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Mental Health Problems and Onset of Tobacco Use among 12–24 year-olds in the PATH Study
- Source :
- J Am Acad Child Adolesc Psychiatry
- Publication Year :
- 2018
-
Abstract
- 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] = 1.5, 95% CI = 1.3−1.8) and externalizing (AOR = 1.3, 95% CI = 1.1−1.5) 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 = 1.6, 95% CI = 1.3−1.8), cigarettes (AOR = 1.4, 95% CI = 1.0−2.0), ENDS (AOR = 1.8, 95% CI = 1.5−2.1), and cigarillos (AOR = 1.5, 95% CI = 1.0−2.1) 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.
- Subjects :
- Adult
Male
Adolescent
Substance-Related Disorders
Population
Psychological intervention
Electronic Nicotine Delivery Systems
Article
Cohort Studies
03 medical and health sciences
Tobacco Use
Young Adult
0302 clinical medicine
Dissolvable tobacco
Developmental and Educational Psychology
Medicine
Humans
030212 general & internal medicine
Longitudinal Studies
education
Child
education.field_of_study
business.industry
Mental Disorders
Cigarillo
Age Factors
Odds ratio
Tobacco Products
Mental health
United States
Psychiatry and Mental health
Smokeless tobacco
Snus
Female
Self Report
business
030217 neurology & neurosurgery
Demography
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- J Am Acad Child Adolesc Psychiatry
- Accession number :
- edsair.doi.dedup.....e5973c4a8300762958deecdbecb032ce