Longitudinal associations between youth tobacco and substance use in waves 1 and 2 of the Population Assessment of Tobacco and Health (PATH) Study

Silveira, Marushka L.; Conway, Kevin P.; Green, Victoria R.; Kasza, Karin A.; Sargent, James D.; Borek, Nicolette; Stanton, Cassandra A.; Cohn, Amy M.; Hilmi, Nahla; Cummings, Michael; Niaura, Raymond; Lambert, Elizabeth; Brunette, Mary F.; Zandberg, Izabella; Tanski, Susanne E.; Reissig, Chad J.; Callahan-Lyon, Priscilla; Slavit, Wendy I.; Hyland, Andrew; Compton, Wilson M.

doi:10.1016/j.drugalcdep.2018.06.018

Cited by 50 publications

(43 citation statements)

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“…Taken together, these findings indicate that adolescents who engage in early onset of e-cigarette use (ecigarette use only or dual use) should be assessed for substance-related problems based on their increased risk for polysubstance use. 29 Moreover, the findings of the present study indicate that prospective studies examining the association between e-cigarette use and cigarette smoking must adequately account for prior history of substance use behaviors, especially among older adolescents.…”

Section: Discussionmentioning

confidence: 74%

Initiation Sequence of E‐Cigarette and Cigarette Smoking Among US Adolescents: A National Study

et al. 2019

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Background and Objectives: The primary objectives were to: (1) examine the initiation sequence of e-cigarette use and cigarette smoking; (2) assess other substance use as a function of the initiation sequence of e-cigarettes and cigarettes; and (3) investigate the role of early e-cigarette initiation among US secondary school students. Methods: Data were collected via self-administered questionnaires from independent 2015 and 2016 nationally representative cross-sectional samples of 8th grade, 10th grade, and 12th grade students (N = 36 410). Results: The lifetime initiation sequence included: (1) e-cigarette use before cigarette smoking (1.7%); (2) e-cigarette use and cigarette smoking in same grade (4.2%); (3) cigarette smoking before e-cigarette use (6.1%); (4) e-cigarette use only (12.6%); (5) cigarette smoking only (3.6%); and (6) no e-cigarette use or cigarette smoking (71.8%). The risk of substance use was highest among dual users (regardless of initiation sequence), followed by cigarette smokers, e-cigarette users, and no e-cigarette use or cigarette smoking. The most prevalent initiation sequence of e-cigarette use involved initiating other substances before e-cigarettes, especially among older adolescents. Early initiation of e-cigarette use was associated with increased odds of substance use behaviors for all three age groups. Discussion and Conclusions: Adolescents who report a history of both e-cigarette use and cigarette smoking should be considered at high risk for substance-related problems. Early initiation of e-cigarette use is a signal for other substance use. Scientific Significance: Youth substance use prevention programs and prospective studies must take into account polysubstance use when addressing the relationships between e-cigarette use and cigarette smoking.

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Section: Discussionmentioning

confidence: 74%

Initiation Sequence of E‐Cigarette and Cigarette Smoking Among US Adolescents: A National Study

et al. 2019

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“…Other studies have shown that cigarette smoking predicts ever hookah initiation,29 hookah use and snus use each predict ever and P30D cigarette smoking initiation,30 and any non-cigarette tobacco product use predicts ever cigarette smoking initiation 14. Taken together, the association between previous tobacco use and initiation of a new product could be due to common liability and/or shared risk factors31 32 such as proclivity to engage in risky behaviours/sensation-seeking,33 receptivity/susceptibility to use tobacco,34 35 having friends who use tobacco,36 other substance use37 or household exposure to tobacco,38 which were not examined in this study. Findings could also be due to nicotine dependence since all tobacco products contain the addictive substance, although perhaps in different amounts 39.…”

Section: Discussionmentioning

confidence: 99%

Correlates of tobacco product initiation among youth and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

et al. 2020

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ObjectiveTo report on demographic and tobacco product use correlates of tobacco product initiation (cigarettes, electronic nicotine delivery systems (ENDS), cigars, hookah and smokeless tobacco) among the US population.DesignData were from the first three waves (2013–2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US youth (aged 12–17 years) and adults (aged 18+ years). Never users of at least one type of tobacco product at Wave 1 (W1, 2013/14) or Wave 2 (W2, 2014/15) were included (n=12 987 youth; n=25 116 adults). Generalised estimating equations were used to evaluate the association between demographic and tobacco product use characteristics at baseline, and tobacco product initiation at follow-up (ever, past 30 day (P30D), frequent (use on 20 or more of thepast 30 days)) over two 1-year periods (W1–W2 and W2–Wave 3).ResultsYouth aged 15–17 years were more likely than youth aged 12–14 years and adults aged 18–24 years were more likely than older adults to initiate P30D tobacco use across products; non-heterosexuals were more likely than heterosexuals to initiate P30D cigarette and ENDS use. Older adults were more likely than young adults, and males were more likely than females, to be frequent users of ENDS on initiation. Ever use of another tobacco product predicted P30D initiation of each tobacco product.DiscussionOther tobacco product use and age predict P30D tobacco initiation across products whereas associations with other demographic characteristics vary by product. Continued contemporary evaluation of initiation rates within the changing tobacco product marketplace is important.

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“…The association between e-cigarettes and alcohol, previously observed in other studies ( Morean et al, 2016 ; Schlienz & Lee, 2018 ; Taylor et al, 2017 ), together with data on social media trends ( Camenga et al, 2018 ; Chu et al, 2018 ; Sampasa-Kanyinga & Hamilton, 2018 ), indicates that use of the former is now a social activity ( Pepper et al, 2017 ; Yule & Tinson, 2017 ). This is particularly concerning not only in light of potential feedback effects due to the previously discussed outsize effects of peer behaviour, but also because e-cigarette use has been shown to increase the risk of cigarette smoking ( Barnett et al, 2015 ; Bold et al, 2018 ; Hammond et al, 2017 ), which also often co-occurs with alcohol use in social situations ( Berg et al, 2018 ; Gubner, Thrul, Kelly, & Ramo, 2018 ; Silveira et al, 2018 ), adding an additional layer of risk. Concerningly, early initiation of cigarette and alcohol co-use may increase the likelihood of opioid use ( Arterberry et al, 2016 ), and the possibility that vaping may come to replace smoking in this role cannot yet be discounted.…”

Section: Discussionmentioning

confidence: 99%

Trends of poly-substance use among Canadian youth

Zuckermann

Williams

Battista

et al. 2019

Addictive Behaviors Reports

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Introduction Poly-substance use, increasingly understood as a behaviour with uniquely adverse consequences, is on the rise among Canadian youth. High levels of e-cigarette vaping and the recent legalization of recreational cannabis use may result in an acceleration of this trend. The aim of this work was to characterise changes in youth poly-substance use over time, generate baseline data for future investigations, and highlight areas of interest for policy action. Methods Descriptive statistics and regression models explored patterns and trends in concurrent use of multiple substances (alcohol, cigarettes, cannabis, and e-cigarettes) among Canadian high school students taking part in the COMPASS prospective cohort study during Y2 (2013/2014; n = 45,298), Y3 (2014/2015, n = 42,355), Y4 (2015/2016; n = 40,436), Y5 (2016/2017; n = 37,060), and Y6 (2017/2018; n = 34,879). Results Poly-substance use increased significantly over time, with over 50% of students who used substance reporting past-year use of multiple substances by 2017/2018. Male and Indigenous students were significantly more likely to report poly-substance use than female and white students respectively. E-cigarette vaping doubled from Y5 to Y6 and was included in all increasingly prevalent substance use combinations. Conclusions Youth poly-substance use, rising since 2012/2013, saw a particularly steep increase after 2016/2017. Differential effects were observed for distinct demographic subpopulations, indicating tailored interventions may be required. E-cigarette vaping surged in parallel with the observed increase, suggesting a key role for this behaviour in shaping youth poly-substance use.

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Longitudinal associations between youth tobacco and substance use in waves 1 and 2 of the Population Assessment of Tobacco and Health (PATH) Study

Abstract: Tobacco and substance use prevention efforts may benefit from comprehensive screening and interventions across tobacco products, alcohol, and drugs, and targeting risk factors shared across substances.

Cited by 50 publications

References 35 publications

Initiation Sequence of E‐Cigarette and Cigarette Smoking Among US Adolescents: A National Study

Initiation Sequence of E‐Cigarette and Cigarette Smoking Among US Adolescents: A National Study

Correlates of tobacco product initiation among youth and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

Trends of poly-substance use among Canadian youth

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