How does marijuana smoking compare to tobacco smoking?
Basically, we don’t know. We havent’ studied it long enough. There are a number of reasons for that.
One, people who smoke a lot aren’t always forthcoming about it, and don’t get put into many quality studies.
Two, those that do smoke a lot haven’t been followed for 30 or more years, and compared to their peers over the same length of time.
Three, many who do smoke it regularly also smoke tobacco, so it’s hard to sort one effect from the other.
Four, noone is funding a lot of research into the longterm lung effects of smoking marijuana. It’s not sexy, like the ciggy studies.
So we have to extrapolate. We compare the smoke of marijuana to the smoke of tobacco. And overall we conclude, that the smoke from marijuana contains at least as much tar and carbon monoxide and other nasties as tobacco, if not a whole lot more. We also see from other studies that marijuana smokers tend to inhale deeper and hold the smoke in longer than tobacco smokers. Meanwhile tobacco smokers smoke a whole lot more of the time than marijuana smokers.
So we give an edumacated guess: We’re pretty darn sure it can’t be very good for you, but we can’t give you much in the way of numbers or statistics.
I have no qualms in telling my patients that the smoking is damaging their lungs in ways we can’t quantify, and they’d all be better off not smoking it.