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Tobacco and Cannabis Use and co-Use, and Cannabis Refusal Self-Efficacy Among Black Men: A Cross-Sectional Study Examining Differences Between Men Who Have Sex with Men (MSM) and Non-MSM.

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Title: Tobacco and Cannabis Use and co-Use, and Cannabis Refusal Self-Efficacy Among Black Men: A Cross-Sectional Study Examining Differences Between Men Who Have Sex with Men (MSM) and Non-MSM.
Authors: Chang, Kyle (AUTHOR), D'Anna, Laura Hoyt (AUTHOR), Owens, Jaelen (AUTHOR), Wood, Jefferson L. (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 7, p1055-1063. 9p.
Subjects: Substance abuse risk factors, African Americans, Risk assessment, Cross-sectional method, Tobacco, Self-efficacy, Research funding, T-test (Statistics), Path analysis (Statistics), Descriptive statistics, Chi-squared test, Structural equation modeling, Men who have sex with men, Harm reduction, Health behavior, Psychological stress, Mathematical models, Cannabis (Genus), Minorities, Theory, Comparative studies, Data analysis software, Confidence intervals, Patients' attitudes
Geographic Terms: United States
Abstract: Cannabis and tobacco co-use is a public health concern among men who have sex with men (MSM), including Black MSM. Because many Black men initiate tobacco use with cannabis, identifying predictors of cannabis use is important. This study hypothesized that Black MSM would report more cannabis and tobacco use and lower cannabis refusal self-efficacy than Black non-MSM due to stress from their multiple minority status. The study compared Black MSM and non-MSM on substance use behaviors and perceptions. Guided by minority stress theory, path analysis tested whether indirect effects of MSM status on tobacco use operated through cannabis refusal self-efficacy and cannabis use. Participants were 202 Black men ages 18-34 (108 non-MSM; 94 MSM). In the past 30 days, 68 reported tobacco use, 121 reported cannabis use, and 62 reported co-use. MSM reported more tobacco and cannabis use and lower cannabis refusal self-efficacy than non-MSM. Several indirect effects were identified, including pathways between MSM status and cannabis use through cannabis refusal self-efficacy, between cannabis refusal self-efficacy and tobacco use through cannabis use, and sequential indirect effects between MSM status and tobacco use through both mechanisms. The results suggest harm reduction strategies for Black MSM should address co-use patterns and strengthen cannabis refusal self-efficacy. [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: Tobacco and Cannabis Use and co-Use, and Cannabis Refusal Self-Efficacy Among Black Men: A Cross-Sectional Study Examining Differences Between Men Who Have Sex with Men (MSM) and Non-MSM.
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2026, Vol. 61 Issue 7, p1055-1063. 9p.
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Label: Abstract
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  Data: Cannabis and tobacco co-use is a public health concern among men who have sex with men (MSM), including Black MSM. Because many Black men initiate tobacco use with cannabis, identifying predictors of cannabis use is important. This study hypothesized that Black MSM would report more cannabis and tobacco use and lower cannabis refusal self-efficacy than Black non-MSM due to stress from their multiple minority status. The study compared Black MSM and non-MSM on substance use behaviors and perceptions. Guided by minority stress theory, path analysis tested whether indirect effects of MSM status on tobacco use operated through cannabis refusal self-efficacy and cannabis use. Participants were 202 Black men ages 18-34 (108 non-MSM; 94 MSM). In the past 30 days, 68 reported tobacco use, 121 reported cannabis use, and 62 reported co-use. MSM reported more tobacco and cannabis use and lower cannabis refusal self-efficacy than non-MSM. Several indirect effects were identified, including pathways between MSM status and cannabis use through cannabis refusal self-efficacy, between cannabis refusal self-efficacy and tobacco use through cannabis use, and sequential indirect effects between MSM status and tobacco use through both mechanisms. The results suggest harm reduction strategies for Black MSM should address co-use patterns and strengthen cannabis refusal self-efficacy. [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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193014492
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2025.2592877
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1055
    Subjects:
      – SubjectFull: Substance abuse risk factors
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Tobacco
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Path analysis (Statistics)
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Structural equation modeling
        Type: general
      – SubjectFull: Men who have sex with men
        Type: general
      – SubjectFull: Harm reduction
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Mathematical models
        Type: general
      – SubjectFull: Cannabis (Genus)
        Type: general
      – SubjectFull: Minorities
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      – SubjectFull: Theory
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      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Tobacco and Cannabis Use and co-Use, and Cannabis Refusal Self-Efficacy Among Black Men: A Cross-Sectional Study Examining Differences Between Men Who Have Sex with Men (MSM) and Non-MSM.
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            NameFull: Chang, Kyle
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            NameFull: D'Anna, Laura Hoyt
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            NameFull: Owens, Jaelen
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            NameFull: Wood, Jefferson L.
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            – D: 15
              M: 06
              Text: 2026
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              Y: 2026
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