Please read Dr. Jensen’s article in medRxiv titled, “Patterns of blunt and cigar use in the United States, 2015-2019.“
Concurrent cigar and blunt (i.e., replacing some or all of the tobacco within a cigar with cannabis) use is common within the United States (U.S.), with some data suggesting that blunt use is more popular than cigar use among sub-populations, including Black and male young adults. Cigar-blunt co-use may occur through the use of separate products at the same time, on the same day, or on different days within the past month. There is some evidence of a synergistic relationship, in which a greater high is experienced when using both products compared to either product individually. This enhanced effect is often attributed to interactions between tetrahydrocannabinol and nicotine and may contribute to increased dependence of both products. The act of chasing blunt use with cigars is also common as a way of disguising or enhancing blunt use.
Cigars and cannabis are often perceived as safer products than cigarettes, with blunts perceived as safer than cigars due to the perceived removal of tobacco and nicotine. However, concurrent use is associated with increased nicotine and cannabis dependence, lower intentions to quit, less successful cessation attempts, and increased risk for negative health outcomes. Additionally, exclusive use of either cigars or blunts individually is associated with increased likelihood of future use of the other product. To read the full article.
Patterns of blunt and cigar use in the United States, 2015-2019. Jensen JK, Ganz O, Tomaino M, Glasser AM, Sterling K, Delnevo CD, Bover Manderski MT. Nicotine Tob Res. 2024 Sep 5:ntae209. PMID: 38464228 PMCID: PMC10925349 DOI: 1101/2024.02.26.24303391