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04/23/98 THU 11:24 FAX 202 690 7318 DHHS/ASPA 021 What eve ding #'s supplemental materials that are available with the report. Q: The New York Times just ran a story indicating that some kids use tobacco to extend the effect of marijuana. Is there scientific evidence of that? A: There are numerous anecdotal reports that some African American youths smoke tobacco products when they are also smoking marijuana to enhance or prolong the effects of marijuana. Both cigarettes and cigars are used for this purpose. The potential pharmacologic aspects of this phenomenon need to be explored. However, data presented in the Surgeon General's report for 1009-1994 indicate that fewer African American (3%) than white (12%) high school seniors reported that they used both cigarettes and marijuana during the previous month. This survey did not measure cigar use. Also, we have no laboratory evidence to date that such a "spiking" effect of tobacco and marijuana smoking actually occurs. Q: Why were smoking prevalence data for Asian Americans and Native Americans excluded from the latest 1997 YRBS data? A: The number of Asian American and Native American respondents was too low to provide a statistically valid estimate of smoking prevalence among these youth. Q: It has recently been stated that the 1997 Youth Risk Behavior Survey (YRBS) data suggest that information on Hispanic youths may be biased by the relatively large proportion of Hispanics who leave school before graduating from high school. Is this true? A: The recently published report on the 1997 YRBS did not present data by race/ethnicity and grade and cannot be used to substantiate such a claim. The Monitoring the Future data for 1997 indicate that the prevalence of smoking for Hispanic youths was 19.1% for 8th graders, 23.0% for 10th graders, and 25.9% for 12th graders. For African Americans, prevalence was 10.9% for 8th graders, 12.8% for 10th graders, and 14.3% for 12th graders. Among white students, prevalence was 22.8% for 8th graders, 34.4% for 10th graders, and 40.7% for 12th graders. The rate of increase from 8th to 12th grade was about the same for Hispanics and African Americans and lower than for whites. These findings, however, do not substantiate a dropout effect. Additionally, unpublished data from three national household surveys (the 1993 Teenage Attitudes and Practices Survey, the 1992 YRBS National Health Interview Survey supplement, and the 1994/1995 National Household Survey on Drug Abuse) all indicate that smoking prevalence is higher in each of these three racial/ethnic minority groups for dropouts. 7

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    "ocrText": "04/23/98 THU 11:24 FAX 202 690 7318\nDHHS/ASPA\n021\nWhat eve ding\n#'s\nsupplemental materials that are available with the report.\nQ:\nThe New York Times just ran a story indicating that some kids use tobacco to\nextend the effect of marijuana. Is there scientific evidence of that?\nA:\nThere are numerous anecdotal reports that some African American youths smoke tobacco\nproducts when they are also smoking marijuana to enhance or prolong the effects of\nmarijuana. Both cigarettes and cigars are used for this purpose. The potential\npharmacologic aspects of this phenomenon need to be explored. However, data presented\nin the Surgeon General's report for 1009-1994 indicate that fewer African American (3%)\nthan white (12%) high school seniors reported that they used both cigarettes and\nmarijuana during the previous month. This survey did not measure cigar use. Also, we\nhave no laboratory evidence to date that such a \"spiking\" effect of tobacco and marijuana\nsmoking actually occurs.\nQ:\nWhy were smoking prevalence data for Asian Americans and Native Americans\nexcluded from the latest 1997 YRBS data?\nA:\nThe number of Asian American and Native American respondents was too low to provide\na statistically valid estimate of smoking prevalence among these youth.\nQ:\nIt has recently been stated that the 1997 Youth Risk Behavior Survey (YRBS) data\nsuggest that information on Hispanic youths may be biased by the relatively large\nproportion of Hispanics who leave school before graduating from high school. Is\nthis true?\nA:\nThe recently published report on the 1997 YRBS did not present data by race/ethnicity\nand grade and cannot be used to substantiate such a claim. The Monitoring the Future\ndata for 1997 indicate that the prevalence of smoking for Hispanic youths was 19.1% for\n8th graders, 23.0% for 10th graders, and 25.9% for 12th graders. For African Americans,\nprevalence was 10.9% for 8th graders, 12.8% for 10th graders, and 14.3% for 12th\ngraders. Among white students, prevalence was 22.8% for 8th graders, 34.4% for 10th\ngraders, and 40.7% for 12th graders. The rate of increase from 8th to 12th grade was\nabout the same for Hispanics and African Americans and lower than for whites. These\nfindings, however, do not substantiate a dropout effect.\nAdditionally, unpublished data from three national household surveys (the 1993 Teenage\nAttitudes and Practices Survey, the 1992 YRBS National Health Interview Survey\nsupplement, and the 1994/1995 National Household Survey on Drug Abuse) all indicate\nthat smoking prevalence is higher in each of these three racial/ethnic minority groups for\ndropouts.\n7"
}