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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 and Adolescent Psychiatry ( IF 13.3 ) Pub Date : 2018-10-04 , DOI: 10.1016/j.jaac.2018.06.029
Victoria R Green 1 , Kevin P Conway 2 , Marushka L Silveira 1 , Karin A Kasza 3 , Amy Cohn 4 , K Michael Cummings 5 , Cassandra A Stanton 6 , Priscilla Callahan-Lyon 7 , Wendy Slavit 7 , James D Sargent 8 , Nahla Hilmi 1 , Raymond S Niaura 4 , Chad J Reissig 7 , Elizabeth Lambert 2 , Izabella Zandberg 7 , Mary F Brunette 8 , Susanne E Tanski 8 , Nicolette Borek 7 , Andrew J Hyland 3 , Wilson M Compton 2
Affiliation  

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.



中文翻译:

PATH 研究中 12 至 24 岁青少年的心理健康问题和烟草使用的发生。

客观的

旨在研究心理健康问题是否预示着在具有全国代表性的青少年和年轻人样本中使用 12 种不同烟草制品的事件。

方法

本研究分析了烟草与健康人口评估 (PATH) 研究中 10,533 名 12 至 24 岁 W1 从未吸烟者的 Wave (W) 1 和 W2 数据。在第一周评估自我报告的终生内化和外化症状。在 W2 中评估过去 12 个月使用香烟、电子尼古丁输送系统 (ENDS)、传统雪茄、小雪茄、过滤雪茄、烟斗、水烟袋、鼻烟袋、其他无烟烟草、比迪烟和丁香烟(仅限青少年)以及可溶解烟草的情况。

结果

在多变量回归分析中,高度严重的 W1 内化(调整后优势比 [AOR] = 1.5,95% CI = 1.3−1.8)和外化(AOR = 1.3,95% CI = 1.1−1.5)问题预测任何烟草的 W2 发病使用与无/低/中等严重程度相比。高度严重的 W1 内化问题预示着大多数烟草产品都会开始使用 W2。高严重性 W1 外化问题预测任何烟草(AOR = 1.6,95% CI = 1.3−1.8)、香烟(AOR = 1.4,95% CI = 1.0−2.0)、ENDS(AOR = 1.8,95% CI = 1.5−2.1)和小雪茄(AOR = 1.5,95% CI = 1.0−2.1)仅在青少年中存在。

结论

内化和外化问题预示着任何烟草使用的发生。然而,对于烟草产品的内在和外在问题以及年龄、性别和种族/民族的不同,研究结果有所不同。除了筛查烟草制品的使用外,医疗保健提供者还应筛查一系列心理健康问题,作为烟草使用的预测因素。解决心理健康问题的干预措施可能会阻止青少年开始吸烟。

更新日期:2018-10-04
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