The Intersection of Marijuana and Tobacco in Youth Culture
Bruce Baldwin, M.A. Student Health and Prevention Programs Butte County Office of Education and Cessation Coordinator California Health Collaborative, Chico
California Department of Public Health: Marijuana and Tobacco Use
BLUNTS: Cigars emptied Out and Filled With Weed
FLAVORED CIGARS & BLUNT WRAPS: Flavored Tobacco Leaves Used to Roll Marijuana
SPLIFFS: Tobacco and Weed Mixed Together
VAPORIZERS: Ecig Hookah Pen, Mods
E- Liquids for Nicotine or THC
BHO, Earwax, Shatter, Dabs, Wax, Budder, Glass.
CA Dept. of Public Health
Tobacco and Marijuana Use – CA – Butte Co. Grade 7 Grade 9 Grade 11 NT Current smoking – Cig. Butte 1% 4% 6% 34% CA 3 5% 9% Current Spit Tobacco Butte 1% 3% 6% 4% CA 2% 3% 4% Current E-Cigs or Vaping Butte 3% 9% 13% 30% CA 8% 13% 16% Marijuana Current Butte 2% 10% 21% 54% CA 5% 14% 20%
2,199 Students in Butte County Answered the question: “What Type of Tobacco Products Do Youth Use Most Often” Their answers were: Blunts 34 % Cigarettes 28% Chewing Tobacco 15% E-Cigs 9 % Cigarillos 4%
Interviewer: You’re smoking a tobacco product three days out of the month? ‘Andre’: Yeah Interviewer: How often are you using wraps for marijuana, tobacco wraps ?‘ Andre ’: Oh, tobacco wraps? Definitely every day. Definitely every day. Interviewer: Okay. How many times per day are you using blunt wraps? ‘ Andre ’: I ’d say three, four blunts a day maybe. Traversing the Triangulum: The intersection of tobacco, legalised marijuana and electronic vaporisers in Denver, Colorado Tobacco Control October 2016 MacDonald and Ling
Nicotine releases opiate-like feelings, which relax the muscles, ease tension and produce and overall feeling of calmness. Paired with the powerful effects of cannabis, the combination sounds like a winning match. The sedated feeling only lasts for a short time and before long, smokers might find themselves craving not only cannabis but a cigarette as well. For this reason, cannabis is considered to be a gateway drug to its legal companion tobacco, a phenomenon known as REVERSE GATEWAY EFFECT. HERB Magazine: Here’s Why Mixing Tobacco With Cannabis Is So Dangerous
What are the Potential Risks of Tobacco and Marijuana Co-use? Marijuana users who also use tobacco have poorer cannabis cessation outcomes. [Meier & Hatsukami, 2016; Haney et al, 2013; Peters et al, 2012, 2014). Co-users experience greater respiratory symptoms when compared with exclusive tobacco smokers (Ramo et al, 2012). Co-use may pose additive risk for toxicant exposure. Blunt users tend to have higher carbon monoxide exposure levels than tobacco-only users (Meier & Hatsukami, 2016). Co-use has a differential effect on learning and memory when compared with marijuana use alone (Subramaniam et al, 2016; Hindocha et al, 2017). Co-use during pregnancy appears to increase risk of adverse perinatal outcomes more than use of either substance alone. (Chabarria et al, 2016).
S. Alex Stalcup, M.D. New Leaf Treatment Center 251 Lafayette Circle, Suite 150 Lafayette, CA 94549
What is a Drug? A drug is a pleasure producing chemical. Drugs activate or imitate chemical pathways in the brain associated with feelings of well-being, pleasure and euphoria.
Drug Effects of THC and Nicotine THC Makes Most People Nicotine’s Effects Are Feel Good Varied • Relaxation • Both a Stimulant and a Sedative • Pleasure • Calming • Mild Euphoria • Helps Focus and Alterness • Interest • Can Improve Memory and • Hunger Concentration • Reduced Anxiety For Some (10-15%) it Feels Bad • Disoriented • Anxious • Altered Time and Sensory Perception
Prefrontal Cortex
Neuroadaptation: The brain’s response to over stimulation from drugs. In response to overstimulation, the brain decreases in sensitivity and become unresponsive (deaf) to normal levels of stimulation. Tolerance: The process by which the reward and pleasure centers of the brain adapt to high concentrations of pleasure neurotransmitters. Withdrawal: The mirror image of the drug effects will always appear when a tolerant user tries to stop use. Cessation of drug use leads to ‘inversion of the high’.
HEALTHY BRAIN
MARIJUANA BOTTOM
THE EARLIER SUBSTANCE USE BEGINS, THE GREATER THE LIKELIHOOD OF DEVELOPING ADDICTION • Nine out of 10 people with addiction started smoking, drinking or using other drugs before age 18. • Individuals who first used an addictive substance before age 15 develop addiction at a rate 6½ times higher than those who did not begin until age 21 or older. • The average age at which high school students report starting to use an addictive substance is between 13 and 14 years.
https://addictioneducationsociety.org
1999: Master Settlement Agreement 46 states and Puerto Rico – Restricts: • Targeting of youth • Use of cartoon characters • Any outdoor advertising not in direct proximity to a retail establishment that sells tobacco products • Product placements in entertainment media • Free tobacco product samples (except in adult-only facilities) • Gifts to youth in exchange for proof of purchase • Branded merchandise • Brand name sponsorships
How To Vape Weed — Intro To Cannabis Vaping Posted by Lou Breeze | Mar 21, 2018 | Vaporizer Info
Mad Hit Juice Box Limited Edition Features : •Available in 0mg, 3mg, and 6mg Nicotine Levels •Made in USA •180ml Size •PET Bottle •CRC Sealed (child -resistant cap) •Twist Bottle Cap •80% VG VAPE (Vegetable Glycerin Base) •20% PG VAPE (Propylene Glycol Base) Made with only the finest FDA approved pharmaceutical grade vegetable glycerine and propylene glycol USP ingredients. Manufactured by: Mad Hatter Juice and One Hit Wonder
https://med.stanford.edu/tobaccopreventiontoolkit/E-Cigs.html
The unit is very effective in vaporizing wax material for aromatherapy. PLEASE NOTE: THIS IS AN AROMATHERAPY VAPORIZER AND SHOULD BE USED WITH AROMATHERAPY BLENDS/PURPOSES ONLY.
https://vaprwear.com/
I HAVE A DREAM! • Smoking Cessation Groups in every High School! • Every recovering addict is offered cessation in treatment. Gateway to recovery!
I HAVE A DREAM ! • Resiliency training for all high school students. • Restrictions on marketing and advertising for vaping/ejuices and cannabis, same as tobacco. Including warning labels and plain packaging. • County specific use data.
I HAVE A DREAM ! • Brief Intervention instead of suspension BRIEF INTERVENTION (BI) FOR SUBSTANCE USING ADOLESCENTS http://www.ca-cpi.org/ This training is to build skills of counselors working with adolescents. BI is a short-term counseling intervention that consists of two to four sessions aimed at adolescents who use alcohol and/or other drugs. This approach uses motivational interviewing, cognitive behavior therapy and the stages of change model to meet the needs of adolescents.
I HAVE A DREAM ! Universal Primary Prevention for every Middle School student, taught by certificated health teachers or Certified Prevention Specialists CCPS Certification http://www.ca-cpi.org/ CCPS certification is a credential for prevention professionals in California. The California Consortium of Addiction Programs and Professionals (CCAPP) is responsible for CCPS certification.
BARRIERS Barriers
Bruce Baldwin California Health Collaborative and Butte County Office of Education Student Health and Prevention Programs bbaldwin@healthcollaborative.org 530-345-2583
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