Addictive behaviors最新文献

{"title":"Role of social-cognitive factors in the relationship between e-cigarette use and subsequent cigarette smoking among U.S. youth: A causal mediation analysis","authors":"Shu Xu ,&nbsp;Donna L. Coffman ,&nbsp;George Luta ,&nbsp;Andi Mai ,&nbsp;Nan Jiang ,&nbsp;Raymond S. Niaura","doi":"10.1016/j.addbeh.2024.108204","DOIUrl":"10.1016/j.addbeh.2024.108204","url":null,"abstract":"<div><h3>Objective</h3><div>E-cigarette use is associated with subsequent cigarette smoking among youth. The current study examined the mediating role of social-cognitive factors in this association.</div></div><div><h3>Methods</h3><div>Data from four waves of the Population Assessment of Tobacco and Health study (2013/4 – 2017/8) were analyzed. Among youth who had heard about e-cigarettes at Wave 1 but never used cigarettes before Wave 2, we conducted both causal and traditional mediation analyses to examine the mediated effect of social-cognitive factors (including relative harm perception of e-cigarettes versus cigarettes, harm perception of e-cigarette use, perceptions of addictiveness of e-cigarette use, and e-cigarette use among best friends) in the association between e-cigarette use and subsequent cigarette ever or current smoking, adjusting for covariates. We included sampling weights in all analyses; hence, results are generalizable to the U.S. youth (12 – 14 years) from the 2013–2014 cohort.</div></div><div><h3>Results</h3><div>Results from causal mediation analyses indicated that the total effect of e-cigarette use, compared to no use, increased the risk of cigarette ever smoking (20.9 %) and current smoking (4.6 %). A portion of this effect (4.2 % − 15.1 % for ever smoking; less than 10.6 % for current smoking) can be attributed to changes in social-cognitive factors induced by e-cigarette use. However, these mediated effects were small in magnitude relative to their standard errors and not statistically significant. Results from the traditional mediation analyses largely aligned with these findings, except for a few small sized pathways.</div></div><div><h3>Conclusions</h3><div>For the U.S. youth population, social-cognitive factors may only minimally or not at all mediate the association between e-cigarette use and subsequent cigarette smoking. Further investigation into the mediation role of social-cognitive factors is warranted. Tobacco control interventions that focus on cigarette smoking initiation among youth should target other mediating factors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108204"},"PeriodicalIF":3.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-cigarette access and age verification among adolescents, young adults, and adults","authors":"Shivani Mathur Gaiha ,&nbsp;Lauren Kass Lempert ,&nbsp;Crystal Lin ,&nbsp;Bonnie Halpern-Felsher","doi":"10.1016/j.addbeh.2024.108193","DOIUrl":"10.1016/j.addbeh.2024.108193","url":null,"abstract":"<div><h3>Background</h3><div>Adolescents and young adults continue to access e-cigarettes despite regulatory efforts to prevent sales to those under 21. Prior research on sources of acquiring e-cigarettes excludes key online sources. This study aims to update evidence on where and how different age groups (adolescents, young adults, and adults) access e-cigarettes.</div></div><div><h3>Methods</h3><div>A cross-sectional, online survey of 13–40 year-olds who used e-cigarettes in the past 30 days was conducted from November-December 2021. Study outcomes: where past 30-day users obtained and bought e-cigarettes (retail stores; online, including e-cigarette company and multi-brand websites; social media; home delivery applications; and someone they know); and whether and how age was verified.</div></div><div><h3>Results</h3><div>In our sample, 55.0% reported obtaining e-cigarettes from retail stores, 44.9% online, and 24.0% from someone they know (n = 2,256), although most 13–17-year-olds obtained their e-cigarettes from someone they know. Double the proportion of 21–40-year-olds (7.0%) and higher than 18–20-year-olds (9.8%), 13.4% of 13–17-year-olds obtained e-cigarettes through social media. Social media, Snapchat, Instagram, and TikTok were common platforms to buy e-cigarettes among those under 21; common sources on social media included friends their age, store/company accounts, and influencers. Approximately 20.0% of those under 21 bought e-cigarettes from internet vendors (including multi-brand websites) and 10.4–15.5% used home delivery applications. Across participants, 14.2% reported that their age was not verified, and 17.8% reported that their age was rarely verified.</div></div><div><h3>Conclusions</h3><div>A sizeable proportion of adolescents and young adults under 21 years and adults above 21 acquired e-cigarettes from retail and online sources. Less than a quarter of those underage reported having their age verified all the time, warranting enforcement of existing age verification regulation and development of strategies to prevent underage access online.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108193"},"PeriodicalIF":3.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobile phone ownership, social media use, and substance use at ages 11–13 in the ABCD study","authors":"Neal Doran ,&nbsp;Natasha E. Wade ,&nbsp;Kelly E. Courtney ,&nbsp;Ryan M. Sullivan ,&nbsp;Joanna Jacobus","doi":"10.1016/j.addbeh.2024.108211","DOIUrl":"10.1016/j.addbeh.2024.108211","url":null,"abstract":"<div><h3>Introduction</h3><div>There is ongoing concern about the impact of increasing use of social media and digital devices on unhealthy behaviors such as substance use in youth. Mobile phone and social media use have been associated with substance use in adolescent and young adult samples, but few studies have evaluated these relationships in younger samples.</div></div><div><h3>Methods</h3><div>This secondary analysis of data drawn from the ABCD Study examined associations between youth-reported mobile phone ownership and social media use at age 11–12 and use of alcohol, nicotine/tobacco, and cannabis over the next 18 months.</div></div><div><h3>Results</h3><div>Longitudinal logistic regression was used to test the hypothesis that phone ownership and social media use at age 11–12 would predict substance use over time. Phone ownership was associated with greater odds of alcohol and nicotine/tobacco use, and social media use was associated with greater odds of using nicotine/tobacco and cannabis.</div></div><div><h3>Conclusions</h3><div>These findings suggest that pre-teen youth who own mobile phones and those who use social media may be at greater risk for substance use. Further research is needed to specify mechanisms by which this association occurs and thus inform prevention and intervention efforts.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108211"},"PeriodicalIF":3.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to Bupropion-SR vs. Placebo is associated with reductions in smoking among persons receiving methadone with no stated interest in smoking cessation","authors":"Orrin D. Ware ,&nbsp;Maxine L. Stitzer ,&nbsp;Annie Umbricht ,&nbsp;Kelly E. Dunn","doi":"10.1016/j.addbeh.2024.108202","DOIUrl":"10.1016/j.addbeh.2024.108202","url":null,"abstract":"<div><div>Smoking is prevalent among individuals receiving methadone treatment. Reducing smoking among this population is needed as smoking is a leading cause of morbidity and preventable death. Smoking cessation interventions for persons receiving medication for opioid use disorder have yielded small changes in abstinence. Bupropion-SR was developed as an anti-depressant medication and is a first-line medication for smoking cessation. There is limited research on the effectiveness of bupropion-SR on smoking cessation among individuals receiving medication for opioid use disorder. This study is a secondary analysis of N = 72 adults enrolled in methadone treatment who endorsed smoking cigarettes. Participants were randomized to receive bupropion-SR 150 mg twice-daily (n = 35) or placebo (n = 37) in the primary study that examined bupropion-SR on cocaine use outcomes over a 30-weeks. Mixed model analyses examined secondary changes in self-reported cigarettes smoked, a self-reported measure of nicotine dependence, and quantitative urinary cotinine values. The longitudinal analysis of self-reported daily cigarettes identified no main effects of group and week however a significant interaction between group and week revealed that persons receiving bupropion-SR group reported less smoking early in the intervention. Longitudinal evaluation of changes in urinary cotinine revealed a significant main effect of week but no main effect of group or group x week interaction. Data suggest that bupropion-SR significantly decreased the number of self-reported cigarettes smoked relative to placebo and reduced nicotine dependence severity by the end of the study. Follow-up studies are needed as these decreases were not identified throughout the full study period or at termination.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108202"},"PeriodicalIF":3.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediation of beneficial effects of an alcohol-specific inhibition training on drinking of patients with alcohol use disorder: The role of cognitive demands and inhibitory performance","authors":"Alessandra Guarriello ,&nbsp;Tim Fleckenstein ,&nbsp;Leila M. Soravia ,&nbsp;Raphaela M. Tschuemperlin ,&nbsp;Hallie M. Batschelet ,&nbsp;Joshua Jaeger ,&nbsp;Reinout W. Wiers ,&nbsp;Franz Moggi ,&nbsp;Maria Stein","doi":"10.1016/j.addbeh.2024.108212","DOIUrl":"10.1016/j.addbeh.2024.108212","url":null,"abstract":"<div><h3>Background</h3><div>A cognitively demanding, alcohol-specific inhibition training (Alc-IT) might enhance treatment success in patients with severe alcohol use disorder (AUD; Stein et al., 2023). An inhibitory working mechanism for Alc-IT has been discussed, but compelling evidence supporting this hypothesis is yet lacking. The present study investigates inhibitory performance during Alc-IT and examines whether inhibitory parameters mediate drinking outcome.</div></div><div><h3>Methods</h3><div>Patients with AUD (<em>N</em> = 232) completed six sessions of either a standard or improved Alc-IT, differing in their inhibitory demands determined by Go/NoGo-ratios in a modified Go-NoGo-task, or a control training. During these training sessions, data on inhibitory performance was collected. To assess differences in inhibitory performance and its improvement, <em>alcohol-related errors of commission</em> and <em>relative performance,</em> integrating accuracy and speed, were analyzed with hierarchical linear contrast models. Mediation analyses tested whether inhibitory performance predicted drinking outcome (percent days abstinent at 3-month follow-up).</div></div><div><h3>Results</h3><div>Patients in improved Alc-IT started with higher <em>errors of commission</em> (γ_01(standard) =  −2.74, <em>p</em> &lt; 0.001, R² = 0.885) and a lower <em>relative performance</em> in the first training session compared to standard Alc-IT (γ_01(standard) = 0.51, <em>p</em> = 0.004). They showed a steeper increase in <em>relative performance</em> until the final sixth session (γ_{1(s6),(standard)} = −0.37, <em>p</em> = 0.024, R² = 0.882). The effect of improved Alc-IT on drinking outcome was mediated by <em>relative performance</em> increase (bootstrap-CI [0.15, 7.11]).</div></div><div><h3>Conclusion</h3><div>Higher inhibitory demands enable larger improvements across sessions. Mediation analysis supports an inhibitory working mechanism. Tailoring inhibitory demands to individual performance capacity could optimize future Alc-IT.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108212"},"PeriodicalIF":3.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding US adolescents’ and emerging adults’ overestimation of their cannabis use quantity","authors":"Ruschelle M. Leone ,&nbsp;Rachel L. Tomko ,&nbsp;Chandni Hindocha ,&nbsp;Loren Hardeman ,&nbsp;Jade Tuttle ,&nbsp;Kevin M. Gray","doi":"10.1016/j.addbeh.2024.108206","DOIUrl":"10.1016/j.addbeh.2024.108206","url":null,"abstract":"<div><div>Cannabis is the most used federally illicit drug in the United States (U.S). Understanding how accurate adolescents and emerging adults are at estimating their cannabis use quantity is important, as this lays the groundwork for understanding and studying the outcomes associated with cannabis use. This study aimed to assess the accuracy of cannabis quantity in grams for a typical joint and identify predictors of accuracy among U.S. adolescents and emerging adults. Participants (n = 50; aged 14–21) who reported using joints in the past 30 days completed measures of cannabis use characteristics and problems, were asked to “eyeball” the amount of cannabis in their average joint using a cannabis substitute and estimated the number of grams. The cannabis substitute was then weighed in grams. Paired samples t-tests indicated that participants <em>estimated</em> significantly more grams in a joint (<em>M=</em>.82; <em>SD</em> = 0.46) than the <em>actual</em> amount of the surrogate substance (<em>M=</em>.47; <em>SD</em> = 0.21; <em>t</em>(49) = 6.32, <em>p</em> &lt; 0.001, <em>d</em> = 0.89). A linear regression analysis indicated that the age of cannabis initiation (<em>B =</em> -0.13<em>, p=</em>.002) and cannabis use problems (<em>B =</em> -0.03<em>, p=</em>.009) were negatively and significantly associated with discrepancies in estimated grams. Specifically, being older when first using cannabis and reporting more cannabis use problems were linked to less overestimation of grams per joint. These findings align with previous research demonstrating a tendency to overestimate cannabis quantity and contribute novel insights by identifying predictors of estimation accuracy. This study underscores the importance of considering age and cannabis-related problems when assessing the reliability of self-reported cannabis use quantities among adolescents and emerging adults.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108206"},"PeriodicalIF":3.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The transition from cigarette smoking to the exclusive or partial use of e-cigarettes: A multi-stage mixed methods study among French university students","authors":"Shérazade Kinouani ,&nbsp;Héléna Da Cruz ,&nbsp;Maximilien Simon ,&nbsp;Maëlys Abraham ,&nbsp;Garance Perret ,&nbsp;Emmanuel Langlois ,&nbsp;Christophe Tzourio","doi":"10.1016/j.addbeh.2024.108205","DOIUrl":"10.1016/j.addbeh.2024.108205","url":null,"abstract":"<div><h3>Background</h3><div>Few studies have estimated the frequency of e-cigarette use by smoking status among French young adults, and how those who smoke tobacco start and continue to use e-cigarettes. Our aim was to describe e-cigarette use among students who smoked tobacco.</div></div><div><h3>Methods</h3><div>A multi-stage, mixed methods study was conducted at the University of Bordeaux between September 2018 and March 2020. The study consisted of three different sub-studies: 1) a cross-sectional study across five campuses (n = 211), 2) a qualitative study (n = 30), and 3) an online cross-sectional study (n = 415). These were combined to form an explanatory sequential design (stage 1) and then a convergent parallel design (stage 2).</div></div><div><h3>Results</h3><div>Although 41 % of students had tried e-cigarettes at least once in their lifetime, only 7 % were current users. Both e-cigarette experimentation and current use (i.e. occasional or daily use) were mainly found among current and former smokers. Student smokers started using e-cigarettes out of curiosity, with other vapers. Two main factors were identified as intervening in the transition from smoking to sustained vaping: the perception of smoking as problematic and personal commitment to e-cigarette use (i.e. by buying their own device, acquiring technical skills, and increasing the frequency of use). Among current vapers, exclusive vapers and dual users differed in terms of their smoking goals, the role they attributed to e-cigarettes, their identity development and their perceived social or personal benefits.</div></div><div><h3>Conclusion</h3><div>This study highlighted the complexity of the decision-making process for transitioning from smoking to sustained vaping among university students. This required a socially supportive environment and some intrinsic factors, of which the problematization of smoking and personal commitment to vaping were key factors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108205"},"PeriodicalIF":3.7,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing the transitions in poly-tobacco use among young adults: A latent transition analysis of a smoking reduction intervention trial","authors":"Lisbeth Lund,&nbsp;Christian Ritz,&nbsp;Lotus Sofie Bast,&nbsp;Marie Pil Jensen,&nbsp;Susan Andersen","doi":"10.1016/j.addbeh.2024.108195","DOIUrl":"10.1016/j.addbeh.2024.108195","url":null,"abstract":"<div><h3>Objective</h3><div>The escalating trends in poly-tobacco use among young people are worrying due to the heightened health consequences associated with use. This study aims to re-analyze data from a smoking reduction intervention applying latent transition analysis (LTA) to explore the effect of a smoking reduction intervention on the transition between tobacco and nicotine use behavior patterns, particularly poly-tobacco use, over time. Additionally, the effect of sociodemographic variables on transition patterns was explored.</div></div><div><h3>Methods</h3><div>From 2018 to 2020, a two-armed randomized controlled trial was conducted to evaluate a smoking reduction intervention focusing on a comprehensive school tobacco policy across 14 vocational schools in Denmark. Baseline and five-month follow-up surveys assessed self-reported use of cigarettes, e-cigarettes, smokeless tobacco, and waterpipe. This study was a secondary data analysis using latent transition analysis (LTA). The primary analysis of the trial did not find a significant overall effect of the intervention on tobacco use.</div></div><div><h3>Results</h3><div>A total of 2,158 students completed the baseline and/or follow-up surveys (mean age: 20.8 years, 49.5 % female). At both time points, three latent classes of tobacco and nicotine use behavior emerged (<em>non-users</em>, <em>cigarette users</em>, and <em>poly-tobacco users</em>). Intervention school students had 36 % lower odds of transitioning from cigarette use at baseline to poly-tobacco use at follow-up (OR = 0.64; 95 % CI 0.41,0.99, p = 0.047) compared to control school students. Males and younger students had increased odds of transitioning from cigarette use to poly-tobacco. In contrast, students of non-Danish origins had increased odds of transitioning from poly-tobacco use to non-use.</div></div><div><h3>Conclusions</h3><div>This study demonstrates the effectiveness of a smoking reduction intervention in reducing the progression toward poly-tobacco use among vocational school students.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108195"},"PeriodicalIF":3.7,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations and mediating factors between adverse childhood experiences and substance use behaviours in early adulthood: A population-based longitudinal study","authors":"Deirdre Mongan ,&nbsp;Seán R Millar ,&nbsp;Margaret M Brennan ,&nbsp;Anne Doyle ,&nbsp;Brian Galvin ,&nbsp;Noel McCarthy","doi":"10.1016/j.addbeh.2024.108194","DOIUrl":"10.1016/j.addbeh.2024.108194","url":null,"abstract":"<div><h3>Background</h3><div>Research has demonstrated positive associations between adverse childhood experiences (ACEs) and substance use behaviours in young adults. However, many of these are based on cross-sectional data. The pathway between ACEs and substance misuse among emerging adults is also not fully understood and few studies have investigated potential mediating factors.</div></div><div><h3>Methods</h3><div>We analysed data from the Child Cohort of the Growing Up in Ireland study, a nationally representative longitudinal sample of children recruited at 9 years of age (n = 4,729). Logistic regression was used to examine individual and cumulative ACE exposure relationships with substance use at age 20 years. Mediation analyses were used to assess whether parental and peer relationships and school engagement mediate ACE history associations with substance use behaviours.</div></div><div><h3>Results</h3><div>ACE exposure relationships with current cannabis use, other illicit drug use and problematic drug use were observed. In particular, young adults who had experienced 2 ACEs or 3 + ACEs had an approximate two-fold (OR=1.80, 95 % CI: 1.29, 2.51) and approximate three-fold (OR=2.94, 95 % CI: 2.06, 4.19) increased odds of problematic drug use, respectively, when compared to participants who had experienced no ACEs during the study period. Mediation analyses suggested that parent and peer attachment and liking school partially mediate relationships between ACEs and substance use behaviours.</div></div><div><h3>Conclusions</h3><div>Children who have experienced ACEs are at higher risk of future substance use and problematic drug use. In supporting these children, identified mediators such as interpersonal relationships and school engagement may help guide selection of prevention interventions.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"161 ","pages":"Article 108194"},"PeriodicalIF":3.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cannabis use and associated longitudinal transitions in electronic nicotine delivery systems use among young adults in the United States","authors":"Alexandra Loukas ,&nbsp;C. Nathan Marti ,&nbsp;Melissa B. Harrell ,&nbsp;Keryn E. Pasch ,&nbsp;Anna V. Wilkinson","doi":"10.1016/j.addbeh.2024.108191","DOIUrl":"10.1016/j.addbeh.2024.108191","url":null,"abstract":"<div><h3>Objective</h3><div>Cannabis is increasingly the first substance used by young people and research indicates that cannabis use may precede the onset of tobacco use. Little is known, however, about the role of cannabis use in stages of electronic nicotine delivery systems (ENDS) uptake and progression across young adulthood. This study examined the associations between past 30-day (P30D) cannabis use frequency and transitions in ENDS use among young adults. <em>Methods</em>: 5,018 18–29-year-olds (64.2% female) were recruited from 24 Texas colleges to participate in a multi-wave study across a 4.5-year period from 2014 to 2019. A continuous time, multi-state Markov model was used to assess associations between P30D cannabis use frequency and three ENDS use transitions, spanning at least six months 1) never to P30D use (initiation); 2) P30D to non-P30D use (desistance); and 3) non-P30D to P30D use (re-uptake). The model also included socio-demographic and time-varying intrapersonal (other tobacco use, alcohol use, sensation seeking, depressive symptoms) and interpersonal (peer ENDS use) confounding factors. <em>Results</em>: Past 30-day cannabis use frequency was associated with an increased probability of ENDS initiation and decreased probability of desistance in the model adjusted for socio-demographic and confounding factors. Past 30-day cannabis use frequency was not associated with an increased probability of ENDS re-uptake in the adjusted model. <em>Conclusions</em>: Cannabis use is associated with the uptake and continuation of ENDS use. Findings are concerning given that the most popular ENDS devices used by young adults contain high concentrations of nicotine that increase the risk for nicotine dependence and lifelong use.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"160 ","pages":"Article 108191"},"PeriodicalIF":3.7,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}