The Prevalence of Tobacco Use Co-morbidities in Canada

Kirst, Maritt; Mecredy, Graham; Chaiton, Michael

doi:10.17269/cjph.104.3770

Cited by 17 publications

(11 citation statements)

References 24 publications

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“…18 COMPASS also utilizes purposive sampling for recruitment of participating schools from different geographical locations-Ontario, Alberta, British Columbia, Quebec and Nunavut. 10 While the sampling approach may have impacted external validity, many of the findings presented here are comparable with other large-scale studies on alcohol use and binge drinking prevalence among Canadian youth, namely the Canadian Community Health Survey and the Canadian Alcohol and Drug Use Monitoring Survey (42% prevalence of alcohol use), 11 and the Canadian Student Tobacco, Alcohol and Drugs Survey (44% prevalence of alcohol use and 24% prevalence of high-risk drinking). 13…”

Section: Strengths and Limitationssupporting

confidence: 78%

“…Data from the Canadian Alcohol and Drug Use Monitoring Survey (CADUMS) and the Canadian Community Health Survey (CCHS) showed significantly higher prevalence of binge drinking and problem drinking (based on the AUDIT scale) in current smokers versus non-smokers. 11,12 Using data from CADUMS and CCHS, Kirst and colleagues reported that the magnitude of association between current smoking and binge drinking was larger for adolescents aged between 12 and 17 years compared to those aged 18 years and older. 11 The difference in this association for the two age groups is striking and indicates a need for interventions among youth who use multiple substances.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 Using data from CADUMS and CCHS, Kirst and colleagues reported that the magnitude of association between current smoking and binge drinking was larger for adolescents aged between 12 and 17 years compared to those aged 18 years and older. 11 The difference in this association for the two age groups is striking and indicates a need for interventions among youth who use multiple substances. Taking all of this together, we suggest that youth may be negotiating use of various substances, perhaps driven by peer pressure and nonconforming attitudes displayed during adolescence.…”

Section: Discussionmentioning

confidence: 99%

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Micro-level factors associated with alcohol use and binge drinking among youth in the COMPASS study (2012/13 to 2017/18)

Holligan

Qian

Groh

et al. 2020

Health Promot Chronic Dis Prev Can

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Introduction This study examined the associations of micro-level factors with current alcohol use and binge drinking among a large sample of Canadian youth. Methods This descriptive-analytical study was conducted among high school students enrolled in the COMPASS study between 2012/13 and 2017/18. We used generalized estimating equations modelling to determine associations between micro-level factors and likelihood of current versus non-current alcohol use and binge drinking among respondents. Results Students reporting current cannabis use were more likely to report current alcohol use over never use (odds ratio [OR] = 4.46, 95% confidence interval [CI]: 4.33–4.60) compared to students reporting non-current cannabis use. Students reporting current smoking of tobacco products were more likely to report current binge drinking over never binge drinking (OR = 2.52, 95% CI: 2.45–2.58), compared to non-smoking students. Students reporting weekly disposable incomes of more than $100 were more likely to report current over never binge drinking (OR = 2.14, 95% CI: 2.09–2.19), compared to students reporting no weekly disposable income. Conclusion Higher disposable incomes, smoking of tobacco products and use of cannabis were associated with current alcohol use and binge drinking among youth. Findings may inform design of polysubstance use prevention efforts in high schools.

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Section: Strengths and Limitationssupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Micro-level factors associated with alcohol use and binge drinking among youth in the COMPASS study (2012/13 to 2017/18)

Holligan

Qian

Groh

et al. 2020

Health Promot Chronic Dis Prev Can

View full text Add to dashboard Cite

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“…A score of eight or greater on the AUDIT is indicative of hazardous alcohol use. The use of a cut-off score of 8+ as a positive screen for both males and females has been used in Ontario and Canadian national surveys [ 23 , 24 ].…”

Section: Methodsmentioning

confidence: 99%

Adult attention deficit hyperactivity disorder symptom profiles and concurrent problems with alcohol and cannabis: sex differences in a representative, population survey

et al. 2016

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BackgroundAdult attention deficit hyperactivity disorder (ADHD) shows a robust association with alcohol and cannabis misuse, and these relationships are expressed differently in males and females. Manifestation of specific ADHD symptom profiles, even in the absence of the full disorder, may also be related to problems with alcohol and cannabis, although these relationships have not been investigated in epidemiological studies. To address this question, we studied the sex-specific associations of ADHD symptomatology with problematic alcohol and cannabis use in a representative sample of adults aged 18 years and older residing in Ontario, Canada.MethodsData were obtained from the Centre for Addiction and Mental Health Monitor, an ongoing cross-sectional telephone survey, between January 2011 and December 2013. Respondents (n = 5080) reported on current ADHD symptomatology, measured using the Adult ADHD Self-Report Version 1.1 Screener (ASRS-V1.1) and four additional items, and alcohol and cannabis use, which were measured using the Alcohol Use Disorders Identification Test (AUDIT) and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), respectively. Logistic regression analyses were conducted in men and women to test the association of each ADHD symptom cluster (hyperactivity, inattentiveness, impulsivity) with problematic alcohol and cannabis use.ResultsAfter controlling for age, education, and comorbid internalizing and externalizing psychopathology, hyperactive symptoms were associated with problematic alcohol use in both men and women and with problematic cannabis use in men. Impulsive symptoms were independently associated with problematic cannabis use in men. By contrast, inattentive symptomatology predicted problems with alcohol and cannabis only in women. In all models, age was negatively associated with substance misuse and externalizing behavior was positively correlated and the strongest predictor of hazardous alcohol and cannabis use.ConclusionsADHD symptom expression in adulthood is related to concurrent hazardous use of alcohol and cannabis. Distinctive ADHD symptom profiles may confer increased risk for substance misuse in a sex-specific manner.

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“…[1][2][3][4][5][6] Controlled substances are drugs that have been identified by the Canadian federal government as having an elevated potential for abuse or addiction, and are listed in schedules I to V of Canada's 1996 Controlled Drugs and Substances Act. 7 Abuse of controlled medication refers to the consumption of substances intended for medical treatment for the purpose of producing euphoric feelings of well-being (a "high"), whereas misuse refers to a deviation from prescribed instructions, such as taking an additional sleeping pill when the first did not have the desired effect.…”

mentioning

confidence: 99%

A cross-sectional examination of medicinal substance abuse and use of nonmedicinal substances among Canadian youth: findings from the 2012-2013 Youth Smoking Survey

2015

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Background:Medicinal substance abuse is prevalent in Canada; however, little is known about patterns of abuse among young people. In this study, we sought to characterize the abuse of medicinal substances, such as prescription medications and selected over-thecounter substances, as well as that of licit and illicit nonmedicinal substances, using a nationally representative sample of young people. Methods:Cross-sectional, nationally representative data for children in grades 7-12 were obtained from Health Canada's 2012-2013 Youth Smoking Survey (n = 38 667). Multinomial regression analyses were conducted to examine subgroup differences in medicinal substance abuse and comorbid abuse of both medicinal and nonmedicinal substances.Results: About 5% of youth reported abusing medicinal substances in the previous year. Dextromethorphan, a substance found in many cough and cold syrups, was the most widely abused (2.9%), followed by pain medications (2.6%), sleeping medications (1.8%), stimulants (1.7%) and sedatives (1.0%). Abuse of nonmedicinal substances aside from tobacco and alcohol was reported by 21.3% of the population, and abuse of any substances was detected in 23.0% of the surveyed population. Girls at each grade level reported higher rates of abuse of medicinal substances than boys. Regional differences were seen with regard to the types of substances abused across Canada.Interpretation: A substantial minority of Canadian youth report abusing medicinal substances, including over-the-counter medications (e.g., cough syrup) and prescriptions medications (e.g., pain medication). In contrast to nonmedicinal substances, girls were more likely than boys to report abuse of medicinal substances. Abstract Research CMAJ OPEN E388CMAJ OPEN, 3(4)

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The Prevalence of Tobacco Use Co-morbidities in Canada

Cited by 17 publications

References 24 publications

Micro-level factors associated with alcohol use and binge drinking among youth in the COMPASS study (2012/13 to 2017/18)

Micro-level factors associated with alcohol use and binge drinking among youth in the COMPASS study (2012/13 to 2017/18)

Adult attention deficit hyperactivity disorder symptom profiles and concurrent problems with alcohol and cannabis: sex differences in a representative, population survey

A cross-sectional examination of medicinal substance abuse and use of nonmedicinal substances among Canadian youth: findings from the 2012-2013 Youth Smoking Survey

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