Does the time to nicotine dependence vary by internalizing symptoms for young people who use e-cigarettes? An analysis of the Population Assessment of Tobacco and Health (PATH) study, (Waves 1–5; 2013–2019)

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL
Abigail Adjei, Anna V. Wilkinson, Baojiang Chen, Dale S. Mantey, Melissa B. Harrell
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引用次数: 0

Abstract

Objective

To determine the relationship between past-year internalizing symptoms and the time to first report of signs of nicotine dependence among young people.

Methods

Secondary analysis using data from the Population Assessment of Tobacco and Health (PATH) (Waves 1–5; 2013–2019). The study included 2,102 (N = 5,031,691) young people (age 12–23 years) who reported past-30-day (P30D) e-cigarette use in one or more waves. Kaplan Meier curves, stratified by past year internalizing symptoms were used to estimate the time to the first report of three nicotine dependence symptoms (i.e., use within 30 min of waking, cravings, and really needing to use) following the first P30D e-cigarette use. Cox proportional hazard models were used to estimate crude and adjusted hazard ratios (AHR), comparing any past year internalizing symptoms to no past year internalizing symptoms.

Results

We found no significant differences between past year internalizing symptoms and the time to the first report of cravings (AHR = 1.30, 95 % CI = 92–1.85), really needing to use (AHR = 1.31; 95 % CI = 0.92–1.89) and use within 30 min of waking for follow-up times 0–156 weeks (AHR = 0.84; 95 % CI = 0.55–1.30) and > 156 weeks (AHR = 0.41; 95 % CI = 0.04–4.67) respectively.

Conclusion

Past year internalizing symptoms did not modify the time to the first report of nicotine dependence among youth with P30D e-cigarette use. Further research is needed to understand how changing internalizing symptoms and e-cigarette use frequency influence nicotine dependence over time and, how this relationship impacts cessation behavior.

使用电子烟的青少年形成尼古丁依赖的时间会因内化症状的不同而不同吗?烟草与健康人群评估(PATH)研究分析(第1-5波;2013-2019年)。
目的:确定青少年过去一年的内化症状与首次报告尼古丁依赖症状的时间之间的关系:确定青少年过去一年的内化症状与首次报告尼古丁依赖症状的时间之间的关系:利用烟草与健康人口评估(PATH)(第 1-5 波;2013-2019 年)的数据进行二次分析。研究纳入了在一次或多次波次中报告过去 30 天(P30D)使用电子烟的 2,102 名(N = 5,031,691 名)青少年(12-23 岁)。卡普兰-梅耶尔曲线按过去一年的内化症状分层,用于估算在首次使用 P30D 电子烟后首次报告三种尼古丁依赖症状(即醒后 30 分钟内使用、渴望使用和真正需要使用)的时间。我们使用 Cox 比例危险模型来估算粗略危险比和调整危险比(AHR),将过去一年出现过内化症状与过去一年未出现过内化症状进行比较:我们发现,在随访时间为 0-156 周(AHR = 0.84;95 % CI = 0.55-1.30)和大于 156 周(AHR = 0.41;95 % CI = 0.04-4.67)时,过去一年的内在化症状与首次报告渴望(AHR = 1.30,95 % CI = 92-1.85)、真正需要使用(AHR = 1.31;95 % CI = 0.92-1.89)和醒来后 30 分钟内使用的时间之间分别没有明显差异:结论:过去一年的内化症状不会改变P30D电子烟使用青少年首次报告尼古丁依赖的时间。要了解内化症状和电子烟使用频率的变化如何随着时间的推移影响尼古丁依赖,以及这种关系如何影响戒烟行为,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Addictive behaviors
Addictive behaviors 医学-药物滥用
CiteScore
8.40
自引率
4.50%
发文量
283
审稿时长
46 days
期刊介绍: Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.
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