Racial and Ethnic Disparities in Mental Health Problems and Tobacco and Cannabis Use Among US Emerging Adults.

Autor: Mattingly DT; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA. delvon@umich.edu.; Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY, 40536, USA. delvon@umich.edu.; Center for Health Equity Transformation, University of Kentucky College of Medicine, Lexington, KY, 40536, USA. delvon@umich.edu., Mezuk B; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA., Elliott MR; Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.; Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, 48104, USA., Neighbors HW; Department of Social, Behavioral, and Population Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, 70112, USA., Fleischer NL; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, 48109, USA.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Dec; Vol. 11 (6), pp. 3736-3747. Date of Electronic Publication: 2023 Oct 12.
DOI: 10.1007/s40615-023-01822-z
Abstrakt: Introduction: Mental health problems in emerging adulthood are linked to tobacco and cannabis use, but whether race and ethnicity modifies these associations is unclear.
Methods: We used data from wave 4 of the Population Assessment of Tobacco and Health Study (youth n = 6898, young adult n = 10,304) to conduct latent class analysis (LCA) of six past 30-day tobacco and cannabis use indicators (i.e., cigarettes, electronic nicotine delivery systems (ENDS), cigars, blunts, cannabis vaping, other cannabis). We estimated associations between past 30-day internalizing and externalizing (i.e., low (referent), moderate, high) problems and latent classes of tobacco/cannabis use (vs. never/former use) using adjusted multinomial logistic regression. We explored whether associations varied by race and ethnicity through stratification.
Results: We identified four exclusive use latent classes and two dual/poly use latent classes for both youth and young adult samples. Race/ethnicity-stratified models identified associations between internalizing/externalizing problems and most use classes for Hispanic and non-Hispanic White youth/young adults, with mixed results for non-Hispanic Black youth/young adults. For example, Hispanic (OR: 2.50, 95% CI: 1.09-5.74) and non-Hispanic White (OR: 1.90, 95% CI: 1.18-3.06) youth with high internalizing problems had higher odds of ENDS + cannabis vaping. Externalizing problems were not associated with use among non-Hispanic Black youth while internalizing problems were not associated with use among non-Hispanic Black young adults.
Conclusion: We observed racial/ethnic variation in mental health problems and tobacco and cannabis use. Understanding mental health problem and tobacco product and cannabis use comorbidity may better inform culturally relevant interventions aimed to prevent and reduce use.
Competing Interests: Declarations Disclaimer The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Competing Interests The authors declare no competing interests.
(© 2023. W. Montague Cobb-NMA Health Institute.)
Databáze: MEDLINE
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