Temporal trends in smoking and nicotine dependence in relation to co-occurring substance use in the United States, 2005-2016.

Autor: Wang Y; Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, MO, United States; Current Institution: Department of Biomedical and Pharmaceutical Sciences, School of Pharmacy, Chapman University, Irvine, CA, United States., Liu Y; Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, United States; Alvin J. Siteman Cancer Center, Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, United States., Waldron M; Department of Counseling and Educational Psychology, School of Education, Indiana University, Bloomington, IN, United States; Midwest Alcoholism Research Center, Washington University School of Medicine, St. Louis, MO, United States., Houston-Ludlam AN; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States., McCutcheon VV; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States., Lynskey MT; Addictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College, London, UK., Madden PAF; Alvin J. Siteman Cancer Center, Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, United States; Midwest Alcoholism Research Center, Washington University School of Medicine, St. Louis, MO, United States; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States., Bucholz KK; Midwest Alcoholism Research Center, Washington University School of Medicine, St. Louis, MO, United States; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States., Heath AC; Alvin J. Siteman Cancer Center, Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, United States; Midwest Alcoholism Research Center, Washington University School of Medicine, St. Louis, MO, United States; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States., Lian M; Division of General Medical Sciences, Department of Medicine, Washington University School of Medicine, St. Louis, MO, United States; Alvin J. Siteman Cancer Center, Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, United States. Electronic address: mlian@wustl.edu.
Jazyk: angličtina
Zdroj: Drug and alcohol dependence [Drug Alcohol Depend] 2021 Sep 01; Vol. 226, pp. 108903. Date of Electronic Publication: 2021 Jul 21.
DOI: 10.1016/j.drugalcdep.2021.108903
Abstrakt: Background: Despite an overall decline in tobacco use in the United States, secular trends of smoking and nicotine dependence with co-occurring substance use are not well characterized.
Methods: We examined self-reported tobacco and other substance use in 22,245 participants age 21-59 in the United States from six waves of the National Health and Nutrition Examination Survey (NHANES). Using Joinpoint regression, we assessed secular trends of smoking and nicotine dependence as a function of co-occurring use of alcohol, prescription opioids, marijuana/hashish, cocaine/heroin/methamphetamine, or other injection drug use. Multivariable logistic regressions were fitted to identify the potential risk factors.
Results: During 2005-2016, the prevalence of current smoking decreased (without co-occurring substance use: 17.0 %-12.7 %; with co-occurring use of one substance: 35.3 % to 24.6 %; with co-occurring use of two or more substances: 53.8 %-42.2 %), and moderate-to-severe nicotine dependence decreased as well (8.0 %-4.2 %, 16.0 %-8.8 %, and 23.9 %-15.7 %, respectively). Smoking and nicotine dependence were more likely in those with co-occurring use of one substance (current smoking: odds ratio [OR] = 2.22, 95 % confidence interval [CI] = 2.01-2.45); nicotine dependence: OR = 1.88, 95 % CI = 1.63-2.17) and in those with co-occurring use of two or more substances (current smoking: OR = 5.25, 95 % CI = 4.63-5.95; nicotine dependence: OR = 3.24, 95 % CI = 2.72-3.87).
Conclusions: Co-occurring substance use was associated with smaller reductions in tobacco use, over time, and with increased odds of nicotine dependence. This suggests that co-occurring substance users should be regarded as a tobacco-related disparity group and prioritized for tobacco control interventions.
(Copyright © 2021 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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