The association between internalizing and externalizing severity with current use of cigarettes, e-cigarettes, and alcohol in adults: Wave 1 of the Population Assessment of Tobacco and Health (PATH) study. (August 2021)

• Record Type: Journal Article
• Authors: Blondino, Courtney T.; Clifford, James S.; Lu, Juan; Prom-Wormley, Elizabeth C.
• Is Part Of: Addictive behaviors. Volume 119(2021)
• Publication Date: 2021-08
• Subjects: Cigarette -- E-cigarette -- Alcohol -- Nicotine dependence -- Internalizing symptoms -- Externalizing symptoms; Substance abuse -- Periodicals; Alcoholism -- Periodicals; Drug addiction -- Periodicals; Nicotine addiction -- Periodicals; Smoking -- Periodicals; Gambling -- Psychological aspects -- Periodicals; Electronic journals; 362.29
• DOI: 10.1016/j.addbeh.2021.106890
• Languages: English
• ISSNs: 0306-4603

Abstract

Highlights: Internalizing/externalizing severity varies by alcohol, cigarette, E-cigarette use. Cigarette/alcohol use and alcohol-exclusive use is associated with internalizing. E-cigarette/alcohol use is associated with externalizing. Nicotine dependence likely mediates these associations. Abstract: Introduction: Concurrent tobacco/alcohol use is common in adults, and associated with the severity of symptoms experienced by those with mental health disorders. However, few studies have explored this relationship across different combinations of tobacco products [i.e., conventional cigarette (CC) and electronic cigarette (EC)] and alcohol. Methods: Data from the Wave 1 (2013–2014) Population Assessment of Tobacco and Health study were used. A total of 15, 947 adults aged 18 years or older with complete study information were included. Multinomial logistic regression analyses were performed to determine the relationship between lifetime internalizing/externalizing severity and past 30-day use of tobacco and alcohol, adjusting for nicotine dependence (ND), sex, age, race, education, and income. Results: Internalizing severity was more strongly associated with CC and alcohol use (moderate AOR = 1.47, 95% CI = 1.22–1.77; high AOR = 1.29, 95% CI = 1.03–1.61) as well as alcohol-exclusive use (moderate AOR = 1.58, 95% CI = 1.27–1.96; high AOR = 1.31, 95% CI = 1.05–1.64) while externalizing severity was more strongly associated with EC and alcohol use (high AOR = 2.97, 95% CI = 1.84–4.81, moderate AOR = 2.29, 95% CI = 1.53–3.43) when accounting for ND compared to none. The relationship between externalizing severity with EC use was dependent on alcohol being used with EC. Conclusions: The associations between psychopathology (internalizing vs. externalizing severity) varies by different combinations of alcohol, CC, and EC. Further, these relationships may be mediated through ND. Future investigations into the comorbidity between mental disorder symptoms with tobacco and alcohol use should consider use of specific substances as well as their combination.