleges: A Mixed Methods Study.

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Title: Understanding Tobacco and Cannabis Co-Use, Cessation Strategies and Intervention Opportunities with Young Adults in UK Further Education Colleges: A Mixed Methods Study.
Authors: Walsh, Hannah (AUTHOR), McNeill, Ann (AUTHOR), Duaso, Maria J. (AUTHOR)
Source: Substance Use & Misuse. 2025, Vol. 60 Issue 14, p2125-2135. 11p.
Subjects: Substance abuse prevention, Smoking prevention, Smoking cessation, Risk-taking behavior, T-test (Statistics), Interviewing, Questionnaires, Fisher exact test, Chi-squared test, Descriptive statistics, Motivation (Psychology), Drug use testing, Health behavior, Research methodology, Research, Conceptual structures, Cannabis (Genus), Tobacco products, College students, Student attitudes, Social support, Data analysis software, Self-perception
Geographic Terms: United Kingdom
Abstract: Introduction: Tobacco and cannabis co-use is common but the two are rarely co-assessed or co-treated. We present a mixed methods study of UK young adults which aims to explore co-use and quitting behaviors. Methods: This sequential explanatory mixed methods study used the Capability, Opportunity and Motivation – Behavior model to design a survey and interview schedule comprising elements of the Theoretical Domains Framework. The survey investigated tobacco and cannabis co-use, attitudes toward and experiences of quitting behaviors within Further Education students aged 16-30 with recent use of tobacco and cannabis. Chi-square and t-tests explored differences between substances in quitting behaviors. Survey respondents were invited to an interview to further explore beliefs and experiences of co-use and quitting. Results: 141 participants responded to the survey, and 18 participated in an interview. 40% used tobacco daily and 21% used cannabis daily or almost daily. Most (86.5%) had made some effort to quit or reduce their use of tobacco and/or cannabis in the past six months but few used any formal support to do so. Quitting one was significantly associated with quitting the other (p = 0.01). Motivation to quit tobacco was significantly higher than cannabis (t83=7.38, p = 0.01). Gaps in capability and opportunity to quit were identified. Co-use intervention opportunities are suggested. Conclusions: Few young adults used formal support when quitting tobacco or cannabis, and motivation to quit varied between tobacco and cannabis although quitting one substance was associated with quitting the other. Opportunities to quit or reduce harmful use of either or both are required. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Understanding Tobacco and Cannabis Co-Use, Cessation Strategies and Intervention Opportunities with Young Adults in UK Further Education Colleges: A Mixed Methods Study.
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  Data: <searchLink fieldCode="AR" term="%22Walsh%2C+Hannah%22">Walsh, Hannah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McNeill%2C+Ann%22">McNeill, Ann</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Duaso%2C+Maria+J%2E%22">Duaso, Maria J.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2025, Vol. 60 Issue 14, p2125-2135. 11p.
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  Data: Introduction: Tobacco and cannabis co-use is common but the two are rarely co-assessed or co-treated. We present a mixed methods study of UK young adults which aims to explore co-use and quitting behaviors. Methods: This sequential explanatory mixed methods study used the Capability, Opportunity and Motivation – Behavior model to design a survey and interview schedule comprising elements of the Theoretical Domains Framework. The survey investigated tobacco and cannabis co-use, attitudes toward and experiences of quitting behaviors within Further Education students aged 16-30 with recent use of tobacco and cannabis. Chi-square and t-tests explored differences between substances in quitting behaviors. Survey respondents were invited to an interview to further explore beliefs and experiences of co-use and quitting. Results: 141 participants responded to the survey, and 18 participated in an interview. 40% used tobacco daily and 21% used cannabis daily or almost daily. Most (86.5%) had made some effort to quit or reduce their use of tobacco and/or cannabis in the past six months but few used any formal support to do so. Quitting one was significantly associated with quitting the other (p = 0.01). Motivation to quit tobacco was significantly higher than cannabis (t83=7.38, p = 0.01). Gaps in capability and opportunity to quit were identified. Co-use intervention opportunities are suggested. Conclusions: Few young adults used formal support when quitting tobacco or cannabis, and motivation to quit varied between tobacco and cannabis although quitting one substance was associated with quitting the other. Opportunities to quit or reduce harmful use of either or both are required. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/10826084.2025.2533985
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Smoking prevention
        Type: general
      – SubjectFull: Smoking cessation
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      – SubjectFull: Data analysis software
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      – TitleFull: Understanding Tobacco and Cannabis Co-Use, Cessation Strategies and Intervention Opportunities with Young Adults in UK Further Education Colleges: A Mixed Methods Study.
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              Text: 2025
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