They found that close to 40 per cent of medical marijuana users also use nicotine -- sharply higher than the 14 per cent of U.S. adults who smoke. Therapeutic cannabis users who also used electronic cigarettes or didn't use nicotine at all were about four times more likely to vape, rather than smoke, cannabis than those who exclusively smoked cigarettes. The study also found that 75 per cent of the respondents smoked cannabis rather than vaped and about 80 per cent of the cigarette smokers reported planning to quit in the next six months.

These findings reveal that while medical cannabis dispensaries may recommend vaping rather than smoking cannabis due to the health concerns associated with combustible products, this recommendation alone may not influence patients who also smoke cigarettes," said co-author Marc Steinberg, author of the study and a professor in the department of psychiatry at Rutgers Robert Wood Johnson Medical School.

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"Between the higher rates of nicotine use in those using medical cannabis, the fact that cigarette smokers opt to smoke cannabis as well and that those people also are seeking to quit using nicotine presents a strong argument that dispensaries provide tobacco control messaging at the point-of-sale to encourage cigarette smokers to quit," Steinberg added. "The strategy also could increase the chances that a medical cannabis user would vape the product, which is a less harmful route than smoking."

Also read: It’s 4/20 time: Why are hemp-based lifestyle products gaining traction in India?

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