Using Novel Behavioral Economic Measures to Characterize Dual Marijuana and Tobacco Use in Young Adults

Young adulthood is a crucial time to study substance use disorders which increase cancer risk later in life. It is especially important to understand marijuana and tobacco use as most young adults often use both. Although dual use is related with increased long-term health and behavioral risks, underlying behavioral mechanisms remain unclear. This study aims to address this gap by using rigorous laboratory-based behavioral economic measure including a novel cross-price elasticity of demand (CPED) task and an innovative extension of cue-induced demand to assess cross-cue reactivity to better understand co- use. The results will help lead cessation efforts in this population and reduce cancer risk across the lifespan. Participants (N = 120) will be young adults (age 18-25) endorsing current tobacco and marijuana use and will complete 4 experimental in-person sessions. Following a phone-screen to assess preliminary eligibility, participants will come to the study center for in-person baseline screening. This screening consists of a urine toxicology screen, a breathalyzer test, and self-report questionnaires. The remaining three sessions will be completed in person which mainly consist of cross-cue reactivity sessions, self-report measures, and a qualitative exit interview following the final session.

Inclusion criteria

• Males/females who are 18 to 25 years of age
• Young adults who currently smoke commercial tobacco cigarettes (≥1x weekly in the past 30 days and for the past six months)
• Young adults who currently smoke marijuana (≥4 times in past 30 days and at least weekly on average for the last six months)
• Participants must report purchasing their own tobacco and marijuana at least once in the past 6 months
• Participants must speak, comprehend, and read English.

Exclusion criteria

• Intention to quit marijuana or tobacco use in the next 30 days
• Self-reported illicit drug or heavy episodic alcohol use on >20 days in the past month (excluding marijuana)
• Individuals who are pregnant or breastfeeding
• Positive saliva test for recent THC use
• Breath alcohol level above 0 at any session.
• Participants who exclusively roll their own tobacco cigarettes