Clinical correlates of heavy tobacco use among adolescents (original) (raw)
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The tobacco-related behavioral risks of a nationally representative sample of adolescents
2004
The study'spurpose was to determine which factors were the strongest predictors of tobacco smokingbehaviors among U.S. adolescents. The population includeda nationally representative sample of6,504 adolescents residing in the U.S. Data were collected in respondents 'homes using trained interviewers. Weightedpopulation estimates showedthat over half(55.6%) of adolescents had "ever tried smoking, " nearly half of whom (48.2%) reported "regular smoking. " Those whose closestfriends smoked were twice as likely to "ever smoke "fO R = 2.24, p<.001), twice as likely to be a "regular smoker" (OK = 2.28, p <.OO1), andmore likely (b = 5. i5p <.OO1) to have smoked daily than those whosefriends do not smoke. Results show the very stronginfluenceoffriendships on tobacco initiation and continuance amongthis nationalsample of adolescents. Recommendations forprimary andsecondaryprevention are noted.
Mental Health Problems and Onset of Tobacco Use Among 12- to 24-Year-Olds in the PATH Study
Journal of the American Academy of Child & Adolescent Psychiatry, 2018
Objective: To examine whether mental health problems predict incident use of 12 different tobacco products in a nationally representative sample of youth and young adults. Method: This study analyzed Wave (W) 1 and W2 data from 10,533 12-to 24-year-old W1 never tobacco users in the Population Assessment of Tobacco and Health (PATH) Study. Self-reported lifetime internalizing and externalizing symptoms were assessed at W1. Past 12-month use of cigarettes, electronic nicotine delivery systems (ENDS), traditional cigars, cigarillos, filtered cigars, pipe, hookah, snus pouches, other smokeless tobacco, bidis and kreteks (youth only), and dissolvable tobacco was assessed at W2. Results: In multivariable regression analyses, high-severity W1 internalizing (adjusted odds ratio [AOR] ¼ 1.5, 95% CI ¼ 1.3À1.8) and externalizing (AOR ¼ 1.3, 95% CI ¼ 1.1À1.5) problems predicted W2 onset of any tobacco use compared to no/low/moderate severity. High-severity W1 internalizing problems predicted W2 use onset across most tobacco products. High-severity W1 externalizing problems predicted onset of any tobacco (AOR ¼ 1.6, 95% CI ¼ 1.3À1.8), cigarettes (AOR ¼ 1.4, 95% CI ¼ 1.0À2.0), ENDS (AOR ¼ 1.8, 95% CI ¼ 1.5À2.1), and cigarillos (AOR ¼ 1.5, 95% CI ¼ 1.0À2.1) among youth only. Conclusion: Internalizing and externalizing problems predicted onset of any tobacco use. However, findings differed for internalizing and externalizing problems across tobacco products, and by age, gender, and race/ethnicity. In addition to screening for tobacco product use, health care providers should screen for a range of mental health problems as a predictor of tobacco use. Interventions addressing mental health problems may prevent youth from initiating tobacco use.
Co-occurrence of alcohol and cigarette use among adolescents
Addictive Behaviors, 2001
Concurrent use of alcohol and cigarettes among adolescents is a serious public health issue. Trends in concurrent use of alcohol and cigarettes were determined using data from three comparable large statewide samples of 7 ±12th-grade students in New York State, from surveys conducted in 1983, 1990, and 1994. The prevalence of use of alcohol and cigarettes decreased from 1983 (23%) to 1990 (19%), and increased by 1994 (22%). Logistic regression analysis showed that these trends are highly significant, and that the probability of use of alcohol and cigarettes is higher for females than males, increases with age, and is lower for most ethnic minorities than for Whites. In the 1990s, Blacks, Hispanics, and Asians increased in their probability of concurrent use more than did Whites. Users of both alcohol and cigarettes are at increased risk of personal and social problems, as well as increased risk of delinquency. Drinking and smoking show synergistic effects on illicit drug use and drug problems. D
Childhood and adolescent psychopathology and subsequent tobacco smoking in young adults:
Aims To examine whether child and adolescent psychopathology predicts subsequent tobacco use at 14 and 21 years of age. Design Prospective birth cohort study. Setting Data are taken from the Mater Misericordiae Hospital and University of Queensland Study of Pregnancy and its outcomes (MUSP), a prospective longitudinal study which recruited women at their first antenatal visit in Brisbane, Australia. Participants A 5-, 14- and 21-year follow-up of children whose mother’s were recruited into the MUSP birth cohort study at their first antenatal visit. Measurements Psychopathology exposure was measured using the Achenbach’s Child Behaviour Checklist (CBCL) at 5 years, the Youth Self Report (YSR) at 14 years and the Young Adult Self Report (YASR) at 21 years. Outcome measures were the children’s tobacco smoking status at the 14 and 21 years’ follow-up and the Composite International Diagnostic Interview (CIDI) based DSM-IV nicotine dependence at 21 years’ follow-up. Findings Externalizing symptoms had the strongest association with subsequent tobacco use. Children who met the criteria for CBCL aggression at 5 years were more likely to be tobacco smokers at the 14-year follow-up. YSR externalizing behaviours at the 14-year follow-up predicted tobacco smoking, but not DSM-IV nicotine dependence at the 21-year follow-up. Internalizing behaviour (anxiety/depression) was associated with a reduced rate of smoking at the 14- and 21-year follow-ups, but externalizing behaviour and attention problems at 14 and 21 years were associated separately and cumulatively with nicotine dependence at the 21-year follow-up. Conclusion Childhood and adolescent psychopathology predict tobacco smoking, but some forms of psychopathology predict increased (aggression/delinquency; attention problems) and other forms decreased (anxiety/depression) smoking. There may be some benefits in targeting children with early onset aggressive/delinquent behaviour problems with tobacco smoking prevention initiatives.
European Psychiatry, 2008
ObjectiveThe association between cigarette smoking and psychiatric disorders is well established for adult populations. However, only limited number of studies has investigated whether the young onset age of daily smoking (DS) among adolescents is associated with psychiatric morbidity and vice versa.MethodsData from 508 adolescents admitted to psychiatric hospitalization were collected. Cox proportional hazard model were used to compare the initiation of DS between adolescents with and without substance use (SUD), and other psychiatric disorders.ResultsRates of DS were high in each diagnostic category. Boys started smoking at younger age (mean 12.4 years) than girls (13.0 years). Both boys and girls diagnosed with conduct or oppositional defiant disorders (COD) and also girls with SUD started daily smoking earlier as compared to those of same gender without these disorders.COD were found to be primary to the initiation of DS among boys. SUD, psychotic, and depressive disorders (DEP)...
The co-occurrence of smoking and binge drinking in adolescence
Addictive Behaviors, 2000
The present work sought to determine adolescent rates of smoking and bingedrinking co-occurrence. Secondary analyses were conducted on the interview responses of more than 4,000 adolescents between the ages of 13 and 18 who took part in the 1995 National Household Survey on Drug Abuse. Results revealed that not only are adolescent smokers likely to be binge drinkers, but adolescent binge drinkers are also likely to be smokers. Conversely, those who abstain from involvement with one of these substances generally abstain from the other as well. The discussion highlighted race/ethnic and gender differences in cooccurrence rates as well as prevention and intervention implications.