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)

•Time to first cravings did not differ by internalizing symptoms among young people.•Time to first really needing to use did not differ by internalizing symptoms.•Time to first use within 30 min did not differ by internalizing symptoms. To determine the relationship between past-year internalizing s...

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Veröffentlicht in:Addictive behaviors 2024-09, Vol.156, p.108075, Article 108075
Hauptverfasser: Adjei, Abigail, Wilkinson, Anna V., Chen, Baojiang, Mantey, Dale S., Harrell, Melissa B.
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container_start_page 108075
container_title Addictive behaviors
container_volume 156
creator Adjei, Abigail
Wilkinson, Anna V.
Chen, Baojiang
Mantey, Dale S.
Harrell, Melissa B.
description •Time to first cravings did not differ by internalizing symptoms among young people.•Time to first really needing to use did not differ by internalizing symptoms.•Time to first use within 30 min did not differ by internalizing symptoms. To determine the relationship between past-year internalizing symptoms and the time to first report of signs of nicotine dependence among young people. 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. 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. 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.
doi_str_mv 10.1016/j.addbeh.2024.108075
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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. 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 &gt; 156 weeks (AHR = 0.41; 95 % CI = 0.04–4.67) respectively. Past year internalizing symptoms did not modify the time to the first report of nicotine dependence among youth with P30D e-cigarette use. 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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. 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 &gt; 156 weeks (AHR = 0.41; 95 % CI = 0.04–4.67) respectively. Past year internalizing symptoms did not modify the time to the first report of nicotine dependence among youth with P30D e-cigarette use. 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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. 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 &gt; 156 weeks (AHR = 0.41; 95 % CI = 0.04–4.67) respectively. 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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38810488</pmid><doi>10.1016/j.addbeh.2024.108075</doi><orcidid>https://orcid.org/0000-0003-1759-301X</orcidid></addata></record>
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subjects Adolescent
Anxiety - epidemiology
Anxiety - psychology
Child
Craving
Depression - epidemiology
Depression - psychology
E-cigarette use
Electronic Nicotine Delivery Systems - statistics & numerical data
Female
Humans
Internalizing symptoms
Male
Nationally representative
Nicotine dependence
Proportional Hazards Models
Time Factors
Tobacco Use Disorder - epidemiology
Tobacco Use Disorder - psychology
United States - epidemiology
Vaping - epidemiology
Vaping - psychology
Young Adult
Young people
title 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)
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