The association between internalizing and externalizing severity with current use of cigarettes, e-cigarettes, and alcohol in adults: Wave 1 of the Population Assessment of Tobacco and Health (PATH) study.
The association between internalizing and externalizing severity with current use of cigarettes, e-cigarettes, and alcohol in adults: Wave 1 of the Population Assessment of Tobacco and Health (PATH) study.
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DOI：
10.1016/j.addbeh.2021.106890
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发表时间：
2021-08
影响因子：
4.4
通讯作者：
Prom-Wormley, Elizabeth C.
中科院分区：
文献类型：
--
作者：
Blondino, Courtney T.;Clifford, James S.;Lu, Juan;Prom-Wormley, Elizabeth C.
同时使用烟草/酒精在成年人中很常见，并且与精神健康障碍患者所经历的症状的严重程度有关。然而，很少有研究探讨烟草制品[即传统香烟（CC）和电子烟（EC）]和酒精的不同组合之间的这种关系。数据来自第1波（2013-2014）烟草与健康人口评估研究。共有15947名18岁或以上的成年人参与了这项研究，他们有完整的研究信息。在调整尼古丁依赖（ND）、性别、年龄、种族、教育程度和收入等因素后，进行多项逻辑回归分析，以确定终生内化/外化严重程度与过去30天烟酒使用之间的关系。内化程度更加强烈与CC和饮酒(温和的AOR = 1.47, 95% CI = 1.22 -1.77;高AOR = 1.29, 95% CI = 1.03 - -1.61)以及alcohol-exclusive使用(温和的AOR = 1.58, 95% CI = 1.27 -1.96;高AOR = 1.31, 95% CI = 1.05 - -1.64)在外化严重性更强烈与EC和饮酒(高AOR = 2.97, 95% CI -4.81 = 1.84,温和的AOR = 2.29, 95% CI = 1.53 - -3.43)当占ND相比没有。外化严重程度与EC使用之间的关系依赖于酒精与EC的使用。精神病理学之间的关联（内化与外化严重程度）因酒精、CC和EC的不同组合而异。此外，这些关系可能通过ND介导。今后对精神障碍症状与烟草和酒精使用之间的共病的调查应考虑具体物质的使用及其组合。
Concurrent tobacco/alcohol use is common in adults, and associated with the severity of symptoms experienced by those with mental health disorders. However, few studies have explored this relationship across different combinations of tobacco products [i.e., conventional cigarette (CC) and electronic cigarette (EC)] and alcohol. Data from the Wave 1 (2013–2014) Population Assessment of Tobacco and Health study were used. A total of 15,947 adults aged 18 years or older with complete study information were included. Multinomial logistic regression analyses were performed to determine the relationship between lifetime internalizing/externalizing severity and past 30-day use of tobacco and alcohol, adjusting for nicotine dependence (ND), sex, age, race, education, and income. Internalizing severity was more strongly associated with CC and alcohol use (moderate AOR = 1.47, 95% CI = 1.22–1.77; high AOR = 1.29, 95% CI = 1.03–1.61) as well as alcohol-exclusive use (moderate AOR = 1.58, 95% CI = 1.27–1.96; high AOR = 1.31, 95% CI = 1.05–1.64) while externalizing severity was more strongly associated with EC and alcohol use (high AOR = 2.97, 95% CI = 1.84–4.81, moderate AOR = 2.29, 95% CI = 1.53–3.43) when accounting for ND compared to none. The relationship between externalizing severity with EC use was dependent on alcohol being used with EC. The associations between psychopathology (internalizing vs. externalizing severity) varies by different combinations of alcohol, CC, and EC. Further, these relationships may be mediated through ND. Future investigations into the comorbidity between mental disorder symptoms with tobacco and alcohol use should consider use of specific substances as well as their combination.
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影响因子：
2.3
作者：
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通讯作者：
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影响因子：
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通讯作者：
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影响因子：
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作者：
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