Youth tobacco use type and associations with substance use disorders
Article first published online: 22 MAY 2014
© 2014 Society for the Study of Addiction
Volume 109, Issue 8, pages 1371–1380, August 2014
How to Cite
Cavazos-Rehg, P. A., Krauss, M. J., Spitznagel, E. L., Grucza, R. A. and Bierut, L. J. (2014), Youth tobacco use type and associations with substance use disorders. Addiction, 109: 1371–1380. doi: 10.1111/add.12567
- Issue published online: 8 JUL 2014
- Article first published online: 22 MAY 2014
- Accepted manuscript online: 9 APR 2014 07:35AM EST
- Manuscript Accepted: 28 MAR 2014
- Manuscript Revised: 17 JAN 2014
- Manuscript Received: 26 SEP 2013
- National Center for Research Resources (NCRR). Grant Numbers: UL1 RR024992, KL2 RR024994
- National Institutes of Health (NIH). Grant Number: K02DA021237
- Alternative tobacco use;
- poly-tobacco use;
- risk perceptions;
- substance use disorders;
- youth tobacco use
To examine the associations between youth poly-tobacco use and substance use disorders.
Analysis of data from the 2007–11 US National Survey on Drug Use and Health.
Randomly selected, household-dwelling adolescents from the non-institutionalized, civilian population of the United States.
A total of 91 152 adolescents (aged 12–17 years).
Logistic regression models were used to examine the associations between type of tobacco user (non-user, users of alternative tobacco products only, users of cigarettes only and users of cigarettes plus alternative tobacco products) with past year alcohol, marijuana or other illicit drug use disorders, adjusting for demographic and social variables.
Compared with non-users of tobacco, the greatest risk for substance use disorders was among users of cigarettes plus alternative tobacco products [alcohol disorder adjusted odds ratio (aOR) = 18.3, 95% confidence interval (CI) = 16.2–20.6; marijuana disorder aOR = 37.2, 95% CI = 32.5–42.7; other drug disorder aOR = 18.4, 95% CI = 15.4–21.8], followed by users of cigarettes only (alcohol disorder aOR = 9.6, 95% CI = 8.8–10.6; marijuana disorder aOR = 20.4, 95% CI = 18.1–23.0; other drug disorder aOR = 9.4, 95% CI = 7.8–11.4), then users of alternative tobacco products only (alcohol disorder aOR = 8.1, 95% CI = 6.7–9.6; marijuana disorder aOR = 9.2, 95% CI = 7.5–11.4; other drug disorder aOR = 3.2, 95% CI = 2.4–4.3).
Tobacco use in adolescence is associated with higher rates of substance use disorders across all tobacco users, especially among those who use cigarettes plus other tobacco products.