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Respiratory Effects of Marijuana and Tobacco Use in a U.S. Sample

Objective: Although a number of studies have examined the respiratory impact of marijuana smoking, such studies have generally used convenience samples of marijuana and tobacco users. The current study examined respiratory effects of marijuana and tobacco use in a nationally representative sample wh... Full description

Journal Title: Journal of general internal medicine : JGIM 2005-01, Vol.20 (1), p.33-37
Main Author: Moore, Brent A.
Other Authors: Augustson, Erik M. , Moser, Richard P. , Budney, Alan J.
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Oxford, UK: Blackwell Science Inc
ID: ISSN: 0884-8734
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1490047
title: Respiratory Effects of Marijuana and Tobacco Use in a U.S. Sample
format: Article
creator:
  • Moore, Brent A.
  • Augustson, Erik M.
  • Moser, Richard P.
  • Budney, Alan J.
subjects:
  • Adult
  • Biological and medical sciences
  • Cough - etiology
  • Dyspnea - etiology
  • epidemiology
  • Female
  • General aspects
  • Humans
  • Male
  • Marijuana
  • Marijuana Smoking - adverse effects
  • Marijuana Smoking - physiopathology
  • Medical sciences
  • Middle Aged
  • Nutrition Surveys
  • Original
  • Original Articles
  • Respiration Disorders - etiology
  • Respiration Disorders - physiopathology
  • Respiratory Sounds - etiology
  • respiratory symptoms
  • Respiratory system
  • Smoking
  • Smoking - adverse effects
  • Smoking - physiopathology
  • Spirometry
  • Studies
  • Tobacco
  • Tobacco, tobacco smoking
  • Toxicology
  • United States
ispartof: Journal of general internal medicine : JGIM, 2005-01, Vol.20 (1), p.33-37
description: Objective: Although a number of studies have examined the respiratory impact of marijuana smoking, such studies have generally used convenience samples of marijuana and tobacco users. The current study examined respiratory effects of marijuana and tobacco use in a nationally representative sample while controlling for age, gender, and current asthma. Design: Analysis of the nationally representative third National Health and Nutrition Examination Survey (NHANES III). Setting: U.S. households. Participants: A total of 6,728 adults age 20 to 59 who completed the drug, tobacco, and health sections of the NHANES III questionnaire in 1988 and 1994. Current marijuana use was defined as self‐reported 100+ lifetime use and at least 1 day of use in the past month. Measurements and Main Results: Self‐reported respiratory symptoms included chronic bronchitis, frequent phlegm, shortness of breath, frequent wheezing, chest sounds without a cold, and pneumonia. A medical exam also provided an overall chest finding and a measure of reduced pulmonary functioning. Marijuana use was associated with respiratory symptoms of chronic bronchitis (P=.02), coughing on most days (P=.001), phlegm production (P=.0005), wheezing (P
language: eng
source:
identifier: ISSN: 0884-8734
fulltext: no_fulltext
issn:
  • 0884-8734
  • 1525-1497
url: Link


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descriptionObjective: Although a number of studies have examined the respiratory impact of marijuana smoking, such studies have generally used convenience samples of marijuana and tobacco users. The current study examined respiratory effects of marijuana and tobacco use in a nationally representative sample while controlling for age, gender, and current asthma. Design: Analysis of the nationally representative third National Health and Nutrition Examination Survey (NHANES III). Setting: U.S. households. Participants: A total of 6,728 adults age 20 to 59 who completed the drug, tobacco, and health sections of the NHANES III questionnaire in 1988 and 1994. Current marijuana use was defined as self‐reported 100+ lifetime use and at least 1 day of use in the past month. Measurements and Main Results: Self‐reported respiratory symptoms included chronic bronchitis, frequent phlegm, shortness of breath, frequent wheezing, chest sounds without a cold, and pneumonia. A medical exam also provided an overall chest finding and a measure of reduced pulmonary functioning. Marijuana use was associated with respiratory symptoms of chronic bronchitis (P=.02), coughing on most days (P=.001), phlegm production (P=.0005), wheezing (P<.0001), and chest sounds without a cold (P=.02). Conclusion: The impact of marijuana smoking on respiratory health has some significant similarities to that of tobacco smoking. Efforts to prevent and reduce marijuana use, such as advising patients to quit and providing referrals for support and assistance, may have substantial public health benefits associated with decreased respiratory health problems.
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subjectAdult ; Biological and medical sciences ; Cough - etiology ; Dyspnea - etiology ; epidemiology ; Female ; General aspects ; Humans ; Male ; Marijuana ; Marijuana Smoking - adverse effects ; Marijuana Smoking - physiopathology ; Medical sciences ; Middle Aged ; Nutrition Surveys ; Original ; Original Articles ; Respiration Disorders - etiology ; Respiration Disorders - physiopathology ; Respiratory Sounds - etiology ; respiratory symptoms ; Respiratory system ; Smoking ; Smoking - adverse effects ; Smoking - physiopathology ; Spirometry ; Studies ; Tobacco ; Tobacco, tobacco smoking ; Toxicology ; United States
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descriptionObjective: Although a number of studies have examined the respiratory impact of marijuana smoking, such studies have generally used convenience samples of marijuana and tobacco users. The current study examined respiratory effects of marijuana and tobacco use in a nationally representative sample while controlling for age, gender, and current asthma. Design: Analysis of the nationally representative third National Health and Nutrition Examination Survey (NHANES III). Setting: U.S. households. Participants: A total of 6,728 adults age 20 to 59 who completed the drug, tobacco, and health sections of the NHANES III questionnaire in 1988 and 1994. Current marijuana use was defined as self‐reported 100+ lifetime use and at least 1 day of use in the past month. Measurements and Main Results: Self‐reported respiratory symptoms included chronic bronchitis, frequent phlegm, shortness of breath, frequent wheezing, chest sounds without a cold, and pneumonia. A medical exam also provided an overall chest finding and a measure of reduced pulmonary functioning. Marijuana use was associated with respiratory symptoms of chronic bronchitis (P=.02), coughing on most days (P=.001), phlegm production (P=.0005), wheezing (P<.0001), and chest sounds without a cold (P=.02). Conclusion: The impact of marijuana smoking on respiratory health has some significant similarities to that of tobacco smoking. Efforts to prevent and reduce marijuana use, such as advising patients to quit and providing referrals for support and assistance, may have substantial public health benefits associated with decreased respiratory health problems.
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abstractObjective: Although a number of studies have examined the respiratory impact of marijuana smoking, such studies have generally used convenience samples of marijuana and tobacco users. The current study examined respiratory effects of marijuana and tobacco use in a nationally representative sample while controlling for age, gender, and current asthma. Design: Analysis of the nationally representative third National Health and Nutrition Examination Survey (NHANES III). Setting: U.S. households. Participants: A total of 6,728 adults age 20 to 59 who completed the drug, tobacco, and health sections of the NHANES III questionnaire in 1988 and 1994. Current marijuana use was defined as self‐reported 100+ lifetime use and at least 1 day of use in the past month. Measurements and Main Results: Self‐reported respiratory symptoms included chronic bronchitis, frequent phlegm, shortness of breath, frequent wheezing, chest sounds without a cold, and pneumonia. A medical exam also provided an overall chest finding and a measure of reduced pulmonary functioning. Marijuana use was associated with respiratory symptoms of chronic bronchitis (P=.02), coughing on most days (P=.001), phlegm production (P=.0005), wheezing (P<.0001), and chest sounds without a cold (P=.02). Conclusion: The impact of marijuana smoking on respiratory health has some significant similarities to that of tobacco smoking. Efforts to prevent and reduce marijuana use, such as advising patients to quit and providing referrals for support and assistance, may have substantial public health benefits associated with decreased respiratory health problems.
copOxford, UK
pubBlackwell Science Inc
pmid15693925
doi10.1111/j.1525-1497.2004.40081.x
tpages5
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