Pain Drives Dual Tobacco and Cannabis Use, Study Shows

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A recent study conducted by Duke University School of Medicine reveals that chronic pain is closely associated with the use of both tobacco and cannabis. The study analyzed data from over 32,000 adults and found that individuals experiencing moderate to severe pain were twice as likely to use tobacco and 1.5 times more likely to use cannabis. Furthermore, those in pain were nearly three times more likely to report using both substances. The study’s findings shed light on the challenges of pain management and the need to address the impact of substance use when designing interventions and policies. With the growing popularity of cannabis, it is crucial to understand the interplay between pain and substance use for improved treatment outcomes.

Study Finds Association Between Chronic Pain and Dual Tobacco and Cannabis Use

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A recent study conducted by researchers at Duke School of Medicine has revealed a correlation between chronic pain and the use of both tobacco and cannabis. The analysis, which included 32,014 adults, found that individuals with moderate to severe pain were twice as likely to use tobacco and 1.5 times more likely to use cannabis. It was also discovered that pain sufferers were almost three times more likely to report both tobacco and cannabis use. These findings shed light on the relationship between chronic pain and substance use and have important implications for pain management and substance use interventions.

Implications for Pain Management and Substance Use Interventions

The association between chronic pain and tobacco and cannabis use highlights the need to address the challenges faced by individuals who are trying to quit smoking or reduce their cannabis use while also managing their pain. Pain management strategies should take into consideration the potential impact of tobacco and cannabis use on pain levels and overall well-being. A deeper understanding of the interplay between pain and substance use is necessary in order to develop effective interventions and policies regarding tobacco and cannabis use in individuals with chronic pain.

Prevalence of Chronic Pain in the United States

It is estimated that approximately one in five adults in the United States experiences chronic pain. This high prevalence emphasizes the significance of studying the relationship between chronic pain and substance use, as it affects a large portion of the population. Understanding the factors that contribute to the use of tobacco and cannabis in individuals with chronic pain can help healthcare professionals devise more targeted interventions and support systems for managing pain.

Marijuana Legalization and Self-Medication

The increasing popularity and legalization of marijuana may influence the choices made by chronic pain sufferers in their quest for pain relief. As access to cannabis becomes easier, some individuals may turn to cannabis as a form of self-medication for their chronic pain. The study suggests that the use of cannabis among individuals with chronic pain should be further investigated to better understand its potential benefits and risks in pain management.

Lead Study Author and Research Support

The lead study author, Dana Rubenstein, is a medical student at Duke School of Medicine and is supported by a predoctoral scholarship from the National Institutes of Health. Rubenstein’s research focuses on the relationship between pain and substance use and the development of interventions for individuals with chronic pain. Her contribution to the study adds valuable insights into the association between chronic pain and dual tobacco and cannabis use.

Pain Drives Dual Tobacco and Cannabis Use, Study Shows
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Collaborators and Expertise

Maggie Sweitzer and Joseph McClernon, both tobacco policy researchers in the Department of Psychiatry and Behavioral Sciences, collaborated with Rubenstein on this study. Sweitzer’s research focuses on the connection between nicotine use, childhood trauma, and chronic pain. McClernon’s research explores tobacco use and the regulation of tobacco products in the United States. Their expertise in these areas contributes to a comprehensive understanding of the relationship between chronic pain, tobacco use, and cannabis use.

Exclusive Tobacco Use vs. Dual Tobacco and Cannabis Use

The study found that individuals in serious pain are more likely to exclusively use tobacco rather than cannabis alone. However, chronic pain sufferers are at a significant risk of using both tobacco and cannabis. This suggests that the combination of tobacco and cannabis may have unique effects on pain management and should be considered when developing interventions for individuals with chronic pain.

Synergistic Effects of Tobacco and Cannabis on Pain

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Animal studies have suggested that there may be synergistic antinociceptive effects when both tobacco and cannabis are used together. This means that the combination of these substances may provide greater pain relief than using either substance alone. Understanding the potential synergistic effects of tobacco and cannabis on pain can inform the development of more effective pain management strategies for individuals with chronic pain.

Drawbacks of Dual Use

While the combination of tobacco and cannabis may have potential benefits in pain management, it is important to consider the drawbacks that come with dual use. Dual use increases the risks associated with both substances, including increased dependence and a range of psychosocial and psychiatric concerns. Individuals with chronic pain who are using both tobacco and cannabis should be aware of these risks and may benefit from interventions that address both substance use and pain management simultaneously.

Additional Authors and Contributions

In addition to the lead study author and collaborators, several other authors contributed to this study. Jessica M. Powers of Syracuse University, Elizabeth R. Aston of the Brown University School of Health, and Francis J. Keefe of the Duke Department of Psychiatry and Behavioral Sciences all provided valuable insights and expertise in the field of pain management and substance use. Their contributions added depth and breadth to the study findings.

In conclusion, the association between chronic pain and dual tobacco and cannabis use highlights the need for tailored interventions and support systems to help individuals manage their pain while also addressing their tobacco and cannabis use. It is important to consider the potential benefits and risks of using tobacco and cannabis in individuals with chronic pain and to develop strategies that effectively address both pain and substance use. This study provides valuable insights into the complex relationship between chronic pain and substance use and opens the door for further research in this area.

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