distinguishing blunts users from joints users
Transcription
distinguishing blunts users from joints users
In: New Research on Street Drugs Editor: Spencer M. Cole, pp. 245-273 ISBN 1-59454-961-3 © 2006 Nova Science Publishers, Inc. Chapter 12 DISTINGUISHING BLUNTS USERS FROM JOINTS USERS: A COMPARISON OF MARIJUANA USE SUBCULTURES Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck and Eloise Dunlap ABSTRACT This paper presents quantitative findings from a mixed-methods ethnographic and sample-survey investigation of marijuana use among NYC youth. Ethnographers targeted for recruitment peer groups of marijuana users ages 17 through 35 in typical marijuana use settings. Valid N = 579, including 513 users overall, 210 of whom both prefer and use blunts but not joints ("blunts" user type), 125 of whom prefer and use joints but not blunts ("joints" user type), and 178 of whom prefer and use both or neither in favor of pipes, bongs, etc. ("mixed" user type). "Blunts" users emerged as a distinct group on several dimensions: measured: Blunts Users are more likely than Joints Users to be male, black, unemployed, still living at home, into Hip Hop, playing roles in the drug scene, dependent on marijuana, and inexperienced with other illicit drugs. The average Blunts User is also younger, less educated, and more likely to have an arrest record than the average Joints User. Blunts Users started using marijuana earlier, use more tobacco, and have fewer friends who do not smoke. Blunts Users do not experience substantially greater problems in their lives than Joints Users in spite of the fact that they do not use strategies to forestall marijuana-related harm to their lives and relationships as often as Joints Users. The gestalt of the findings indicates that Blunts use is a distinct practice, associated with a distinct subculture, from Joints use. Knowledge of Blunts subculture is critical to properly phrasing and targeting prevention messages aimed at reducing marijuana-related risk. 246 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. DISTINGUISHING BLUNTS USERS FROM JOINTS USERS: A COMPARISON OF MAR!JUANA USE SUBCULTURES In order to make a blunt, a user takes a low-cost cigar - typically a Dutch Master or Phillies Blunt - splits it open, removes the tobacco filter, fills the shell with marijuana, and reseals the shell (Dunlap et al 2005, Sifaneck et al 2005). To the casual observer, this seems like just another way to prepare the same drug/ a variation on the familiar theme-of rolling joints. However, in terms of context of use, use practices, and personal and cultural meaning and significance, the difference between blunts and joints among users of marijuana may be comparable to the difference between cigars and cigarettes among users of tobacco. Sifaneck and others (2003, 2005) have already written a background and brief history of blunts. This paper will distinguish "Blunts Users" - here, defined as users who both primarily prefer and usuaIly use blunts but neither prefer nor usually use joints - from other types of marijuana users in terms of their life circumstances, use practices, experiences, use of other drugs, and many other factors. The differences between Blunts Users and other types of marijuana users are important from a drug subcultures perspective. A drug subcultures perspective is distinct from a traditional pharmacological perspective, from which the amount of the substance used is the main predictor of health risk and the only meaningful difference between blunts and joints would be the THe content. Generally, a traditional pharmacological perspective is primarily concerned with individual-level predictors of substance use, the amount consumed, the effect produced, the degree of dependence, and effects on physical/psychological health. A drug subcultures paradigm complements consideration of these factors by contextualizing them in the user's involvement in a subculture (Golub, Johnson, and Dunlap, 2005a). While still regarding drug risk behavior as a personal choice, it acknowledges the personal meaning and social implications of the behavior alongside the potential risks as factors bearing upon an individual's choice about drug use. Understanding the meaning and implications of a behavior in cultural, subculniral, and life-course context is necessary for designing and implementing prevention and intervention efforts so that they will be, in a figurative sense, in users' own languages. Drug subcultures, like all other subcultures, have their own distinctive conduct norms, rituals, argot, behavioral patterns, and values. These subcultural influences have implications for health and social risks that are independent of the direct pharmacological effects of the drugs consumed. Subculture, furthermore, may explain variance in health and social consequences that pharmacological effects do not, and could help identify which individuals could be expected to have substantial problems associated with their illicit drug use and which will likely moderate their consumption and successfully conceal their use from others in the community. Subculture may also exert influence through pharmacological effects, as subcultural and structural influences encourage certain potentially riskier drug use practices over others with different associated levels of risk, e.g., crack vs. powder cocaine. The authors (Johnson 1973, 1980, Johnson et al 1985; Golub, Johnson, Dunlap, Sifaneck, 2004; Sifaneck, Johnson, and Dunlap, 2005) have elaborated how drug use practices are strongly enmeshed with subcultural factors. Ethnographic work by these authors has found clear evidence of a blunts subculture (Golub, Johnson, and Dunlap, 2005a; Sifaneck, Johnson, and Dunlap, 2005; Dunlap et al 2005; Benoit et al 2002; Johnson, Golub, and Dunlap 2005a, 2005b; Johnson, Golub, Dunlap, \ Distinguishing Blunts Users From Joints Users ] 247 and Sifaneck 2004) marked by users' primary preference for and use of blunts. This preference appears to distinguish Blunts Users from other marijuana users in general and specifically from Joints Users, who prefer and use joints but do not prefer or primarily use blunts. Identifying and describing the blunts subculture is particularly important because it is not well understood and represents a different (again, in figurative terms) "language" from that of Joints Users, the target of public health messages about marijuana. This subculture framework provides insights which health professionals and policymakers may need to learn in order to communicate with the population they serve. Operating from a public-health oriented pharmacological perspective, agency staff implicitly assume that the THC content ofthe marijuana is the only important aspect of any method of marijuana use and that the social components are relatively insignificant. The federal, state, and local government agencies, and most other American institutions, appear to be unaware of and rarely discuss blunts separately from other marijuana use practices. The operating assumption of American policy is that most consumers smoke joints and rarely consume marijuana in other ways. They also suggest that smoking joints increases dependency, encourages progression to other drugs (the putative "gateway" effect), is associated with a variety of health hazards, and increases the risk of a variety of social and legal consequences. Although blunts are rarely referenced, the assumption is that blunts are no different than joints, and that all forms of marijuana consumption is harmful and unacceptable. Marijuana consumers, for their part, ignore or downplay the claims made by govenunent agencies about marijuana and its harmfulness. Blunt smoking is actually only one ~fmanydistinct marijuana use practices, all of which maybe associated with "their own subcultural expressions. Consuiners have developed a powerful and extensive set of mechanisms for making marijuana available to virtually all who seek it in American society. Especially during the 1960s and 70s, when marijuana use expanded dramatically among youth in American society, the major form of consumption was (and remains) the joint. Joints, which have ,no tobacco content, are essentially marijuana cigarettes, rolled in cigarette paper and smoked via deep inhalation among users. Although bongs and pipes were/are known among marijuana users, they are far less commonly used than joints. Several other cannabis use rituals exist in other societies that are not widely known nor adopted among American youths. For example, spliffs, marijuana wrapped in tobacco leaves, are widespread in Jamaica and the West Indies but rare in the United States. Throughout Europe and the British Isles, cannabis, either in its flowered form (marijuana) or as resin (hashish) is typically rolled in cigarette paper and mixed with loose tobacco. This unit is referred to as a joint in Europe or blowtje in the Netherlands (Sifaneck et al 2003). American visitors to Europe now label this unit (marijuana with tobacco) as a Euro (after the currency) to distinguish it from the tobaccoless Americanjoint. The development of the blunt as a m~jor form for consuming marijuana appears to be a uniquely American phenomenon. The blunt was quite clearly introduced by African Americans and promoted through hip-hop and rap music, and associated with a variety of clothing" and lifestyles that are most concentrated among African-Americans. The term "phat," for instance, may describe blunts - which are oversized compared to joints - as well as other expressions of the "living large" values of hip hop culture, including "forties" (400z bottles of beer or malt liquor), "bling" or oversized jewelry, and baggy pants and sweatshirts. A subcultures perspective highlights the importance of understanding that blunts may be as much a part of hip hop culture as is graffiti art and sports team jackets and caps. Blunts 248 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. subculture also has its own novel terms for marijuana, e.g., chronic, ism, boom, live, lah, dro. Blunts Users regard as obsolete terms traditionally associated with white hippies, such as pot, reefer, Mary Jane, and grass. Weed is one of the few terms that both subcultures reliably have in common. In this way, Blunts Users may be intentionally distancing themselves from white marijuana users and hippie culture (Sifaneck, Johnson, and Dunlap, 2005). Argot also defines the boundaries of their subculture so that members of the subculture can recognize and communicate with each other while preventing outsiders from understanding them (Johnson, Bardhi, Sifaneck, and Dunlap, 2005). Participation in the blunts ~ubculture may even have protective value relative to other patterns of marijuana use. The ascendancy of what might be called a "blunts era," in which blunts are the preferred drug that young peopl~ use and that is in fashion at the moment, comes as the crack and heroin injection eras have ended (Johnson, Golub, Dunlap 2006). The decline of crack marked a decline of crime, particularly in impoverished neighborhoods. An ethnographic study (Mateu-Gelbert et aI., 2005; Friedman, submitted; Friedman, Maslow, et aI., 2004) of one such neighborhood, Bushwick (in Brooklyn), found that a major force behind the improvement of conditions was, indeed, a cultural and normative change. Residents, tired of living with the violence and constant disruption of life in a "drug supermarket," limited or outright forbade the use and sale of hard drugs on or near their property. High risk youths repudiated the crack and heroin use of their parents' generation and foreswore even alcohol for its mind-numbing effects. They only illicit substance they regularly consumed was marijuana (Friedman.isubmitred). A fortunate side-effect of this shift was that youths were much less exposed to HIV through injection drug use and HIV infection rates in Bushwick dropped to national averages (Friedman, Maslow, et aI., 2004). The Bushwick findings may exemplify what, according to national statistics, happened all over the country, as marijuana use rates among young people rose (Compton, Grant, Colliver, Glantz, and Stinson, 2004; Golub and Johnson, 2001) but hard drug use did not (Golub and Johnson, 2001). Those statistics cast doubt upon conv~ntional wisdom of marijuana as a gateway drug (also see Golub and Johnson 2002) that facilitates transition to harder drug use. Blunt subculture norms against hard drug use not only protect Blunts Users against the potential harms of hard drug use itself, but also the risks of acquiring HIV and Hepatitis C associated with hard drug use practices like injecting heroin and/or smoking crack. Ethnographic evidence indicates that there are also ways in which Blunts Users may be at disproportionately greater risk because of their practices. Joints Users tend to shun tobacco. Blunts Users, in contrast, not only make what they smoke out of a tobacco product but also often engage in "blunt chasing," i.e., smoking tobacco after marijuana (Sifaneck et al 2005). TIEs may lead to greater degrees of dependency. Blunts may also more often be smoked outdoors in groups, leading to greater probability of police attention. Blunts Users may also take roles in the drug scene, putting them at exceptionally high risk in case of police attention. This chapter presents empirical evidence of distinct blunts and joints subcultures. The tables and analyses below test hypotheses that Blunts Users are significantly different from Joints Users and Mixed Users on several dimensions related to marijuana use including basic demographic characteristics, cultural/subcultural involvement, use practices, use of other drugs, and health/social consequences of use. This paper provides some of the first extensive quantitative data available to document differences between Blunts Users and Joints Users in the New York City area. It is one of several products emerging from a major qualitative/ethnographic and quantitative paper-and-pencil survey study, funded by the ( Distinguishing Blunts Users From Joints Users 249 National Institute on Drug Abuse, to study distinctions between blunts, joints, and other marijuana use practices in order to provide a better understanding of social dimensions of cannabis use in American society. Early findings from this ethnographic component are provided elsewhere (Dunlap et al 2005; Sifaneck et al 2005; Benoit et al 2002; Johnson, Golub, Dunlap 2Q04, 2005; Golub 2005; Johnson et aI., 2005). METHODS Procedures Data for these analyses come from responses to the "Peer Group Questionnaire," the quantitative survey component of this mixed-methods study. Ethnographers recruited youth and young adults who appeared to be between the ages of 17 and 35 who were current marijuana users, frequently associated with marijuana users, or frequented social locations where marijuana use took place. They recruited participants from a variety of group locations in order to obtain a broad spectrum of users reflective of the diversity among the targeted population and to ascertain the extent to which behaviors and experiences differed across persons that tended to frequent different social contexts. Typical group locations included parks and outdoor spaces, college/school campuses or lounges, indoor gatherings/parties, coffee shops and restaurants, and bars and clubs. Ethnographers administered the questionnaire to groups of between 2 and 12 (usually between 3 and 6) people. Group locations were contexts in which marijuana use took (or was taking) place and/or where known marijuana users were present. Ethnographers varied their time of day for collecting data and paid participants $10 cash for completed surveys. Recruitment began in January 2004 and concluded in April 2005. In their field notes, ethnographers recorded the type of place, its zip code, date/time/day of week of data collection, how they achieved access, how many people were present, how many they attempted to recruit, how many declined and their reasons for declining, other activities taking place, what type of music was playing (if any), basic demographic description of the primary group of participants and of others present in the scene, what forms of marijuana and other substances were visible and observed, and whether anyone reported being high. Only the.respondent's answers to the items in the peer group questionnaire are analyzed here. L 1 M-easures 1 The peer group questionnaire contained several items about use of and preference for various forms of marijuana, living conditions, smoking behaviors, addiction/dependence symptoms, cultural and lifestyle preferences, contacts with law enforcement, and roles in the drug scene. Most of these measur~JYere based on qualitative interviews and intended primarily to quantify ethnographic observations. The addiction/dependence measures, however, were based on the DSM-IV. Table I describes, in part, how the Cannabis User Typology was developed from questions about preference for and use of both blunts and joints. People who preferred and/or used blunts but who neither preferred nor used joints (or Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. 250 were missing data on joints) were categorized as "Blunts Users." People who preferred and/or usually used joints but who neither preferred nor used blunts (or were missing data on blunts) were categorized as "Joints Users:' People who indicated any other configuration of marijuana use practices, includingthosewho preferred at;Jd used both blunts and joints or neither blunts and joints but pipes, bongs, etc., were classified as "Mixed Users." Finally, those who indicated neither preferring nor usually using any form of marijuana were classified as avoiding marijuana. They are excluded from analyses that only involve marijuana users. Table 1: Derivation of Marijuana User Typology from Responses to Preference and Use'Questions , JOINTS Usually Use: I Prefer: BLUNTS I No Yes No Yes Miss No No Yes Yes Miss 97 12 17 91 217 No No Yes No 3 6 10 28 No Yes 6 5 16 37 Yes Yes 15 36 41 283 , Miss Miss 0 0 5 14 36 64 163 301 Denotes Blunts Group Denotes JointsGroup 15 579 Denotes Mixed Group Denotes Avoid group (n=57) + 40 members ofMixed group (pipe, bong, etc. users) Participants Ethnographers collected 579 valid Peer Group Questionnaires from 125 Joints Users, 210 Blunts Users, 178 Mixed Users, 58 avoiders of marijuana, and 8 people who gave incomplete data. Subsequent analyses, because they are intended to examine differences among marijuana users, only look only at the joints, blunts, and Mixed User types. Total possible Valid N is 513, although it is often less due to missing data. Table 2 describes basic demographic characteristics of the ethnographic and !peer group questionnaire samples. The two samples were strikingly similar despite very diff~ent recruitment processes. Because of this, although neither sample was collected through random/representative sampling methods and is not intended to reflect accurate population estimates, we believe our samples represent a diverse cross-section of marijuana smokers in New York City and that statistically significant differences in the sample accurately reflect differences in the population under study. .J Distinguishing Blunts Users From Joints Users 251 Table 2. Comparison on Demographic Variables between Ethnographic Data Set (n=97) and Peer Group Questionnaire Data (n-519~ Ethnographic Data Peer Group Data Gender Male Female Trans N 52 44 I Valid % 53.6% 45.4% 1.0% Age at Recruitment 14-17 18-20 21-24 25-29 30+ N 25 21 13 19 19 Valid % 25.8% 21.6% 13.4% 19.6% 19.6% Current Education In HS or Voc/Ed College Not in school N 27 21 48 Valid % 28.1% 21.9% 50.0% Ethnicity Black White Asian Native American Nonlatino 31 32 13 2 Latino 8 10 'I 0 Male Female Missing N 311 247 21 Valid % 55.7% 44.3% 14-17 18-20 21-24 25-29 30+ Missing N 122 96 160 78 67 56 Valid % 23.3% 18.4% 30.6% 14.9% 12.8% In Jr/Sr. High School CollegelUnivlTrade Sch. Not in school or college Missing N 164 124 265 28 Valid % 29.7% 22.4% 47.9% Va~id Black Only White Only Asian Only LatinolHispanic Only Other/Mixed/Multiple N 172 139 37 111 120 N 210 125 178 58 8 Valid % 36.8% 21.9% 31.2% 10.2% % 29.7% 24.0% 6.4% 19.2% 20.7% \ Preferred Product(s) Used Blunts Joints/Pipes/Bongs Blunts/Joints Joints/Blunts N '29 10 24 34 Valid % 29.9% 10.3% 24.7% 35.1% Blunts (not joints) Joints (not blunts) Mixed (use both) Non-User Missing RESULTS Culture and Subculture Table 3 details differences between the types of marijuana users on basic demographics and life circumstances. Blunts Users were more likely to be male than Joints Users (65% vs. 40%). More than two-thirds (68%) 6f Blunts Users listed only Black or Latino for their Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et aI. 252 ethnicity, compared with only a third (34%) of Joints Users. The average Joints User is also three years older than the average Blunts User (25 vs. 22 years old). ControJJing for age (regression analysis not shown), Blunts Users 'are significantly less educated than Joints Users. Table 3. Demographic Characteristics Among Cannabis User Types Cannabis User Typology Joints Mixed Overall Row Nor Wald test Significance of Association Male 65.4% 40.2% 57.8% 56.5% 281 iIN'497,2d/) = 19.80. P < .001 Female 34.7% .59.8% 42.2% 43.5% 216 Blunts Gender (column proportions): Race/Ethnicity (column proportions): White Only 10.5% 38.4% 31.5% 24.6% 126 Black Only 43.3% 19.2% 24.2% 30.8% 158 Latino Only 24.8% 14.4% Asian Only Mixed Ethnicity 13.5% - 18.3% 94 6.7% 5.1% 26 18.1% 22.4% 24.2% 21.3% 109 3.3% 5.6% iIN>m.ld/) = 61.03, P < .001 Age (category means): 22.2 25.2 22.9 23.2 b>j···. m>j·· F(2,460) = 7.66. P < .001 Educational Level (category means; response categories range from 1=Jr.High to 8=Ph.D.): 2.9 4.5 3.8 3.6 Nonworking 35.5% 13.8% 20.8% 25.0% 124 School Only 24.5% 17.1% 16.8.y: 20.0% 99 Working 40.0% 69.1% 62:4% b<j"·, b<m···, j>m··· F(2,497) = 37.08, P < .001 Employment Status (column proportions): c. _t,,; 55.0% 273 iIN<496,4d/) = 34.00, P < .001 Student Status (column proportions): Nonstudent 45.8% 62.6% 47.3% 50.5% 248 H.S.Noc. Ed 39.9% 12.2% 26.7% 28.5% 140 Postsecondary 14.3% 25.2% 26.1% 21.0% 103 iIN<491.4d/) = 33.12. P < .001 Where Lived Most of the Time in the Past 30 Days (column proportions): Home 92.4% 93.6% 92.7% Jail/Hospital 0.5% Homeless/Shell. 5.7% 1.4% Other/Missing 92.8% 476 0.6% 0.6% 3 1.6~ 2.2% 3.5% 18 4.0% 4.5% 3.1% 16 0.8% iIN>m.6dIl= 8.49. P = .205 Live with Parents or Grandparents (category proportions): 56.2% 18.4% 40.5% 41.5% b>j···.b>m···.j<m..• iIN>m.2d/)=46.22.p<.001 ') r WaJd test for equality of meansiproportions 2-laiJed p < .05 *, P < .01 **, P < .001 *** Distinguishing Blunts Users From Joints Users 253 Blunts Users are 2.5 times as likely as Joints Users to be neither full nor part time workers nor students (36% vs. 14%). Blunts Users, largely owing to the fact they are younger (analysis not shown), are more likely to be students at a high school, college, or trade school (40% vs. 12%). In part - but not wholly - because of their relative youth and lower educational level, Blunts Users are far more likely than Joints Users to be living with their parents or grandparents (56% vs. 18%),Few of our participants lived anywhere other than at home in a house, apartment, or rented room. 80% ~ 70% ....> 60% I--- CD III I--- ~ - => 50% 0 c: 0 ~ 40% ;' / 30% Q. f- - f--f--- " ~ 20% 0~ - I--- ~.,;~ :or ~c/: / 10% I }'--- - '1--" ':~-~: .: :-1-. >::.: '/:';: x~ -~ _::...'" Male Male Male Male I While Black Latino Asian I Olh/Mxl ,-.L 0% f- t+t,j--l/j'}-,+" f--f-- v';~ '. Male _ ..:;" I Female I Female (~:=, =~I~ li,= '~:, r.~' , Female White 1 Black I Latino '- '-' I Female I Asian Female OthlMx Race/Gender [!a Blunts o Joints f] Mtxed I Figure I Proportions of User Typologies ov£Race and Gender Figure 1 describes, within racevsex categories, the proportions in each of the three marijuana user types. Females are less likely than males to be Blunts Users overall. Blacks, Latinos, and (to a letter extent) people of other/mixed ethnicity are more likely to be Blunts Users than whites. For Asians and people of other/mixed ethnicity, the pattern of findings looks different based on sex. Asian males and females are roughly equally likely to be Mixed Users, but Asian males are far more likely to be Blunts Users than Joints Users. Indeed, there were no Asian female Blunts Smokers in our sample. Among people of other/mixed identity, females are roughly equally likely to be any type of smoker, while males are disproportionately unlikely to b~joints smokers compared to the other two types. Table 4 represents the results of logistic regression analyses intended to determine which demographic and cultural- factors were significantly associated with user type independent of others. The first analysis models probability of being a Blunts vs. a Joints User, the seco,nd models probability of being a Blunts vs. a Mixed User. Odds ratios, the increase in odds of being in the criterion category - in this case, a Blunts User - independently attributable to a one-unit increase in the independent variable, are presented here. An odds ratio (OR) of I means the variable is not associated with any significantly different probability of being a Blunts User, an OR less than one indicates that variable is associated with lower probability of being a Blunts User, and an OR of greater than one shows that variable is associated with greater probability of being a Blunts User. ~54 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. Table 4. Binary Logistic Regressions Predicting Likelihood of Blunts User Type vs. Joints and Mixed User Types from Demographic Variables Odds Ratios Joints Mixed Age 0.964 0.998 Female 0.383 ** 0.681 Black 6.715 *** 5.046 *** Latino 7.086 *** 5.413 *** Asian/API 1.187 1.146 , Mixed/Other 4.001 ** 2.344 * Education 0.769 ** 0.823 * Live wIParents 2.332 * 1.267 Into Hip Hop 2.386 **' 1.161 N 271 322 Log Likelihood -124.518 -195.278 109.91 *** 55.04 *** Likelihood Ratio X2 ? 0.306 , 0.124 Pseudo R2 'Blunts is the comparison group for both analyses; coefficients represent likelihood of being a blunts user vs. likelihood of being another' typeof user as a function of race, sex, and other demographics. Reference category for race is White; for gender, Male. *p<.05, **p<.OI, ***p<.OOI 'Blacks and Latinos are significantly more likely to be Blunts Users than Joints (ORs 6.7 and 7.1, respectively) or Mixed (ORs 5.0 and 5.4, respectively) Users. Female gender is associated with reduced likelihood of being a Blunts User rather than a Joints User, but not with any difference in likelihood of being a Blunts User vs. a Mixed User. Independently of race and gender, less highly educated marijuana smokers are more likely to be blunts Users than either of the other types. Independently of race and gender and educational level, people still living with their parents and people who identify with Hip Hop culture/scene are also more likely to be Blunts than Joints Users (OR = 2.4). None of these findings are particularly mysterious in light of the basic comparisons that Tables 3 and 5 describe, but the fact that they are significant predictors of blunt smoking independently of each other suggests that Blunts subculture membership is not wholly dependent on a single factor like being blacklLatino, or less educated, or male, or still living with one's parents (an indicator of low opportunity or high residential concentration), or into Hip Hop. Each significant factor - male gender, Black/Latino ethnicity, education, living with parents, and identification with Hip Hop - is independently related to additional probability of being a Blunts User. v _ Table 5 provides information on personal marijuana use history and paraphernalia ownership. Paraphernalia ownership is one of the few factors on which Mixed Users emerge as distinct while the other two groups are similar: Mixed Users are significantly more likely , to own a bong (25% of Mixed Users vs. 14% of Blunts Users and 16% of Joints Users), almost twice as likely to own a pipe (49% of Mixed Users vs. 25% of Blunts Users and 28% of Joints Users) and more ,tha1t twice as likely to own a bubbler (13% of Mixed Users vs. 1% of Blunts Users and 6% of Joints Users) as either of the other two types. Blunts Users initiated use of both blunts and joints at a younger age than Joints Users; this difference does, not disappear when controlling for age (regression analyses not shown). Blunts Users used joints in the past month on twice as many days as Joints Users used blunts (6 days vs. 3 days), ) Distinguishing Blunts Users From Joints Users 255 and Blunts Users used blunts three more days than Joints Users used joints (14 days vs. II days). Blunts Users are more likely than Joints Users to have ever been (57% vs. 43%) and to currently be (39% vs. 16%) daily users of marijuana. Although Blunts Users who were ever daily users appear to have started daily use earlier than Joints Users who were ever daily users, this difference becomes non-significant when controlling for current age (regression results not shown). Such Blunts Users are, however, more than three times as likely as comparable Joints Users to have never cut back from daily use (26% vs. 8%). Table S. Marijuana Use and Practices Among Cannabis User Types Cannabis User Typology Blunts Joints Mixed Overall Wald Test Significance of Association ! Paraphernalia Ownership (category proportions): Pipe 24.9% 28.1% 48.8% 34.1% b<m···,j<m··· ill<=.57. 2dO = 24.21, P < .00 I Bong 14.2% 15.8% 24.5% 18.2% b<m· X (N"56. 2dO = 6.68, P = .035 Bubbler'" 1.1% 6.1% 13.0% 6.5% b<j" b<m··· One-Hitter 6.6% 14.0% 14.8% 11.3% b<j·, b<m· 2 i (N='59. 2dO = 19.86, P < .00 I iIN'459.2dO = 6.94, P = .031 Age First Used Marijuana (category means)... b<j. As Joint, Pipe, etc. 13.8 14.8 14.3 As a Blunt 14.9 17.7 15.7 15.8 14.8 14.2 14.2 At all 13.9 14.3 F(2,439) = 5.47, p = .005 b<j···, b<m·,j>m" F(2,463) = 17.50, P < .001 b<j··,j>m· F(2,502) = 4.31, P = .014 b<j···,b<m··· F(2,501)=20.67,p<.001 How Many of Past 30 Days Used Marijuana as a (category means)... Joint, Pipe, etc. Blunt 5.3 10.7 11.0 13.7 2.5 8.8 7.8 8.2 b>j···,b>m···,m>j···F(2,503)=48.83,p< .001 Daily Use of MarijuanalBlunts (category proportions): Ever' 56.9% 42.6% 63.7% 55.7% b>j·,j<m··· iIN'497.2dO= 13.05,p= .001 Currently" 39.0% 15.7% 32.2% 31.0% b>j··· j<m··· X (N'497. 2dO = 19.52, P < .00 I b<j••• j>m··· F(2,285) = 6.44, p = .002 b<j••, b-ern" X2(N=270.2dO = 9.21, P = .010 2 Age Began Daily Use (category means): 16.2 17.9 16.3 16.6 Ever Cut Back from Daily Use (category proportions): 73.9% 92.2% 85.2% 81.9% Wald test for equality of means/proportions • p < .05, •• p < .01, ••• P < .001 "Docs not include respondents who indicate not using marijuana or blunts 256 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. Table 6. Marijuana Purchase/Sales Measures Among Cannabis User Types Cannabis User TyPology Blunts Joints Overall Mixed Wald Test Significance of Association Relationship with Usual Marijuana Source (category proponions): Didn't Buy it 6.1% 11.7% 7.1% 7.8% Relative 9.1% 5.9% 12.5% 9.5% Partner/Lover 6.6% 6.7% 11.8% 8.4% X!IN'487.2df, = Work Assoc. 1.5% 5.1% 4.1% 3.3% iIN'48l.2df' Friend 49.2% 47.5% 58.8% 52.2% No personal rel, 39.4% 29.4% 27.2% 32.7% i(l"4&<.. !df, = 3.42, P = .181 X!IN'48~. 2dfJ = 3.61, P = .164 j<m· iIN'483.2dfJ = b>m· tIN'48b. 3.79. P = .150 = 3.48, P = .175 4.74. P = .093 zen = 6.92. P = .031 Where Last Bought Marijuana (category proportions): House/Apt. 28.6% 50.4% 39.8% Street. alley. etc. 31.6% 10.1% 18.1% Delivery service 11.7% 16.0% 17.7% ilN.4»« 2dO = 15.71. P < .001 21.8% .~>j •••• b>m··.j<m· ifN'49b.2dfJ = 22.45. P < .001 14.8% ilN'49UdO '" 37.7% b<j•••• b<m· = 2.85. P = .241 Cash Paid for Marijuana (category means): s 64.40 s 49.80 s 84.70 s F(2.413) = 0.23. P = .796 67.30 Unit Bought at Last Purchase (category proportions): Didn't Buy it 13.4% 9.0% 11.8% 11.8% Don't Know 13.9% 19.7% 9.4% 13.8% Gram 5.9% 5.7% 14.2% 8.7% b<m··.j<m· Eighth Ounce 4.9% 24.0% 14.8% 13.0% b<j•••• b<m·· Quarter Ounce 3.4% 4.1% 4.1% 3.9% Half Ounce 8.8% 4.9% 3.5% 6.1% Full Ounce 4.4% 4.1% 2.9% 3.8% Cube. Tape. Box 1.0% 1.6% 1.8% 1.4% 42.7% 24.6% 33.5% 35.1% 1.0% 1.6% 1.8% 1.4% Bag or Sack Vial or Small Jar = 1.39, P = .500 = 6.30, P = .043 ilN'49UdO = 9.84. P = .007 i 1N-49UdO = 25.08. P < .00 I i 11"-494 2dO = 0.16. P = .922 iIN'4..... 2dO = 4.94. P = .085 ilN'493.2dO j>m· iIN'494. 2df, . i 11"-495. 2dfJ = 2.85. P = .241 = 0.45. P = .797 = 11.20. P = .004 -111"'495. zen = 0.46. P = .794 ilN'494.2dO b>j··· -IfN'4..... 2dO On How Many of Past 7 Days Bought Marijuana (category means): 2.1 0.7 1.1 b>j···.b>m···. j<m· 1.3 F(2.494) = 22.03. P < .001 F(2.339) = 0.88. p = .417 How Much Spent on Marijuana in Past 30 Days (category means): s 128.33 s 95.08: /~ 139.00 s 124.14 How Recently Participant Sold Marijuana (category means. O=never6=within past day): 1.4 0.6 1.2 1.1 b>j···.j<m·· F(2.504) = 7.56. P < .001 How Recently Participant Helped Someone Else Sell Marijuana (category means; O=neve.r 6=within past day): 1.8 1.2 1.7 b>j··.j<m· 1.6 F(2.501) = 4.04, P = -l81 Wald test for equality of means/proportions • p < .05•.•• P < .01•••• p < .001 Table 6 examines marijuana purchase practices. Blunts Users are roughly one-third more likely than Joints Users to have no prior personal relationship with their supplier (39% vs. .-J J , Distinguishing Blunts Users From Joints Users 257 29%). Most marijuana users' relationship with their usual source is as a friend, however, and this does not vary significantly across user types. Blunts Users are less likely to buy their marijuana in a house or apartment (29% of Blunts Users vs. 50% of Joints and 40% of Mixed Users) and more likely to buy it in a street or alley (32% of Blunts Users vs. 10% of Joints and 18% of Mixed Users). Contrary to ethnographic observations, Blunts Users are not significantly less likely to have used a delivery service for their last purchase - indeed, less than one in six of any type of marijuana user used a delivery service for their last purchase. Blunts Users buy more $5, $10, and $20 bags (average weight .8g, 1.2g, and 2.5g respectively according to our marketing data; variance in price per gram partially explained by the lower quality of the marijuana sold in smaller units) and fewer eighths (3.5g, price range-between $20-$80, avg. $47, according to our marketing data) than Joints Users. Although the average user of any form of marijuana is not. a seller, Blunts Users sell (1.4 vs. 0.6 of past seven days) and help deal (1.8 vs. 1.2 of past 7 days) more often than Joints Users. All types of users spend about the same amount on marijuana. PREFERENCES FOR MAJuJUANA USE MODES Table 7 describes users' preferences about their use. Because more than two-thirds of Joints Users have ever used blunts and more than two-thirds"of Blunts Users have ever used joints, most users can speak with some authority about their preference for a specific mode of use. Although. less than a third of any type of marijuana user endorsed the belief that a pipe/bong high is "purer" somehow than a blunt-high, Blunts Users were particularly unlikely to endorse this belief (12% of Blunts Users vs. 21% of Joints and 30% of Mixed Users). Although there is no clear consensus as to whether blunts are a more addictive form of marijuana, less than 10% of any type say joints are more addictive than blunts. Blunts Users who have used joints are more likely than Joints Users who have used blunts to say that blunts are more addictive (27% vs. 15%). The Mixed Users are most likely to say that both are about the same. Mixed Users (roughly half of whom prefer blunts to other forms of marijuana) and Blunts Users report getting higher than Joints Users but not necessarily staying high any longer. More Blunts Users than Joints Users reported that they couldn't stop using either joints/pipes/bongs (23% vs. II %) or blunts (17% vs. 7%). USE SETTINGS, SOCIAL NETWORKS, AND PRACTICES .j re 'So Table 8 reports on users' social networks. Blunts Users have a greater proportion of their friends who use blunts than do Joints or Mixed Users have friends who use joints/pipes/bongs/bubblers. Compared to Joints Users, both Blunts Users and Mixed Users have a lower proportionof their friends not using marijuana at all. About a tenth of all users report some tension between user and non-user friends, but this does not vary across user Y types. . Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. 258 Table 7. Blunt vs. Joint Preferences Among Cannabis User Types Cannabis User Typology Blunts Joints Mixed Wald Test Overall Significance of Association Is the High Produced by a Blunt Different from the High Produced by a Joint? (category proportions) Haven't used both 24.6% 25.2% 4.6% 17.8% Yes. blunts higher 44.9% 37.7% 48.0% 44.2% No. joints higher 7.3% 2.5% 8.1% 6.4% Both about the same 14.9% 20.0% 22.5% 18.8% Don'tknow 9.6% 19.0% 16.2% 14.1% b>m···.j>m··"" iIN'.99.2dO = 31.56. P < .00 I l/N=S02.2dO = 3.13. P = 209 b>j·.j<m· 2 X IN<5oo.2d·O= 4.12. P = .127 2 X 1N<501.2dO= 3.77. P = .151 b<j· 2 X /N-50l. 2dO = 6.56. p-= .038 How is the High Produced by a Blunt Different from Pipe. Bong. Bubbler? (category proportions) Haven't used both 30.9% 33.3% 7.0% 23.2% No difference 18.6% 24.4% 22.0% 21.2% b>m···.j>m··· 2 X /N' .S7. 2dO= 1.56. P < .458 (, J Blunts taste better Blunt high lasts ,longer 30.3% 5.1% 24.6% 22.4% 19.7% 18.5% 19.3% 19.3% Pipelbong is purer 11.5% 21.4% 30.4% 20.4% 5.1% 11.1% 7.9% Pipe high lasts longer 6.7% C, itl,j':95.2dO = 38.76. P < .001 b>j···.j<m··· t /N'496, 2dO = 28.00. P < .00 I 2 X (N' .9S.2dO= 0.73. P = .964 b<j •• b<m··· 2 X /N••96.2dO = 20.70. P < .001 i(N'497.2dO = 4.12. P = .127 Are Blunts More Addictive than Joints or Pipes, Bongs. Bubblers? (category proportions) 22.6% 24.4% 5.2% 17.0% b>m···.j>m··· i/N-501.2dO = 26.51. P < .001 Blunts more addictive 27.1% 15.1% 22.5% 22.7% b>j·· i /N=499.2dO = 6.14. P = .046 Joints more addictive 3.9% 8.1% 4.1% 5.0% Both about the same 20.1% 22,0% 38.8% 26.4% Don't know 27.5% 32.5% 30.5% 29.8% Haven't used both iIN=5oo.2dO = 3.37, P = .186 b<m···. j<m·· i/N'504.2dO,= 0.98. p = .613 :t Ever Tri~ to Stop and Couldn't Stop Using ... (category proportions) Jointslpipeslbongs' i(N=501.2dO= 15.09.p= .001 22.8% 11.3% 16.4% 1~~2% b>j· i /N=4l5. 2dO = 6.18. P = .046 16.8% 6.'6% 12.9% 13.3% b>j·· 2 X /N-450.2dO= 5.69, P = .058 Prefer Blunts to Joints. Pipes. Bongs. etc. (category proportions): 87.0% 9.1% 46.9% 55.1% b>j···. b>m···. j<m··· i/N-445.2dO = 16454. P < .001 How High do you Get from Marijuana/Blunts (category means; I=don't get high to 4 = very high) . 2.3 1.9 2.2 ??2 b>j···.j<m··· F(2.452)=17.54.p<.001 How Long do you Stay High (category means; l=don't get high. 7 = more than 24 hours) 2.5 2.4 2.3 2.4 F(2,294) = 2.41. P = .091 WaJd test for equality of means/proportions 2-taiJed p < .05 *, p < .OJ **, p < .001 *** a includes only participants who reported using joints, pipes, bongs b includes only participants who'reported using blunts ! Distinguishing Blunts Users From Joints Users 259 Table 8. Social Networks Among Cannabis User Types Cannabis User Typology Blunts Joints Mixed Overall Row N or Wald Test Significance of Association How Many ofyour Friends ... (category means; O=None 4=-AlI) Use blunts 3.0 1.7 2.6 2.5 b>j···. b>m.. •• j<m"· F(2.503) =- 73.44. P < .001 Use joints. pipes. etc. 1.3 2.4 2.4 1.9 b<j···. b,m··· F(2.498) =- 4.54. P =- .011 F(2.497) =- 2-11. P =- .122 Do not use cannabis I. I 1.3 1.1 I .2 b<j··.j>m·· Smoke nothing at all 1.0 1.1 1.0 1.0 b<j· F(2.503) =- 60.45. p < .001 How Often do your Friends who Use MarijuanaIBlunts Hang Out with your friends who do not use it? (category means; O=Never 4=-Always) 2.0 2.3 2.1 J c . F(2.503) =- 4.60. P =- .011 Is there Ever Tension between your User Friends and Non-User friends (column proportions): Not Applicable 10.7% 5.6% 7.5% 8.3% 42 No 70.4% 74.4% Yes 10.7% Not Sure 74.6% 72.8% 367 9.6% 8.1% 9.5% 48 8.3% 10.4% 9.8% 9.3% 47 X,\l',"~04.6dO =- 4.02. P =- .674 Which Age Groups Use Blunts the Most? (category proportions) 7-12 13-17 5.8% b>j·",j<m··· 0.0% 6.3% 4.6% 56.7% 52.1% 61.3% 57.2% x' IN" 1.42. P =- .491 . 0.16. P =- .924 x,2/N'50Z.ZdO Z =- 7.61. P =- .022 95.2 dO =- 2.46. P =- .292 18-21 75.0% 78.3% 80.0% 77.5% Z x' fN' 503. 2dO =- 22-30 48.6% 47.1% 46:60/0 47.5% z·[ X, (N-505.ZdO =- 30+ 15.0% 16.0% 1'3.9% l(N'~02.2dO =- 3.08. P =- .214 9.2% . Wald test for equality of means/proportions 2-tailed p < .05·. p < .01 ... P < .001 ... Table 9 addresses use practices. The three types of users did not differ significantly in their endorsement of most reasons for using marijuana (data not shown in table): to feel good/get high (71% overall), to relax or relieve tension {61% overall), to have a good time with friends (61% overall), to experiment - see,) what's it's like (33% overall), because of boredom or having nothing to; do (29% overall), or to seek deeper understanding (24% overall). The only differences are among the less-often cited reasons. Blunts Users were less likely than Joints or Mixed Users to report using marijuana to increase their creativity (15% of Blunts Users vs. 26% of Joints and 25% of Mixed Users) and roughly half as likely to report using marijuana to increase the effect of other drugs (7% of Blunts vs. 12% of Joints and 15% of Mi,xed Users). No Joints Users reporting being "hooked," and Joints Users were about half as likely as blunts or Mixed Users to report using in order to relieve anger or frustration (8% of Joinfs vs. 16% of Blunts and 19% of Mixed Users). In terms of customs observed while using marijuana, the types differed on some but not, on other measures. All user types were equally likely to observe boundaries involving their relationships to others, e.g., only with friends and partner (1.6% overall), not with parents (51% overall), not with relatives (22% overall), and not around people they don't know (21% overall). All avoid using when police are around (62% overalljand unconcerned about use in combination with alcohol (7% overall). Blunts Users were less likely to observe customs to \.. Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. 260 prevent their use from becoming a nuisance to others, e.g., not around children (43% of Table 9. Use Reasons, Customs, Locations Among Cannabis User Types Cannabis User Typology Blunts Joints Mixed Overall Wald Test Significance of Association Most Important Reason(s) for Using Marijuana/Blunts Fit in with group I like, Because of anger/frustration Increase effect of other drug(s) 9.2% 16.4% 2.5% 8.3% 6.8% 8.2% 12.4% 6.4% 6.6% 18.6% 14.7% 15.2% 10.8% b>j" b>j·.j<m·· b'<m" = 5.55, P = .062 = 6.17, P = .046 i(N-49R.2df) =6.49. P = .039 i(N.497.!dO i (N·499. 2dfl 0.0% 25.6% 4.1% 4.8% b>j..·.j<m.. i t l•• seo, 2df) = 11.58, P = .003 25.0% 20.8% b<j" b<m" ;(t1.'500. 2df) = Customs/Rules FolIowed about Marijuana/Blunts Use Not during work. study 32.8% 43.6% Not during the day 16.6% 16.4% 42.7% 14.0% 38.9% 15.6% 30.2% 31.4% 29.3% 26.3% 26.6% bcm" 23.4% b<j·. b'<rn" "Hooked," I have to have it Increase creativity i " '" 14.5% Not in traffic/driving 20.5% Not in the morning 11.4% Not with parents Not around children Not with relatives 50.3% 49.6% 42.5% 54.7% 53.8% 57.0% 17.9% 16.4% 23.7% 38.1% 10.0% 19.9% 21.\% 21.4% 24.3% 30.8% 18.0% 14.7% Not in public spaces 9.0% 21.8% Not in a nonsmoking setting Not with alcohol 17.9% 8.1% Not when police around 64.2% 17.4% 63.0% 3.5% 13.9% 2.6% 17.8% In moderation, not too often Not while concentrating Not around ppl. I don't know Only with friends and partner Mainly with family. relatives Follow no such rules 25.6% 27.6% 5.1% 13.7% i (N-m. 2df) = 6.53. p = .038 2 X (N-4aR. 2df) = 7.10. P = .029 b<j". b<m* i 20.4% 24.0% 14.3% 23.5% b<m·· 29.1% 8.2% 24.1% 7.4% b<m* 59.9% 15.7% 6.4% 62.4% 15.7% 15.5% 21.5% 15.9% 4.3% (N-m. 2df) = I 1.47, P = .003 = 0.17. P = .917 = 9.82, P = .007 i (N=490. 2df) J= O.t'S. P = .722 i (N-4S9. 2df) = 7.30, P = .026 i (N'48b. 2df) = 1.17, P = .557 i (N.492. 2df) = 0.76. P = .686 i(N=490. 2df) = 0.78, P = .617 i (No489. 2df) = 3.0 I , P = .222 iCN=491. 2df) = 0.86. P = .651 i(N=490. 2df) 'J iIN-489. 2df) \ J Park. nature, outdoors 40.3% 39.5% 50.3% On the street. sidewalk 45.3% 42.9% 44.6% 43.5% 44.4% Bars. clubs 16.0% 5.5% 32.5% 25.2% 23.1% 7.6% 9.6% 7.4% 86.6% b<j", b<m· i(N=487.2df) i = 2.59. P = .274 1.22, P = .543 (N·485. 2df) = i(N'4S5.2df)= i i i i 17.90.p< .001 (N'4S5. 2df) = 11.07. P = .004 4.72. P = .094 (N'486. 2df) = 0.18. P = .915 (No4S4. 2d1) = I 1.85. P = .003 (No4S<. 2df) = 2 X (N=485. 2df) = 2.31. P = .316 8.5% 3.4% j<m" 14.9% 6.8% 13.3% 18.7% 8.9% School, studying 14.2% b>j*.j<m" Creative pursuits 13.9% 24.6% 26.5% 20.8% b<j·. b<m" Together with partner 33.5% 33.0% Before going to sleep 34.5% 49.~:o 38.3% 41.6% 35.1% 40.6% When I get up in the morning 27.4% 10.6% 21.\% 26.4% 25.5% 93% 12.7% 11.0% At work, during work (N-m.!df) 16.2% 20.8% Parties At home Concerts, music festivals Cinema.movie v l. i iIN.489. 2df) 92.4% '88.0% 88.5% 70.0% ,75.6% 71.\% .71.8% 49.0% 68.9% 64.5% 60.2% b<j·... b<m ..• 20.0% 33.9% 33.7% 28.1% b<j". b<m" Cafes. coffeeshops = 5.23, P = .073 = 0.55. P = .758 b<j·. b<m" Situations Smoked in Past 12 months With friends ·lC"N'489.2d1) ·liN-487. 2df) = 0.66, P = .720 = 8.83. P = .012 21.5% iIN-4SS. 2df) = 2.64, P = .267 26.7% b<j· ... b<m·· X2fN. 49 I.2df) = 20.24. P < .00 I 51.3% 50.5% " When no other commitments 8.55. P = :014 b<j" Wald test for equality of means/proportions 2-tailed p < .05 *, P < .01 **. P < .001 *.. i i i i i i i (N=4S<. 2df) = 8.48. P = .014 = 8.13, P = .011 (N=485. 2df) 10.05. p = .007 = 1.20, P = .549 (N-4S5. 2df) = (N'4S2. 2df) (N=485. 2df) = (N=486. 2df) 7.13, P = .028 = 1.59, P = :453 (N=482. 2df) = 0.83, P = .659 r. Distinguishing Blunts Users From Joints Users 261 Blunts vs. 55% of Joints and 57% of Mixed Users), not in traffic or while driving (21% of Blunts vs. 30% of Joints-and 31% of Mixed Users), and not in a nonsmoking setting (18% of Blunts vs. 2~.'Yo of Joints vs. 29% of Mixed Users). Blunts Users were also less likely to observe boundaries that would protect them against harms associated with use, including moderation (16% of Blunts Users vs. 38% of Joints and 31% of Mixed Users), not while concentrating (10% of Blunts Users vs. 21% of Mixed and 18% of Joints Users), and only when they have no other commitments (9% of Blunts Users vs. 15% of Joints and 20% of Mixed Users). With respect to use situations/settings, all user types are highly likely to smoke with friends (89% overall) and at parties (72% overall). Blunts Users are not significantly more likely to smoke outdoors. They are, however, less likely to ~moke in the more acceptable and protected settings favored by Joints and Mixed Users, including at horne (49% of Blunts Users vs. 69% of Joints and 65% of Mixed Users), -at concerts and outdoor music festivals (20% of Blunts vs. 34% of Joints and 34% of Mixed Users), in bars and at clubs .c . (16% of Blunts Users vs. 33% of Joints vs. 25% of Mixed Users). Blunts Users also distinguish themselves from Joints subcultures in that they are just a little more than half as likely as Joints or Mixed Users (14% vs. 25% and 27%) to use marijuana as part of their creative pursuits. --TOBACCO, ALCOHOL AND OTHER DRUGS Table 10 presents data on tobacco use, both independently of and as related to marijuana use. Although half of all types of users generally use Phillies to make blunts when they do make blunts (57% of Blunts, 53% of Joints, and 56% of Mixed Users), Blunts Users have a distinct preference for Dutch Masters (83% of Blunts Users vs. 58% .of Joints and 61% of Mixed Users) and White Owl (20% of Blunts Users vs. 8% of Joints Users and 27% of Mixed Users). Corroborating ethnographic evidence of the "blunt chasing" phenomenon (Sifaneck et aI., 2005), Blunts Users use more tobacco both after marijuana and in general - both cigarettes and cigars - than Joints Users. Mixed Users, however, consume tobacco more than either other type (71 ~ of Blunts, 68% of Joints, and 81% of Mixed Users have ever smoked cigarettes; 30% of Blunts, 25% of Joints, and 44% of Mixed Users have ever smoked cigars; 61% of Blunts, 53% of Joints, and 71% of Mixed Users smoked cigarettes in the past 30 days; 17% of Blunts, 8% of Joints, and 30% of Mixed Users smoked cigars in the past 30 days). .Blunts Users who smoke cigarettes started younger than Joints Users who smoke cigarettes, and this difference does not disappear after controlling for age (regression analyses not shown). The finding that Blunts Users started smoking cigars first is too weak to be statistically significant and disappears after controlling for age. There are no significant differences between the user types on how much they spent_on their last cigar purchase, how many they purchased last time, and how much they spent per their last cigar purchase, how many they purchased last time, and how much they spent per cigar, but that is probably because the prices of the cigars they buy are quite standard and many never bought cigars at all. In terms of cigarette brands, Blunts Users show a strong preference for Newports (62% of Blunts Users vs, 11 % of Joints and 33% of Mixed Users. Conceivably, this is because Newports are aggressively marketed toward and preferred by African-Americans. However, the association between Blunts use and preference for Newports does not disappear when 262 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. controlling for race (logistic regression analysis not shown). Joints and Mixed Users' brand preferences are diverse. About half of all user types are likely to buy their cigarettes in a store. Blunts Users, however, are almost six times as likely as Joints Users to buy "loosies" (45% vs. 8%) and two and a halftimes as likely to buy clgarettes on the street (46% vs. 17%). Table II describes differences between the types with respect to alcohol and other drug use. Except with respect to tobacco, Blunts Users are significantly less likely than either Joints or Mixed Users to use other drugs or alcohol. Theyuse alcohol less often than Joints or Mixed Users, and engaged in heavy drinking on fewer of the past 30 days (2.7 days for Blunts Users vs. 5.3 for Joints and 5.4 for Mixed Users). Blunts Users were less likely than other user types to have ever engaged in any non-medical use of most drugs, including Cocaine (24% of Blunts Users vs. 50% each of Joints and Mixed Users), LSD (8% of Blunts Users vs. 26% of Joints and 34% of Mixed Users), other hallucinogens (9% of Blunts Users vs. 39% of Joints and 43% of Mixed Users), Ketamine (5% of Blunts Users vs. 17% of Joints gnd 15% of Mixed Users), MDMNEcstasy (14% of Blunts Users vs. 42% of Joints and 38% of Mixed Users), GHB (l % of Blunts Users vs. 6% of Joint? and 8% of Mixed Users), Nitrous Oxide (3% of Blunts Users vs. 25% of Joints and 26~ of Mixed Users), Metbampheramine (I % of Blunts Users vs. 16% of Joints and 14% of Mixed Users), other Amphetamines (4% of Blunts Users vs. 15% each of Joints and of Mixed Users), sedatives/tranquilizers (9% of Blunts Users vs. 32% of Joints and 28%vof Mixed Users), narcotic painkillers (9% of Blunts Users vs. 28% of Joints and 23% of Mixed Users), and cough syrup (7% of Blunts Users vs. 15% each of Joints and Mixed U~rs). Blunts Users are not significantly less likely to use marijuana with alcohol, but ate sigrrificantly less likely than Mixed Users to use it with powder cocaine and less likely than either Joints or Mixed Users to use 'it with other drugs. Very few of our respondents report ever using crack at all, let alone with marijuana. PROBLEMS ASSOCIATED WITH USE Blunts Users'vrepudiation of other drugs seems to be at a trade-off for their higher dependency on marijuana. Table 12 describes dependency symptoms. Although significances of differences on individual measures vary, Blunts Users endorse all symptoms at the highest rate (between 33% and 55%), followed by Mixed (between 21% and 53%) and then Joints (between 18% and 50%) users. This difference in the elevated amount of dependency risk that . Blunts Users face needs further investigation (see Dunlap et al., 2006). There were no significant differences in the extent to which the user groups reported having problems with their emotions, nerves, or mental health either alleviated or exacerbated by their marijuana use. Distinguishing Blunts Users From Joints Users Table 10. Tobacco Use.~mong Cannabis Cannabis User Typology Blunts Joints Mixed Overall 263 User Types Row N or Wald test Cigar Product Participant Usually Uses to Make Blunts (category proportions): Phillies 57-4% 52.9% 55.6% 56.1% b>j··, b>m··· Dutch Masters 82.8% 58.0% 60.5% 71.3% b>j·,j<m··· White Owl 20.4% 8.0% 27.2% 21.4% b>j·,j<m" Optirnos 3.0% 0.0% 4.6% 3.3% Backwoods 12.6% 16.0% 11.8% 12.8% O.()% 2.6% 3.3% Fronto leaf 4.6% Blunt Wrap 12.6% 11.8% 13.2% 12.7% Significance of Association .i lN~J'l9. 2dl) = 0.35, P = .841 iIN~4()O.2dl) = 25.78. P < .001 IZIN'397.2dl) = 8.42.;p = .015 ilN'399.2dl) = 2.63, P = .269 12 lN'4()O.2dl) = 0.59, P = .744 i IN·4()O.2dl) = 2.92, P = .232 ilN~401.2dl) = 0.07, P = .966 Money Spent on Last Cigar Purchase (category means): s 2.82 s 2.58 s 2.30 '$ 2.61 F(2,339) = 0.12, P = .883 Number of Cigars Purchased Last Time (category means): I. 7 2.0 . 2.3 F(2,332) = 0.44;1> = .643 Money Spent Per Cigar (category means): $1.96 ,~.1.61 $t.76 1.9 s 1.85 F(2,33I ) = 0.03, p = .967 How Frequently Use Tobacco after Joint, Pipe, Bong (category means; responses range from O=never to 4=always): b>j··,j<m··· F(2,383) = 6.10, p = .003 1.8 1.2 1.9 1.7 How Frequently Use Tobacco ~fter Blunts (category means; responses range from O=never to 4~always): 1.8 1.0 1.9 1.7 b>j···,j<m··· F(2,391)=8.05,p<.001 Ever Smoked Cigarettes (category proportions): 71.0% 67.5% 80.5% 12lN~s04.2dl) = 7.26, P = .027 ( Smoked Cigarettes in the Past 12 Months (category proportions): 60.6% 52.8%71.3% 62.3% . " ilN=48S.2dl) Age First Smoked Cigarettes (category means)' 13.0 14.5 13.8 F(2,294) = 12.02, P = .003 13.6 How Many of Past 30 Days Smoked Cigarettes (category means)' 21.0 18.3 20.6 20.2 = 10.74, P = .005 F(2,298) = 1.22, P = .298 Participant's Preferred Brand of Cigarettes (category proportions)' Marlboro 16.4% 14.3% 28.8% 20.9% b<m· ,j<m· lN~297. 2dl) = 7.58, P = .023 Camel 9.5% 25.4% 15.3% 15.2% b<j· ilN=291.2dl) = 8.04, P = .018 Parliament 3.5% 15.9% 11.0% 9.2% b<j·, b<m· ilN-29S.2dl) = 8.28, P = .016 Newport 62.1% 10.9% 33.1% 39.6% b>j···. b>m···,j<m··· ilN=298.2dl) = 48.58, P < .001 American Spirit 2.6% 14.3% 7.7% 7.1% b<j· i lN~493.2d1) = 7.52, P = .023 i How Much Money Paid for a Pack of Cigarettes (category means)" s 5.63 s 6.07 $ 5.97 $ 5.87 How Participant Buys Cigarettes (category proportions)': At a store 50.0% 57.8% 60.7% 55.9% "Loosies" 45.3% 7.8% 15.3% 25.4% 33.0% Street 46.1% J 7.2% 28.8% Internet 6.9% 6.3% 3.5% 5.4% 6.0% 7.8% 14.4% 9.7% Out of state Indian Reservation 2.6% 0.0"/0 0.9% 1.3% Ever Smoked Cigars (category proportions): 29.8% 24.6% 44.3% F(2,216) = 1.73, P = .180 b>j···, b>m·· b>j···, b>m·· 33.5% 12lN=291.2d~ = 2.82, P = .244 = 41.29, P < .001 i IN-291. 2dl) = 17.08, P < .00 I viIN.296. 2dl) = 1.46, P = .481 ilN.m.2dl) = 5.09, P = .078 ilN-299.2dl) = 2.42, P = .299 ilN-m.2dl) ilN-SOI.2dl) = 14.66, P = .001 Smoked Cigars in Past 12 Months (category proportions): 17.0% 8.2% 28.5% 18.8% Age Smoked first Cigar/Cigarillo (category proportions)": 14.9 17.0 16.4 15.9 b<j. Wald test for equality of means/proportions • p < .05, •• p < .0 I, ••• P < .001 a includes only participants who reported smoking cigarettes in the past 12 months b includes only participants who reported smoking cigars in the past 12 months F(2.175) = 3.01, p = .052 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. 264 Table 11. Alcohol and Other Drug Use Among Cannabis User Types Cannabis Blunts USN' Joints Typology Mixed Overall Wald Test Significance of Association How Often Participant Uses Alcohol (category means. O=never 6=daily): '-<" 2.2 3.1 2.9 2.636 b<j···. b<m··· F(2.502) = 24.76, p < .001 How Many of Past 30 Days Participant hadS or More Alcoholic Drinks (category means): 2.7 5.3 5.4 4.285 b<j···. b<m··· F(2,507) "<:..11.86, P < .001 39.5% b<j •••, b<m··· 8.1% j<m" 10.9% b'<rn" llN'S07,2dl) = 33.46, P < .001 2lN-SOO.2dl) X = 6.48, P = .039 2 \. XIN'507, 2dl) = 6.04. P = .049 Ever used for nonmedical reasons (category proportions)... 24.3% 49.6% 50.0% Cocaine Crack 7.2% 4.1% Heroin 6.8% 13.7% 12.0"/0 , 13.6% PCP, Angel Dust, Wet 9.7% 12.9% 16.6% 12.9% LSD, Acid 7.7% 25.8% 33.5% 21.1% Other Hallucinogens 8.7% 39.2% 42.6% 27.9% Ketamine, Special K 5.3% 15.3% 11.6% 14.4% 42.4% 37.5% 29.3% 8.0% 4.3% 25.0% 25.6% 13.3% MDMA, Ecstasy GHB 17 Nitrous Oxide 0.5% 3.4% 16.9% 5.7% Methamphetamin~ 1.4% 16.3% 14.2% 9.5% Amphetamines 4.3% 14.5% 15.3% 10.6% 4.0% Barbiturates 1.9% 4.0% 3.2% Sedatives. Tranquilizers 8.7% 32.0% 27.8% 21.0% Antidepressants 6.3% 8.1% 8.5% 7.5% Oxycontin. Oxycodone 1.9% 6.5% 9.1% 5.5% Buprenorphine, Suboxone 0.0% 0.8% 0.6% 0.4% Painkillers, e.g., Codeine 9.1% 28.0% 23.3% 18.7% Darvon 1.4% llN'SOS.2dl) = 3.97, P = .137 2IN-S08.2dl) X = 40.48, P < .001 2IN'S09,2dl) b<j···, b<m··· X = 65.18. P < .001 2lN-S08,2dl) b<j··, b<m·· X = 13.91, P = .001 b<j···. b<m··· X2IN'S09. 2dl) = 38.31, p < .00 I b<j···. b<m··· b<j", b<m··· la".so7.2dl) = 13.54. p = .001 b<j•••, b<m··· tIN'S08.2dl) = 43.38, p < .001 b<j"?", b<m··· X2IN'S07,2dl) = 26.86, P < .001 b<j··, b<m··· tlN-S08.2dl) = 14.78, p = .001 b<j •••, b<m··· t IN-S06. 2dl) = 32.98, P < .00 I b<m·· tlN'S08,2dl) = 0..79, p = .673 2lN'S07,2dl) X = 9.61, P = .008 2lN'S08,2dl) X = 1.50, P = .473 ta"=S08.2dl)= 1.74,p=.419 o- b<j •••• b<m··· Demerol, Fentanyl 0.5% 6.5% 2.8% 2.8% b<j·· tlN'S09.2dl) = 22.11, P < .001 2 XIN-SOO. Ul)= 0.13, P = .936 2lN'S06.2dll X = 10.25, P = .006 Cough Syrup 6.8% 15.3% 14.8% 11.6% b<j •• b-ern" t1N-S07, 2dl) = 8.10, P = .017 1.6% 1.1% 1.4% How often Used MarijuanalBlunts with ... (category means; I=never 5=always)b Alcohol 2.7 2.9 2.9 2.8 Powder Cocaine 1.3 1.5 1.6 1.5 Crack 1.2 1.1 1.2 1.2 Other drugs 1.4 1.6 1.6 1.5 F(2,483) = 2.49, P = .084 b<m·· F(2.46I) = 3,88, p = .021 F(2,457) = 1.59, P = .205 b <j", b<m· Wald test for equality ofmeans/proporti~ns· p < .05, .. P < .01, ... P < .001 F(2,461) = 3.54,.p = .030 Distinguishing Blunts Users From Joints Users 265 Table 12. Dependency Measures Among Cannabis User Types Cannabis User TyPology Blunts Joints Mixed Overall Wald Test Significance of Association Addiction Symptoms: In the Past 12 Months, Have You ... (category proportions) Spent more time than you intended using marijuanalblunts? 40.8% 20.8% 26.8% 31.1% b>j···. b>m** iO"'489.ZdO = 16.19, P < .001 Neglected usual responsibilities because of using marijuanalblunts? 32.5% Wanted to cut d~wn 18.2% <,' ~ 21.1% 25.1% b>j··, b>m· ;ft1"·487.2dO = 10.34, P = .006 32.9% 32.2% b>j···,j<m·· ifl'l'482.ZdO = 13.06, P = .001 b>j···,j<m·· XZI1"'486.ZdO ='18.97, P < .001 on your marijuanalblunts use? 39.1% 19.5% Frequently found yourselfthinking about using marijuanalblunts? 52.8% 27.7% 44.1% 43.6% Used marijuanalblunts to relieve feeling such as sadness, anger, boredom, depression? \ 55.3% 50.4% 53.2% 2t1"'48S.ZdO X = 0.71, P = .700 53.4% Need to use more marijuanalblunts to get the effect you wanted? 37.2% 20.2% 23.5% 28.4% b>j···.b>m·· ifl'l'476.2do=13.3I,p=.001 In the Past 12 Months, were Problems with your Emotions, Nerves, or Mental Health...(category proportions) Alleviated by marijuana! 28.9% 3 I.9% 32.9% 29.8% 2(1"<486.2dO X = 2.50, P = .287 13.9% 15.8% 16.8% 15.4% X2t1"r495.2dO = 0.63, P ~ .729 blunts use Made worse by marijuana! blunts use Wald test for equality of means/proportions 2-tailed p < .05 ., P < .0 I •• , p < .00 I ••• Table 13 contains data on problems experienced with marijuana use. Social, work, and family problems were rare in general, and Blunts Users did not experience them at meaningfully greater rates than Joints or Mixed Users. The association between user type and problems with parents/family did not disappear when controlling for whether the participant actually lived with their family (regression analysis not shown). Health problems were also relatively rare, and Blunts Users reported experiencing the two most common - less energy (27% of Blunts Users vs. 44% of Joints and 39% of Mixed Users), and lower emotional stability (5% of Blunts Users vs. 8% of Joints and 10% of Mixed Users) - less often than joints and Mixed Users. Few of our participants report ever being in treatment. According to Table 14 (and ethnographic findings; e.g., Johnson et aI., 2006), Blunts Users have more contact with police than other user types. Blunts Users are more likely both to get stopped/search and to get arrested. They are about 1.5 times as likely as Mixed Users and almost four times as likely as Joints Users to have ever been punished by the courts (34% of Blunts Users vs. 9% of Joints and 24% of Mixed Users). This is despite not using strategies for avoiding police attention at any significantly lower rate than Mixed or Joints Users. About 266 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et al. half of marijuana users make sure to smoke in a secluded area (49% overall), and about a third either never smoke in public (33% overall) or keep moving while smoking (33% overall). Table 13. Problems with Use Among Cannabis User Types Cannabis User Typology Blunts Joints Mixed Overall Wald Test Problems Caused by MarijuanaIBlunts Use (category proportions): Caused behavior I later regretted 17.3% 19.5% 20.8% 19.1% Significance of Association X21"r~.2dn = 0.77, P = .679 Hurt relationship with ... 7.4% 16.8% 16.3% b>j···,j<m· tn<~~.2dn = 10.62, P = .005 16.4% 9.8% 17.2% 15.1% 7.2% 6.5% 9.8% 7.9% 10.5% 4.1% 8.1% 8.1% Involved me with people who were a bad influence 16.8% 18.0% 14.4% 16.3% tI1'l-s04.2dn Hurt work/school perf. 19.6% 15.3% 14.9% 17.0% tn<r~07.2dn = 1.79, P = .409 Less interested in other activities than I was before 16.3% 17.9% 17.3% 17.0% X2IN'~O~. 2dn = 0.16, P = .922 8.1% Parents/Family 21.1% Partner, boy/girlfriend Friends Teacher/Supervisor Less emotionally stable 4.8% 10.4% 7.6% 44.4% 39.1% 35.4% 28,2% 21.9% 4.9% 8.6% 6.0% Less energy 26.9% Interfered with my ability to think clearly 13.9% 26.8% Other bad psych. effects 4.4% Bad physical health 5.3% 3.3% 8.1% 5.8% Unsafe driving 1.4% 4.9% 7.5% 4.4% 29.~. 19.5% 25.9% 25.7% Spent too much money on it Used other drugs 8. % 4.9% 11.1% 5.7% 1.6% 8.5% 4.6% 4.4% Memory loss 22.5% 30.7% 26.6% 25.9% Trouble with the police 19.6% 13.9% 14.3% Lost control 5.7% tn<'~05.2dn = 3.62, P = .163 tfl"~07.2dn = 1.35, P = .510 b>j· X2IN.~04.2dn = 4.20, P = .123 = 0.79, P = .674 tn<.~o3.2dn = 4.27, P = .118 b<j··, b<m· b-<i•• J , b<m··· t(1'Ir$06. 2dn ~ 11.92, P = .003 t(Nr$06.2dn ~ 13.59, p = .001 -, = 3.42, p = .181 X2(N.~.2dn = 3.32, P = .190 b<m·· tIN.sos.2dn = 8.42, P = .015 b>j· iIN'~~' 2dn = 3.90, P = .142 j-cm" ·i n<'~04. 2dn = 3.50, P = .174 X2(N'~O~. 2dn = 3.15, P = .207 in<'.l06.2dn = 2.77, P = .251 b>j···,j<m· X2n<-~~.2dn = 12.32,g = .002 in«.l04.2dn Ever in Treatment for Use of Marijuana or other Drugs!Alcohol (category proportions): For marijuana 4.9% 1.7% 3.5% 3.6% For other drugs 8.8% 5.8% 6.9"10 7.4% t n<·~J.2dn = 2.62, p = :270 t = 2.26, p = .322 t n<·~oo. = 1.08, P = .584 For alcohol 2.0% 0.8% 1.7% 1.6% X2(N'~' 2dn = 0.62, P = .732 Never 87.8% 93.4% 89.1% 89.6% Wald test for equality ofmeans!proportions 2-tailed p < .05·, p < .01 ••, P < .001 ••• n<-499.2dn 2dn ) Distinguishing Blunts Users From Joints Users 267 Table 14. Contacts with Law Enforcement Among Cannabis User Types Cannabis User Typology Blunts Joints Mixed Overall Wald Test Significance ofAssociation -How Often have PoLice ... (category means; O=never 4=in last 30 days) Stopped or searched you 1.2 05 0.1 0.9 b>j···, b>m·, j<m··· F(2,495) = 13.39, p < .00 I Arrested you 0.7 0.1 05 05 b>j···,b>m·,j<m···F(2,505)=14.49,p<.001 EverfHow Punished by Court (category proportions): Never punished 65.7% 91.2% 76.0% Case dismissed 14.6%'- 0.8% 12.2% Plead guilty 5.9% 3.2% 1.2% Fined 8.2% 1.6% 4.1% Community service 8.2% 1.6% Put on probation 2.4% 2.4% Drug/misdemeanor court 3.9% Jail time 4.4% 75.5% b<j···, b<m·,j>m·,··llN'5lf7.2dl) = 27.46, p < .001 2(N'499.2dl) 10.4% b>j·",j<m··· X = 1654, P < .00 I 2 b>m· 3.6% XIN=50J. 2dl) = 6.10, P = .047 5.2% b>j" 2.3% 4.6% b>j··, b>m·· 1.2% 2.0010 l(Nr501.2dl) = 0.91, p < .636 2.4% 1.1% 2.6% 1.6% 2.9% 3.2% llN'505.2dl) =2.81, P = .245 2 XIN-50/>. 2dl) = 1.97, p = .372 X2(No501.2dl) = 7.50, P = .024 X2lNr503.2dl) = 10.76, P = .005 Strategies Used to Avoid Police Attention (category proportions): Never smoke in public 33.0% 35.3% 30.6% 2lN=492.2dl) X = 0.71, P = .701 2 XIN=49l.2dl) = 1.20, P = .548 2(N=496.2d1) = 4.62, P =.099 X Don't worry about police 13.0% 11.2% 11.4% Use in secluded area 51.0% 40.2% 51.7% 48.6% Smoke tobacco to mask smell 13.9% 10.7% 18.1% 14.6% rlNo49J,2d1) = 3/2, p ~ .200 31.0% 33.1% 33.7% 32.5% rlN'496,2dl) = 0.33, p = .847 Keep moving 9.0% 32.7% j<m· (I) Wald test for equality of meansiproportions 2-tailed P < .05 ., p < .01 ••, P < .001 ••• ACTIVISM AND CULTURE Examining political positions and opinions about marijuana, table IS indicates Blunts Users are subtly somewhat less activist about their marijuana use than their counterparts. Although the user types do not differ significantly in how strongly they endorse making marijuana entirely legal (about two-thirds overall), Blunts Users are twice as likely as either other type to say they would use marijuana more often if it were legal to use and legally available (22% of Blunts Users vs. II % of Joints Users and 10% of Mixed Users). They are also the least likely to say that current laws are too harsh (62% of Blunts Users vs. 80% of Joints Users and 70% of Mixed Users) and least likely to say they would use some strategy to beat a drug test if it were required to apply for a job (8% of Blunts Users vs. 24% of Joints Users and 18%ofMixed,Users). They-are also least likely to.say.smoking marijuana should be not prohibited in private (71% of Blunts Users vs, 840/0 of Joints Users and 74% of-Mixed Users) but most likely to say it should not be prohibited in public (49% of Blunts Users vs. 32% of Joints Users and 35% of Mixed Users). 268 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et aI. Table JS. Policy Positions Among Cannabis User Types Cannabis User Typology Blunts With respect to legality, marijuana should Entirely legal 67.6% A minor violation 14.0% A crime 2.9% Don't know 15.5% Joints Mixed Overall RowN or Wald test be... (column proportions) 70.5% 57.6% 64.9% 18.9% 22.9% 18.2% 1.6% 4.7% 3.2% 9.0% 14.7% 13.6% It should be legal to sell marijuana to ... (column proportions) No-one 10.6% 5.8% 8.8% Only adults 52.0% 61.2% 60.0% Anyone 15.7% 7.4% 11.2% Don't know 21. 7% 25.6% 20.0% Significance of Association 324 91 16 68 8.8% 57.1% 12.1% 22.1% 43 279 59 108 If Marijuana were Legal to Use and Legally Available, you would ... (column Not use it 5.6% 6.6% 5.4% 5.7% Try it 3.5% 2.5% 3.6% 3.3% Use as often as now 45.5% 57.4% 55.1% 51.7% Use more often 22.2% 10.7% 9.6% 15.0% Use less often 4.0% 0.8% 5.4% 3.7% Don't know 19.2% 22.1% 21.0% 20.5% proportions) 28 itN>.87. 10d/l = 19.28, P = .037 16 252 73 18 100 Current Laws about Marijuana Possession/Sale are ... (column proportions) Too lenient 3.4% 3.2% 2.9% 3.2% About right 6.8% 0.8% 4.6% 4.5% Too harsh 62.3% 80.0% 70.0% 70.0% Don't know 27.5% 16.0% 22.3% 22.3% 16 23 355 113 ilN=507.6dO= 14.83,p= .022 Should People be Prohibited from Smoking MarijuanaIBlunts...(column proportions) In private? :elN'502.••ll) = 9.96, p = .041 No 71.4% 84.0% 73.7% 75.3% 378 Not sure 17.5% 9.6% 19.9% 16.3% 82 Yes 11.2% 6.4% 6.4% 8.4% 42 In public? No 48.8% 31.7% 35.1% 39.9% 199 12lN" 99 • 4dl)=12.22,p=.016 Not sure 28.3% 39.0% 38.6% 34.5% 172 Yes 22.9% 29.3% 26.3% 25.7% 128 Ever Tested for Drugs? (category proportions) 33.7% 28.2% 31.7% ilN~'7I.2dl) = 1.00, P = .606 31.6% If You Applied for a Job with a Mandatory Drug Test, What Would you Do? (category proportions) Not apply 25.9% 19.8% 15.3% 20.7% b<m* 12lN=405.2dl)=5.40,p=.067 Apply for the job 26.3% 25.3% 27.8% 26.6% 12lN'.lo.2do = 0.20, P = .906 Not use fora month 28.1% 43.6% 37.8% 35.1% b<j* ilN'408.2dl)=7.15,p=.028 b<j**, Try to beat the test 7.8% 23.9% 18.3% 15.2% b<m** 12lN=40,.2dO = 13.60, P = .001 7.7% 4.3% Take my chances 4.2% 5.7% 12tN=407.2dl) = 2.18, P = .336 2 b>j* Keep smoking 5.9% 1.1% 2.1% 3.4% 1 IN=408. 2dl) = 5.36, P = .069 1.8% 0.0% 2.1% Accept loss ofjob 1.5% 12tN•408.2dl) = 1.85, P = .395 Have you Ever Used the Internet to ... (category proportions) Get info on tobacco/ 25% 26% 35% marijuana Buy tobacco/marijuana 12.3% 6.8% 7.5% 29% 9.2% b<m* ilN~'7•.2dl) = 5.11, P = .078 i IN-'55. 2dl) = 3.34, P = .188 Wald test for equality ofmeanslproponions 2-tailed p < .05 *, p < .01 **, P < .001 ..* Distinguishing Blunts Users From Joints Users 269 Table 16 reveals differences in cultural and stylistic preferences between Blunts Users and Joints/Mixed Users. Blunts Users were more likely than Joints Users to identify with hip hop (55% vs. 24%) and basketball (19% vS.,6%) scenes, and less likely to identify with punk (5% vs. 15%), martial arts/yoga/Pilates (5% vs.IO%), veganlnaturallifestyle (4% vs. 15%), the art scene (9% vs. 32%), and skateboarding (7% vs. 19%). Blunts Users are more likely than Joints Users to listen to Hip Hop (74% vs. 53%) and Rap (60% vs. 45%) and less likely to listen to Jazz (20% vs. 49%), Classical (15% vs. 25%), Punk (13% vs. 35%), Folk (6% vs. 21%), and Indie Rock q.O% vs. 38%). Blunts Users are more likely to report that these music and cultural preferences influence their use of blunts (26% vs. 10%). ·1 I DISCUSSION Quantitative findings of this study demonstrate, within the sample of marijuana users, clear distinctions between primary Blunts Users and primary Joints Users largely along the same lines as ethnographic findings from this project. There is, however, at least some overlap between the populations on all dimensions. For instance, it is not the case that only Blunts Users are into Hip-Hop or that no Joints Users experience problems with the police. However, on many, the average Blunts User differs from the typical Joints user and/or the typical Mixed User. There is considerable diversity among marijuana users and practices and subcultures. In interpreting these findings, it is as important to note the commonalities between marijuana subcultures as the differences. Blunts Users are distinct from Joints Users with respect to their demographics and cultural/stylistie preferences. Demographic factors associated with greater likelihood of being a Blunts User include being male, Black or Latino, lower educational level, and living with parents (indicating lower economic opportunity and/or high residential concentration). Marijuana smokers who identify with typically African-American cultural expressions (hip hop, basketball) are more likely to be Blunts Users, and those who identify with typically white cultural expressions (punk, vegetarianism, yoga/Pilates, skateboarding) are more likely to be Joints Users. These quantitative results confirm ethnographic findings that blunts consumption is associated with a relatively new Blunts subculture, which is also associated with being high school or college age, black/Latino, and into hip-hop, Joints, in contrast are associated with a subculture that is also associated with being college age or slightly older, white, and lifestyle/subculture choices such as. punk, skateboarding, yoga/Pilates, vegetarianism, or the art scene. Of pharmacological significance is the finding that Blunts Users consume on more days and start at younger ages than Joints Users. Other research has speculated on the particularly deleterious effects of early substance use on the still-developing brain (Volkow, 2004). Blunts Users also disproportionately report more dependence symptoms, believe blunts to be more addictive than joints, and yet prefer and use blunts anyway, suggesting that they are less interested in protecting themselves against dependence. They are also less likely to observe customs that would protect themselves from the social consequences of their use. Blunts Users expose themselves to greater risk by taking roles in the drug scene (Friedman et aI., 1998), "copping" (that is, buying) and using outdoors, buying more often (implied by the fact that they buy in lower quantities), and by less often observing customs that would prevent 270 Geoffrey L. Ream, Bruce D. Johnson, Stephen J. Sifaneck et aI. their use from becoming a nuisance to others. Blunts Users also have a particularly low proportion of friends who are non-users which likely reinforces their greater usage and lower use of strategies to reduce risk. Overall, Blunts Users appear to consume more marijuana than Joints Users and do less to protect themselves against the psychological and social harm associated with its use. Their riskier practices probably have little to do with their reasons for using marijuana, because these were cited at very similar rates across user types. Our contention is that they have much more to do with subculture. Table 16. Lifestyle Choices Among Cannabis User Types Cannabis User Typology, Blunts Joints Mixed Overall CUltures/Styles Participant Identifies With (category proportions): ·J6.1% 7.7% 14.8% 13.6% Rastafarian 6.8% 5.3% 3.7% 0.5% Anarchist 4.5% 7.7% 6.5% 6.0% Rave 43.4% 54.7% 23.7% 43.5% Hip hop 10.5% 10.3% 15.3% 12.1% Graffiti 6.0% 8.8% 12.3% Basketball 18.9% 16.7% 12.0% 23.9% 17.3% Fashion 9.5% 4.5% 10.3% 14.7% Hippie 7.7% 4.7% 4.9% 3.5% Jock 3.4% 4.7% 2.9% 1.0% Gothic 5.0% . 14.5% 10.6% 9.2% Punk Martial arts, 8.8% 7.6% 5.0% 10.3% yoga, Pilates Natural lifestyle 9.0% 3.5% 14.5% 11.8% ' (Vegetarian. organic) 19.5% Art scene 9.0% 31.6% 23.5% 7.0% 18.8% 14.7% 12.5% Skateboarding <, --: Music Styles Participant Listens To (category proportions): 46.2% 42.2% 55.6% Reggae 48.4% 20.4% 48.8% 42.9% 35.0% Jazz 15.3% 24.8% 25.7% 21.2% Classical 49.0% 47.8% 47.5% 51.5% R&B 16.5% 22.7% 18.3% 18.6% House 23,2% Punk 13.0% 34.7% 27.3% 14.5% 12.9% 13.2% 17.4% Techno 5.8% 20.7% 16.0% 12.9% Folk 59,6% 44.6% 57.8% 55.4% Rap 74.0% 52.5% 64.2% 65.5% Hip Hop 23.6% Indie Rock 9.6% 38.0% 30.4% WaldTest Significance of Association b>j· b>j··. b>m·· r(N=48S.2dl) = 4.72. P = .094 r (N=488. 2dl) = 10.26. p = .006 r(N0487.2dl) = 1.47. P = .480 b>j···. b>m·.j<m··· X2(N=489.2dll = 29.09, P < .001 r (N·487. 2dl) = 2.48. P = .289 . 2 b>j •••• b>m·· X (N-487. 2dl) = 14.24, P = .00 I 2o"=48S.2dl) b<j·· X = 7.61. P = .022 2(N'487.2dl)= b<m·· X 11.31, p= .004 tIN'488.2d1) = 2.83. p = .243 b<m* X2INo488.2dl) = 4.72, P = .094 2 b<j··. b-ern" X..N=487.2dl) = 8.56, P = .014 2 XIN'488.2dl) = 3.52, P = .172 b<j··, b<m·· b<j •••• b<m··· b<j··, bern" j<m· b<j •••• b<m··· b<j·. b-cm" b<j •••, b<m··· b<j···, b<m·· b>j··.j<m· b>j*··, b>m·,j<m· b<j •••, b<m··· Do These Cultures/Styles Influence your Own Use of Blunts? (category proportions): 9.6% 16.8% 19.0% b>j···, b>m· 26.4% rIN'488.2dl) = 13.40. P = .001 r(N=488,2dl) = 26.99. p < .001 = 10.52, P = .005 iINo487.2dl) 2IN'SOO.2dl) X = 5.82. P = .054 tIN=497.2dl) = 34.11. p < .001 tIN-SOI.2dl) = 21.16. P = .025 tIN=S02.2dl) = 0.63, p = .729 i (N=494. 2dl) = 1.92. P = .384 tIN-SOO.2dl) = 22.63. p < .001 t IN-S02,2dl) = I. 78. P "0 .411 t(N=497,2dO= 17.23.p<.001 r (NoS02. 2dl) = 7.58, P = .023 tIN'SO/.2dl) = 15.82, P < .001 2(N=SOO.2dl) X = 40.91, P < .001 '" r(N=437.2dl) = 12.80, P = .002 Wald test for equality of means/proportions 2-tailed p < .05 ., p < .01 ••, P < .001 ••• Compared to Joints Users, the risks that Blunts Users experience as a result of their use are greater in some ways and less in others. Probably as a direct result of their use practices, Blunts Users may be more dependent on THC and nicotine than Joints Users and experience Distinguishing Blunts Users From Joints Users 271 more trouble with the police. Blunts Users, however, used alcohol and virtually every other iHicit drug that was at all common among our participants at significantly lower rates than did the Joints Users. Blunts subculture apparently maintains norms that protect against hard drug use. Blunts use practice and avoidance norms, furthermore, are an exception to conventional wisdom of marijuana as a gateway drug. To the extent that marijuana is a gateway drug at all, this effect is especially weak among Blunts Users. In the final comparison of problems associated with use, the unique risks and protective factors associated with blunts use and joints use practices and subcultures seem to offset each other somewhat. Blunts Users are more likely to report that their use caused problems with their parents 'and family - and not because they're more likely to live with their parents and family. Problems associated with use were, however, relatively rare among all three types, and Blunts Users experienced most problems at comparable rates to Joints Users. Overall, these findings provide evidence of clear distinctions between an emergent blunts subculture and the existing joints subculture. The subculture associated with blunts use practice has become one of several subcultures associated with marijuana use practices. Within the norms and values of a subculture, smoking marijuana has meaning and significance over and above its pharmacological effects, and different subcultures attribute different meaning and significance to the use of marijuana. Although individuals definitely choose whether to smoke marijuana, whether and how they smoke marijuana depends greatly on their social, cultural, economic, and subcultural context (Golub et aI., 2005a). Intervention efforts aimed at altering individuals' decision process around marijuana must be informed by knowledge of context and these distinct subcultures if they are to be effective. A'UTHOR NOTE This research was funded by the National Institute on Drug Abuse (NIDA--5ROI DA 013690-04) to study blunts/marijuana use patterns. 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