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Kansas Paediatricians On The Marijuanas

The American Academy of Paediatricians appears to have been smoking too much ‘wacky-baccy’ and has produced the most ridiculous vape study to date.

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This month’s issue of Pediatrics contains a study that plumbs new depths of ludicrous. The American Academy of Paediatricians (AAP) conducted a farcical exercise in data manipulation in order to come to the conclusion that if teens vape then they will go on to use cannabis.

At some level, this so-called study should be celebrated because (unwittingly or not) the Kansas authors actually admit that harm reduction is working. Citing that teen smoking rates have plummeted from 28% in 1996 to 8% in 2016, they still fail to join the dots when they write: “electronic cigarettes (e-cigarettes) are now rapidly replacing traditional cigarettes among youth.”

Worse, having just written that vaping is killing off smoking, they then trot out a lie that “a growing body of longitudinal studies [show] that youth who use e-cigarettes have higher odds of smoking cigarettes later”.

Rather than furnish us with this “growing body of longitudinal studies”, they cite four – three of which aren’t longitudinal studies, the one that is holds fatal flaws, and two of them are by the soundly discredited Barrington-Trimis.

A longitudinal study is a one that takes repeated observations of the same thing over periods of time and is often a type of observational study. The authors claim that their work is also a longitudinal study, it isn’t. They have simply taken a data set from the Population Assessment of Tobacco and Health 2013-14 and applied some multivariable logistic regressions.

The team set out to see if they could link the question “Have you ever used marijuana, hash, THC, grass, pot, or weed?” to an ‘ever tried e-cigarette smoking, even 1 or 2 puffs’ type of response.

Surprise surprise, they did – although the other findings might have given them a clue on how to interpret it all if they’d considered them for a while: “E-cigarette ever users were more likely than e-cigarette never users to be older, male, white, and have poorer grade performance. They were also more likely to report sensation seeking, smoking cigarettes, drinking, and ever nonmedical use of prescription drugs and using other illicit drugs.”

Their conclusion, coming to a tabloid newspaper near you soon, is: “Our study revealed that e-cigarette use was associated with an increased risk of subsequent marijuana use among youth, with a stronger temporal association among younger adolescents. With these findings, we suggest that the widespread use of e-cigarettes among youth may have implications for the uptake of other drugs of abuse beyond nicotine and tobacco products.”

Of course, it could just be that people predisposed to trying marijuana might just also be those who will try vaping and that there’s absolutely no causal link from vaping to smoking cannabis? Or is that too simple for them? Maybe they should lay of the marijuanas for a bit.

Dave Cross avatar

Dave Cross

Journalist at POTV
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Dave is a freelance writer; with articles on music, motorbikes, football, pop-science, vaping and tobacco harm reduction in Sounds, Melody Maker, UBG, AWoL, Bike, When Saturday Comes, Vape News Magazine, and syndicated across the Johnston Press group. He was published in an anthology of “Greatest Football Writing”, but still believes this was a mistake. Dave contributes sketches to comedy shows and used to co-host a radio sketch show. He’s worked with numerous vape companies to develop content for their websites.

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