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Co-use was relatively stable across the different periods. Writing in the journal of Addictive Behaviors, the researchers said that the evolving trends in use of the two substances could be evidence of a substitution effect amid changing harm perceptions, evolving legislation, and shifting norms. The rising cannabis-only use across groups parallels the expanding state-level recreational cannabis legalization, increasing accessibility and normalization, the paper says

Of course, the bigger the rolling papers you use, the more weed you will add to make the joint

First, e-cigarette use was measured by self-report and may be subject to social desirability bias or errors in recall