Examining Use and Dual Use of Tobacco Products and Marijuana among Minnesota Adults

Figures & data

Table 1. Past 30-day use of marijuana and tobacco among Minnesota adults, 2018.

Weighted % (95% CI)	Past 30-day cigarette smokers (n = 720)	Past 30-day cigar smokers (n = 133)	Past 30-day Hookah users (n = 46)	Past 30-day e-cigarette users (n = 237)	Past 30-day marijuana users (n = 366)	Past 30-day marijuana and e-cigarette (n = 88)	Past 30-day marijuana and cigarettes (n = 144)
Overall	15.4 (14.1, 16.7)	3.0 (2.4–3.7)	1.1 (0.8–1.6)	6.0 (5.2–7.0)	7.6 (6.7–8.6)	2.2 (1.7–2.9)	3.3 (2.7, 4.1)
Age
18 to 24	17.0 (13.2, 21.6)	5.9 (3.8–9.0)	4.3 (2.5–7.4)	22.1 (17.8–27.1)	16.9 (13.1–21.4)	9.2 (6.4–13.1)	7.5 (5.0, 11.3)
25 to 44	19.1 (16.6, 21.7)	4.6 (3.4–6.3)	1.7 (1.0–2.7)	6.8 (5.4–8.7)	9.9 (8.2–12.0)	2.1 (1.3–3.4)	4.3 (3.1, 5.9)
45 to 64	16.8 (14.7, 19.2)	1.7 (1.2–2.5)	0.1* (0.0–0.2)	2.9 ( 2.0–4.2)	5.9 (4.6–7.4)	1.1 (0.6–2.0)	2.6 (1.8, 3.7)
65 or older	5.4 (4.3, 6.7)	0.7 (0.4–1.3)	0.0* (0.0–0.2)	0.5 (0.2–1.1)	1.4 (1.0–2.0)	0.2* (0.0–0.6)	0.6 (0.3, 1.1)
Gender
Male	17.0 (15.1, 19.0)	5.1 (4.0–6.3)	1.4 (0.9–2.1)	8.0 (6.6–9.5)	9.6 (8.2–11.1)	3.3 (2.5–4.5)	4.0 (3.1, 5.1)
Female	13.8 (12.1, 15.6)	1.0 (0.6–1.7)	0.8 (0.4–1.5)	4.1 (3.1–5.3)	5.8 (4.7–7.1)	1.1 (0.7–1.9)	2.7 (1.9, 3.8)
Education
Less than high school	37.5 (29.5, 46.3)	10.0 (5.7–16.8)	2.8* (0.9–8.3)	14.1 (8.8–21.9)	18.9 (12.8–26.9)	7.8 (4.1–14.5)	10.8 (6.2, 18.0)
High school graduate/GED	19.3 (16.8, 22.0)	2.5 (1.7–3.7)	0.7 (0.3–1.3)	6.5 (5.0–8.3)	7.5 (5.9–9.4)	2.2 (1.5–3.2)	3.5 (2.5, 4.8)
Some college/tech	17.4 (15.3, 19.7)	3.1 (2.3–4.3)	1.4 (0.8–2.4)	7.3 (5.8–9.0)	8.4 (6.9–10.2)	2.6 (1.7–3.8)	3.8 (2.8, 5.2)
College or beyond	5.2 (4.2, 6.4)	1.6 (1.1–2.3)	0.7 (0.4–1.3)	2.2 (1.6–3.1)	4.5 (3.6–5.6)	0.6 (0.4–1.1)	1.1 (0.7, 1.7)
Race
White	14.7 (13.4, 16.1)	2.8 (2.2–3.5)	0.7 (0.4–1.1)	5.8 (4.9–6.8)	6.8 (5.9–7.8)	2.2 (1.6–2.9)	3.1 (2.5, 3.9)
Black/African American	23.2 (16.9, 31.1)	7.0 (3.7–13.1)	3.0* (1.3–6.8)	5.1 (2.4–10.4)	13.9 (9.2–20.5)	1.3* (0.4–3.5)	4.0* (1.7, 9.2)
Asian	7.1 (3.7, 13.3)	1.3* (0.2–8.8)	3.5* (1.2–9.7)	5.9* (2.9–11.9)	2.2* (0.7–6.7)	0.0* (N/A)	1.6* (0.4, 6.3)
Native Hawaiian/Pacific Islander	0.0* (N/A)	0.0* (N/A)	0.0* (N/A)	0.0* (N/A)	0.0* (N/A)	0.0* (N/A)	0.0* (N/A)
American Indian/Alaska Native	37.1 (17.1, 62.8)	8.5* (1.1–43.2)	7.9* (1.0–41.7)	13.0* (3.2–40.6)	30.6* (12.9–56.7)	2.8* (0.3–19.1)	18.6* (5.3, 48.3)
Other/mixed	26.6 (18.3, 37.1)	7.3 (3.3–15.2)	0.9* (0.2–4.0)	8.0 (4.5–13.6)	20.7 (13.1–31.3)	4.8 (2.2.–10.2)	10.0 (4.3, 21.4)
Hispanic	15.6 (9.8, 23.9)	1.4* (0.4–4.2)	4.2* (1.7–10.1)	9.4 (5.1–16.8)	11.2 (6.3–19.3)	5.4* (2.2–12.7)	2.8* (1.2, 6.5)
Income
$35,000 or less	26.8 (23.4, 30.6)	3.6 (2.3–5.6)	1.3 (0.7–2.5)	8.4 (6.4–10.9)	11.2 (8.8–14.0)	3.0 (1.9–4.6)	6.6 (4.8, 8.9)
$35,001 to $50,000	18.1 (14.4, 22.5)	1.9* (0.8–4.2)	1.0* (0.3–2.8)	8.0 (5.3–12.0)	9.7 (6.9–13.4)	4.0 (2.1–7.5)	3.8 (2.1, 6.8)
$50,001 to $75,000	14.1 (11.2, 17.6)	2.6 (1.5–4.5)	1.1* (0.5–2.7)	4.6 (3.0–7.0)	7.2 (5.2–9.8)	2.2 (1.2–4.2)	2.6 (1.4, 4.6)
$75,001 or more	9.5 (8.0, 11.2)	3.1 (2.3–4.3)	1.1 (0.6–1.9)	4.3 (3.3–5.7)	5.5 (4.4–6.7)	1.3 (0.8–2.1)	1.5 (1.0, 2.3)

Data Source: Minnesota Adult Tobacco Survey, 2018.

95% confidence intervals were calculated using the logit-transformation method. *n < 10.

Table 2. Modes of marijuana use among past 30-day users by selected demographics.

Weighted % (95% CI)	Smoke (in a joint, blunt, or waterpipe) (n = 322)	Vape (in an e-cigarette or vaping device) (n = 72)	Eat it (in food such as cookie, candy, mint, cracker) (n = 81)	Some other way (n = 30)	Blunt/Spliff use (n = 79)
Overall	89.7 (85.7, 92.7)	22.1 (17.0, 28.2)	22.3 (17.3, 28.2)	8.0 (5.1, 12.4)	30.4 (24.1, 37.6)
Age
18-24	27.0 (21.1, 33.7)	17.2 (8.9, 30.6)	19.0 (10.4, 32.2)	29.9* (11.3, 58.8)	46.2 (32.8, 60.1)
25+	73.0 (66.3, 78.9)	82.8 (69.5, 91.1)	81.0 (67.8, 89.6)	70.1 (41.2, 88.8)	53.8 (39.9, 67.2)
Gender
Male	62.2 (55.1, 68.9)	75.0 (60.9, 85.3)	66.3 (52.0, 78.1)	52.7 (29.5, 74.8)	52.2 (38.3, 65.8)
Female	37.8 (31.1, 44.9)	25.0 (14.7, 39.1)	33.7 (21.9, 48.0)	47.3 (25.2, 70.5)	47.8 (34.2, 61.7)
Education
Less than high school	20.1 (13.9, 28.2)	21.3* (9.5, 41.0)	19.8* (8.8, 38.6)	32.6* (12.1, 62.9)	35.3 (22.3, 50.9)
High school diploma/GED	25.8 (20.5, 32.0)	19.7 (11.4, 32.0)	15.8 (8.6, 27.3)	14.9* (5.7, 33.8)	16.3 (9.1, 27.4)
Some college or technical school	36.4 (30.1, 43.2)	42.8 (29.6, 57.1)	45.3 (32.1, 59.2)	42.0 (21.9, 65.2)	41.0 (28.5, 54.7)
Bachelor’s degree or greater	17.7 (13.7, 22.5)	16.2 (9.1, 27.2)	19.1 (11.8, 29.5)	10.5* (3.7, 26.5)	7.5 (3.7, 14.5)

Data Source: Minnesota Adult Tobacco Survey, 2018.

95% confidence intervals were calculated using the logit-transformation method.

Respondents could select more than one response. Blunt/spliff use was a separate question.

N = 366.

* n < 10.

Table 3. Multivariate regression estimates of cigarette, e-cigarette, cigar, marijuana and dual use among Minnesota Adults, 2018..

	Cigarette and Marijuana (N = 5,133) No Past 30-day Use (Ref)N = 4,400			E-cigarette and Marijuana (N = 5,050) No Past 30-day Use (Ref)N = 4,765			Cigar and Marijuana (N = 5,028) No Past 30-day Use (Ref)N = 4,796
	Exclusive Cigarette Smoking N = 404	Exclusive Marijuana Use N = 199	Dual Use of Cigarettes and Marijuana N = 130	Exclusive E-cigarette Use N = 59	Exclusive Marijuana Use N = 146	Dual Use of E-cigarettes and Marijuana N = 80	Exclusive Cigar Smoking N = 49	Exclusive Marijuana Use N = 146	Dual Use of Cigars and Marijuana N = 37
	RRR (95%CI)	RRR (95%CI)	RRR (95%CI)	RRR (95%CI)	RRR (95%CI)	RRR (95%CI)	RRR (95%CI)	RRR (95%CI)	RRR (95%CI)
Age
18 to 24	2.03 (1.22, 3.37)	9.66 (5.67, 16.46)	9.75 (5.01, 18.96)	101.12 (23.48, 435.49)	5.72 (3.03, 10.80)	56.81 (19.67, 164.05)	4.51 (1.59, 12.84)	5.08 (2.70, 9.56)	15.18 (4.06, 56.80)
25 to 44	3.91 (2.85, 5.37)	5.03 (3.11, 8.16)	8.18 (4.52, 14.82)	27.17 (6.32, 116.82)	3.89 (2.31, 6.56)	12.37 (4.23, 36.19)	2.93 (1.25, 6.84)	3.77 (2.24, 6.35)	10.10 (2.93, 34.91)
45 to 64	3.75 (2.81, 5.01)	2.70 (1.65, 4.40)	3.89 (2.13, 7.08)	3.69 (0.74, 18.50)	2.05 (1.21, 3.50)	4.89 (1.62, 14.79)	1.53 (0.64, 3.67)	2.03 (1.19, 3.45)	0.97 (0.19, 4.86)
65 or older	Ref	Ref	Ref	Ref	Ref	Ref	Ref	Ref	Ref
Gender
Female	Ref	Ref	Ref	Ref	Ref	Ref	Ref	Ref	Ref
Male	1.06 (0.86, 1.31)	2.00 (1.48, 2.71)	2.00 (1.38, 2.89)	1.65 (0.95, 2.84)	1.57 (1.12, 2.20)	3.91 (2.26, 6.79)	9.52 (3.76, 24.09)	1.58 (1.13, 2.22)	3.86 (1.75, 8.52)
Income
$35,000 or less	4.51 (3.44, 5.92)	1.28 (0.85, 1.93)	6.59 (4.18, 10.39)	2.26 (1.18, 4.32)	0.95 (0.59, 1.54)	3.28 (1.82, 5.91)	0.33 (0.11, 0.95)	0.90 (0.56, 1.45)	1.64 (0.74, 3.65)
$35,001 to $50,000	3.17 (2.29, 4.40)	1.87 (1.21, 2.89)	2.93 (1.60, 5.36)	2.23 (1.03, 4.82)	1.30 (0.77, 2.22)	2.93 (1.44, 5.98)	0.75 (0.29, 1.96)	1.27 (0.75, 2.16)	0.83 (0.24, 2.90)
$50,001 to $75,000	1.92 (1.41, 2.63)	1.54 (1.05, 2.26)	1.52 (0.83, 2.79)	0.57 (0.21, 1.52)	1.46 (0.96, 2.24)	1.75 (0.89, 3.48)	0.83 (0.39, 1.76)	1.47 (0.96, 2.25)	0.84 (0.31, 2.31)
$75,001 or more	Ref	Ref	Ref	Ref	Ref	Ref	Ref	Ref	Ref
Race/ethnicity
Non-Hispanic White	Ref	Ref	Ref	Ref	Ref	Ref	Ref	Ref	Ref
Non-Hispanic Black/African American	0.93 (0.58, 1.48)	1.76 (1.01, 3.06)	0.73 (0.34, 1.58)	0	2.05 (1.12, 3.75)	0.47 (0.14, 1.56)	1.49 (0.44, 5.02)	2.17 (1.19, 3.96)	1.27 (0.36, 4.47)
Non-Hispanic Other	1.06 (0.72, 1.55)	1.38 (0.85, 2.23)	1.27 (0.73, 2.20)	0.57 (0.22, 1.49)	1.37 (0.78, 2.40)	1.13 (0.56, 2.26)	0.52 (0.12, 2.16)	1.39 (0.79, 2.44)	2.07 (0.86, 4.96)
Hispanic	0.63 (0.37, 1.05)	1.03 (0.57, 1.86)	0.56 (0.25, 1.25)	0.82 (0.33, 2.04)	1.22 (0.62, 2.41)	0.72 (0.31, 1.69)	0.64 (0.15, 2.71)	1.26 (0.64, 2.49)	0.71 (0.16, 3.15)

Data source: Minnesota Adult Tobacco Survey, 2018.

RRR = Relative risk ratio; REF = reference group

Bold RRR = p<.05

Exclusive users do not use any other products (tobacco or marijuana)

Dual users could be users of other products