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- Title
Underlying patterns of the co-occurrence of tobacco use and mental health among youth.
- Authors
Lee, Boram; Levy, Douglas; Seo, Dong-Chul
- Abstract
We aimed to examine how bidirectional relationships between mental health problems and tobacco use are formed over time by types of tobacco use in recent samples of U.S. youth. Data were drawn from Waves 1–4 of the Population Assessment of Tobacco and Health Study (N = 10,082) and analyzed using cross-lagged panel models. A high level of internalizing problems at Wave 1 predicted conventional cigarette smoking (adjusted odds ratio [AOR] = 1.19, 95% CI = 1.06–1.34) and e-cigarette use (AOR = 1.25, 95% CI = 1.09–1.43) at Wave 2, but not vice versa. Both cigarette smoking and e-cigarette use at Wave 2 tended to persist into Wave 3, which, in turn, increased the risk of subsequent internalizing problems in late adolescence or young adulthood (Wave 4). The bidirectional relationship between tobacco use and internalizing problems seems to begin as a procession from internalizing problems to tobacco use, and then from persistent tobacco use to exacerbated internalizing problems over time.
- Subjects
UNITED States; MENTAL illness risk factors; ELECTRONIC cigarettes; CONFIDENCE intervals; RISK assessment; DESCRIPTIVE statistics; ALEXITHYMIA; SMOKING; ODDS ratio; MENTAL illness; SECONDARY analysis; DISEASE risk factors; ADULTS; ADOLESCENCE
- Publication
Journal of Behavioral Medicine, 2023, Vol 46, Issue 4, p668
- ISSN
0160-7715
- Publication type
Article
- DOI
10.1007/s10865-022-00386-3