The Association Between Sociodemographic Factors and co-Use of Cigars or Cigarillos with Cannabis

Bibliographic Data

ID21645635
AuthorsLei Xu (0009-0000-3744-0753, Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, The Ohio State University, corresponding author), Shiqi Zhang (0000-0003-0628-0616, Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, The Ohio State University), Lingbin Meng (Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center), Meng L (The Ohio State University), Ce Shang (0000-0002-8838-4250, Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center)
Year2026
Pages1-8
Publication date2026-06-02
Open AccessYes
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2026.2675987
PMID42228893
OpenAlexW7163220961
LanguageEN
References cited44

Background: Cigar/cigarillo smoking and cannabis use frequently co-occur, reflecting overlapping patterns of substance use and shared risk factors. However, little is known about how co-use of cigars/cigarillos and cannabis is associated with sociodemographic factors, as well as preferences for cannabis forms and spending patterns among co-users. Methods: We analyzed data from the second wave of a national longitudinal survey of U.S. adults who reported recreational cannabis use in January 2025 (N = 1,524). The survey included detailed information on past-30-day cigar/cigarillo use, enabling comparisons between cannabis-cigar/cigarillo co-users and cannabis-only users. We compare these two groups by applying logistic regression to examine sociodemographic correlates and product-specific cannabis preferences, and OLS regression to evaluate differences in total cannabis spending. Results: Overall, 8.26% of recreational cannabis adult users also smoke cigars/cigarillos. Compared with White, non-Hispanic cannabis users, Black, non-Hispanic users are five times (p < 0.001) more likely to smoke cigars/cigarillos. Compared with cannabis users with less than high school education, those with some college or a bachelor’s degree are less likely to smoke cigars/cigarillos. Cigar/cigarillo smoking among cannabis users is associated with higher use of flowers (OR = 2.16, p < 0.05) and pre-rolls (OR = 2.05, p < 0.01). Cannabis-cigar/cigarillo co-users report significantly $72 higher monthly cannabis expenditures than cannabis-only users. Conclusions: Adult cannabis users who are Black, non-Hispanic and have less than an associate degree are more likely to smoke cigars/cigarillos. Cannabis-cigar/cigarillo co-users are more likely to consume smoking forms of cannabis such as flowers and to spend more on cannabis, suggesting possible increased risks of harm and addiction associated with co-use

Binge drinking · Cannabis · Cross-sectional study · Logistic regression · Marijuana smoking · Cannabis and Cannabinoid Research · Forensic Toxicology and Drug Analysis · Substance Abuse Treatment and Outcomes

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