Associations of ADHD Symptoms With Smoking and Alternative Tobacco Product Use Initiation During Adolescence. (2nd January 2018)
- Record Type:
- Journal Article
- Title:
- Associations of ADHD Symptoms With Smoking and Alternative Tobacco Product Use Initiation During Adolescence. (2nd January 2018)
- Main Title:
- Associations of ADHD Symptoms With Smoking and Alternative Tobacco Product Use Initiation During Adolescence
- Authors:
- Goldenson, Nicholas I
Khoddam, Rubin
Stone, Matthew D
Leventhal, Adam M - Abstract:
- Abstract: Objective: Recently, use of alternative tobacco products, such as electronic cigarettes (e-cigarettes) and hookah (water-pipe tobacco), has increased among adolescents. It is unknown whether attention-deficit hyperactivity disorder (ADHD) symptoms are associated with initiation of alternative tobacco product use. Methods: Ninth grade high school students who never used any tobacco product at baseline ( N = 1, 921) participated in a longitudinal survey from 2014 to 2015. Overall symptomatology and inattention (IN) and hyperactivity-impulsivity (HI) ADHD subtypes were assessed at baseline. Past 6-month e-cigarette, hookah, and combustible cigarette use (yes/no) were reported at three semi-annual follow-ups. Repeated measures logistic regression models assessed the association of baseline ADHD symptoms with likelihood of tobacco product initiation across follow-ups. Results: For ADHD main effect estimates, unadjusted odds of reporting e-cigarette, hookah, and combustible cigarette use pooled across follow-up time points were 45%, 33%, and 37% greater, respectively, with each increase in one SD-unit of baseline ADHD symptoms in baseline never-users of tobacco products. ADHD was not associated with hookah or combustible cigarette use after adjusting for other risk factors. After adjustment, e-cigarette use initiation remained associated with overall ADHD (odds ratio, OR [95%confidence interval, 95% CI] = 1.22 [1.04, 1.42]) and HI (OR [95% CI] = 1.26 [1.09, 1.47])Abstract: Objective: Recently, use of alternative tobacco products, such as electronic cigarettes (e-cigarettes) and hookah (water-pipe tobacco), has increased among adolescents. It is unknown whether attention-deficit hyperactivity disorder (ADHD) symptoms are associated with initiation of alternative tobacco product use. Methods: Ninth grade high school students who never used any tobacco product at baseline ( N = 1, 921) participated in a longitudinal survey from 2014 to 2015. Overall symptomatology and inattention (IN) and hyperactivity-impulsivity (HI) ADHD subtypes were assessed at baseline. Past 6-month e-cigarette, hookah, and combustible cigarette use (yes/no) were reported at three semi-annual follow-ups. Repeated measures logistic regression models assessed the association of baseline ADHD symptoms with likelihood of tobacco product initiation across follow-ups. Results: For ADHD main effect estimates, unadjusted odds of reporting e-cigarette, hookah, and combustible cigarette use pooled across follow-up time points were 45%, 33%, and 37% greater, respectively, with each increase in one SD-unit of baseline ADHD symptoms in baseline never-users of tobacco products. ADHD was not associated with hookah or combustible cigarette use after adjusting for other risk factors. After adjustment, e-cigarette use initiation remained associated with overall ADHD (odds ratio, OR [95%confidence interval, 95% CI] = 1.22 [1.04, 1.42]) and HI (OR [95% CI] = 1.26 [1.09, 1.47]) symptoms, but not IN symptoms (OR [95% CI] = 1.13 [0.97, 1.32]). ADHD × Time interactions were not significant, suggesting ADHD increased odds of e-cigarette use initiation but did not alter the shape of use trajectory across follow-up among initiators. Conclusions: Understanding the psychosocial mechanisms underlying the pathway from ADHD to e-cigarette use may advance tobacco product use etiologic theory and prevention practice in the current era in which e-cigarette use is popular among youth. … (more)
- Is Part Of:
- Journal of pediatric psychology. Volume 43:Number 6(2018)
- Journal:
- Journal of pediatric psychology
- Issue:
- Volume 43:Number 6(2018)
- Issue Display:
- Volume 43, Issue 6 (2018)
- Year:
- 2018
- Volume:
- 43
- Issue:
- 6
- Issue Sort Value:
- 2018-0043-0006-0000
- Page Start:
- 613
- Page End:
- 624
- Publication Date:
- 2018-01-02
- Subjects:
- attention -- hyperactivity -- and ADHD -- smoking -- tobacco use
Clinical child psychology -- Periodicals
618.9289005 - Journal URLs:
- http://jpepsy.oxfordjournals.org/ ↗
http://ukcatalogue.oup.com/ ↗ - DOI:
- 10.1093/jpepsy/jsx153 ↗
- Languages:
- English
- ISSNs:
- 0146-8693
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5030.260000
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British Library HMNTS - ELD Digital store - Ingest File:
- 25170.xml