1. Associations of childhood executive control with adolescent cigarette and E-cigarette use: Tests of moderation by poverty level
- Author
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Irina Patwardhan, Tiffany D. James, Amy L. Stevens, Timothy D. Nelson, Jennifer Mize Nelson, Charles B. Fleming, Kimberly Andrews Espy, and W. Alex Mason
- Subjects
Male ,Adolescent ,Psychological intervention ,030508 substance abuse ,Medicine (miscellaneous) ,Electronic Nicotine Delivery Systems ,Toxicology ,Article ,Structural equation modeling ,Midwestern United States ,law.invention ,Nicotine ,Executive Function ,03 medical and health sciences ,0302 clinical medicine ,law ,Intervention (counseling) ,medicine ,Humans ,030212 general & internal medicine ,Child ,Poverty ,business.industry ,Vaping ,Cognition ,Tobacco Products ,Moderation ,Psychiatry and Mental health ,Clinical Psychology ,Child, Preschool ,Female ,0305 other medical science ,business ,Electronic cigarette ,Demography ,medicine.drug - Abstract
Background Adolescent cigarette smoking has continued to decline, whereas electronic cigarette (e-cigarette) use has increased dramatically among youth. Nicotine use in any form, even at low levels, during adolescence can have adverse consequences, particularly for low-income individuals. To elucidate potential early intervention targets, this study examined childhood executive control (EC), a set of cognitive processes for directing attention and behavior, in relation to adolescent cigarette and e-cigarette onset, testing for differential prediction by poverty level. Method Participants were 313 children (51% female, 64% European American) recruited in a small city in the Midwestern United States beginning in 2006 and then followed into adolescence between ages 14 and 16 years. EC was measured in the laboratory with performance-based tasks when children were age 5 years, 3 months. Self-reports of cigarette onset and e-cigarette onset were obtained in adolescence (Mage = 15.65 years). Overall, 24% of the sample was at or below the poverty line. Results Cigarette onset was higher in the poverty group (17%) than in the non-poverty (8%) group, but e-cigarette onset did not differ by poverty level (36% poverty versus 38% non-poverty). Multiple group structural equation modeling revealed a statistically significant group difference such that EC ability was a significant negative predictor of e-cigarette onset for poverty but not for non-poverty youth. A similar group difference was evident as a trend for cigarette onset. Conclusions Because EC has been shown to be modifiable, early interventions to improve EC for children living in poverty might help prevent adolescent e-cigarette onset.
- Published
- 2021
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