Tobacco Use and Suicidality: Latent Patterns of Co-occurrence Among Black Adolescents

Gilreath, Tamika D.; Connell, Christian M.; Leventhal, Adam M.

doi:10.1093/ntr/ntr322

Cited by 12 publications

(8 citation statements)

References 26 publications

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“…Previous research has found that there are large individual and societal costs to youth who use drugs including increased likelihood for substance abuse and the associated costs of treatment, poor academic outcomes, mental health problems, and delinquency (Bui et al 2000; Dewey 1999; Newcomb et al 1997). Similar to victimization, it is well established within the substance use empirical literatures that the types of substances, how frequently those substances are used, and the multiple use of substances are also important risk factors to youths’ social and emotional outcomes (Connell et al 2009; Gilreath et al 2012). …”

Section: Introductionmentioning

confidence: 99%

School Victimization and Substance Use among Adolescents in California

et al. 2014

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Substance use and violence co-occur among adolescents. However, the extant literature focuses on the substance use behaviors of perpetrators of violence and not on victims. This study identifies patterns of school victimization and substance use and how they co-occur. The California Healthy Kids Survey was used to identify latent classes/clusters of school victimization patterns and lifetime and frequency of recent (past month) alcohol, tobacco, and marijuana use (N =419,698). Demographic characteristics (age, gender, and race/ethnicity) were included as predictors of latent class membership. Analyses revealed four latent classes of school victimization: low victimization (44.4 %), moderate victimization (22.3 %), verbal/relational victimization (20.8 %), and high victimization (with physical threats; 12.5 %). There were also four classes of substance use: non-users (58.5 %), alcohol experimenters (some recent alcohol use; 25.8 %), mild poly-substance users (lifetime use of all substances with few days of recent use; 9.1 %), and frequent poly-substance users (used all substances several times in the past month; 6.5 %). Those in the high victimization class were twice as likely to be frequent poly-substance users, and mild poly-substance use was most salient for those in the verbal victimization class. Few studies have explored latent patterns of substance use and violence victimization concurrently. The findings indicate substantial heterogeneity in victimization and substance use among youth in California schools with implications for targeted and tailored interventions. Understanding how certain types of victimization are associated with particular patterns of substance use will provide schools with opportunities to screen for concurrent behavioral health problems among youth.

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Section: Introductionmentioning

confidence: 99%

School Victimization and Substance Use among Adolescents in California

et al. 2014

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“…Importantly, the number and types of substances used by the same person have been shown to predict other behavioral health risks. (Gilreath, Connell, & Leventhal, in press) Connell, Gilreath, and Hansen (2009) found that – along with frequency and recency of substance use – the use of multiple substances was strongly associated with sexual risk behavior. (Connell, Gilreath, & Hansen, 2009) Therefore, more detailed data about patterns of adolescent substance use could be used to inform and enhance prevention programs to address substance use as well as other risk behaviors.…”

Section: Introductionmentioning

confidence: 99%

“…We also examine how demographic factors are associated with substance use. Few studies have employed LCAs on large-scale or representative databases of youth; (Cleveland, Collins, Lanza, Greenberg, & Feinberg, 2010; Connell, et al, 2010; Connell, et al, 2009; Gilreath, et al, in press) and none have focused on California youth specifically. What is learned will be used to improve our understanding of the etiology of substance use and to inform prevention strategies in California and beyond.…”

Section: Introductionmentioning

confidence: 99%

Substance Use Among Adolescents in California: A Latent Class Analysis

Gilreath

Astor

Estrada

et al. 2013

Substance Use & Misuse

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Data from the California Healthy Kids Survey of 7th, 9th, and 11th graders were used to identify latent classes/clusters of alcohol, tobacco, and marijuana use (N=418,702). Analyses revealed four latent classes of substance use which included non-users (61.1%), alcohol experimenters (some recent alcohol use; 22.8%), mild poly-substance users (lifetime use of all substances with less than three days of recent use; 9.2%), and frequent poly-substance users (used all substances three or more times in the past month; 6.9%). The results revealed that alcohol and marijuana use are salient to California adolescents. This information can be used to target and tailor school-based prevention efforts.

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“…Given the evolving landscape, more detailed examination of the patterns of polytobacco use is important in order to assess the health effects associated with different combinations of use (19)(20)(21). Despite the importance of reducing tobacco health disparities, the literature examining current polytobacco use exclusively among Black adolescents is limited (22,23). As a burgeoning area, it has become clear that some youth and adults are using multiple products concurrently.…”

Section: Co-use Of Marijuana and Tobacco And Black Youthmentioning

confidence: 99%

Polytobacco Use Among a Nationally-Representative Sample of Black High School Students

Gilreath

Dangerfield

Ishino

et al. 2020

Preprint

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Introduction. Studies of the patterns of polytobacco use have increased. However, understanding the patterns of using multiple tobacco products among Black adolescents is minimal. This study identified the patterns of polytobacco use among U.S. Black adolescents. Methods. Latent class analysis (LCA) was used to identify patterns of adolescent polytobacco use among a representative sample of Black youth from the 2017 Youth Risk Behavior Survey (n = 2,782). Ever and recent (past 30 day) use of cigarettes, electronic cigarettes, cigars, and dip or chewing tobacco were used as latent class indicators. Multinomial regression was conducted to identify the association if smoking adjusting for age, grade, and marijuana use. Results. Most students were in the 9th grade (29%), e-cigarette users (21%) and were current marijuana users (25%). Three profiles of tobacco use were identified: Class 1: Non-smokers (81%), Class 2: E-cigarette Users (14%), and Class 3: Polytobacco Users (5%). Black adolescent Polytobacco users were the smallest class, but had the highest conditional probabilities of recent cigarette use, e-cigarette use, ever smoking cigars or chewing tobacco. Ever and current use of marijuana were associated with increased odds of being in the e-cigarette user versus non-smoker group, and current marijuana use was associated with increased odds of polytobacco use (aOR = 24.61, CI = 6.95–87.11). Conclusions. Findings suggests the need for targeted interventions for reducing tobacco use and examining the unique effects of polytobacco use on Black adolescents. Findings confirm a significant association of marijuana use with tobacco use.

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Tobacco Use and Suicidality: Latent Patterns of Co-occurrence Among Black Adolescents

Cited by 12 publications

References 26 publications

School Victimization and Substance Use among Adolescents in California

School Victimization and Substance Use among Adolescents in California

Substance Use Among Adolescents in California: A Latent Class Analysis

Polytobacco Use Among a Nationally-Representative Sample of Black High School Students

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