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Co-occurrence of tobacco product use, substance use, and mental health problems among adults: Findings from Wave 1 (2013-2014) of the Population Assessment of Tobacco and Health (PATH) Study.
- Source :
-
Drug and alcohol dependence [Drug Alcohol Depend] 2017 Aug 01; Vol. 177, pp. 104-111. Date of Electronic Publication: 2017 May 30. - Publication Year :
- 2017
-
Abstract
- Background: Although non-cigarette tobacco product use is increasing among U.S. adults, their associations with substance use and mental health problems are unclear. This study examined co-occurrence of tobacco use, substance use, and mental health problems, and its moderation by gender, among 32,202U.S. adults from Wave 1 (2013-2014) of the nationally representative longitudinal Population Assessment of Tobacco and Health (PATH) Study.<br />Methods: Participants self-reported current cigarette, e-cigarette, traditional cigar, cigarillo, filtered cigar, hookah, smokeless tobacco and other tobacco product use; past year alcohol, marijuana, and other drug use; and past year substance use, internalizing and externalizing problems.<br />Results: Compared to non-current tobacco users, current users were more likely to report alcohol or drug use (adjusted odds ratio (AOR)=2.6; 95% confidence interval (CI): 2.3, 2.9), with the strongest associations observed for cigarillo and hookah users. Across all tobacco product groups, users were more likely to report internalizing (AOR=1.9; 95% CI: 1.7, 2.1), externalizing (AOR=1.6; 95% CI: 1.5, 1.8), and substance use (AOR=3.4; 95% CI: 2.9, 4.1) problems than non-users. Gender moderated many of these associations and, of these, all non-cigarette tobacco product associations were stronger among females.<br />Conclusions: This nationally representative study of U.S. adults is the first to comprehensively document tobacco use, substance use, and mental health comorbidities across the range of currently available tobacco products, while also demonstrating that female tobacco users are at increased risk for substance use and mental health problems. These findings may point to gender differences in vulnerability and suggest that interventions incorporate gender-specific approaches.<br /> (Copyright © 2017 Elsevier B.V. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Comorbidity
Female
Humans
Longitudinal Studies
Male
Mental Disorders diagnosis
Middle Aged
Self Report
Substance-Related Disorders diagnosis
Tobacco Use Disorder diagnosis
Tobacco, Smokeless adverse effects
Young Adult
Mental Disorders epidemiology
Mental Health trends
Population Surveillance
Substance-Related Disorders epidemiology
Tobacco Products adverse effects
Tobacco Use Disorder epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1879-0046
- Volume :
- 177
- Database :
- MEDLINE
- Journal :
- Drug and alcohol dependence
- Publication Type :
- Academic Journal
- Accession number :
- 28582698
- Full Text :
- https://doi.org/10.1016/j.drugalcdep.2017.03.032