Longitudinal Relationship Between Tobacco Product Use and Mental Health in Adolescence and Adulthood
Author : Boram Lee (Researcher on Public Health)
Publisher :
ISBN 13 :
Total Pages : 93 pages
Book Rating : 4.6/5 (781 download)
Book Synopsis Longitudinal Relationship Between Tobacco Product Use and Mental Health in Adolescence and Adulthood by : Boram Lee (Researcher on Public Health)
Download or read book Longitudinal Relationship Between Tobacco Product Use and Mental Health in Adolescence and Adulthood written by Boram Lee (Researcher on Public Health) and published by . This book was released on 2020 with total page 93 pages. Available in PDF, EPUB and Kindle. Book excerpt: This current dissertation consists of two sub-studies that aimed to expand our limited understanding about directionality and mechanisms in the longitudinal association between tobacco use and mental health, using secondary data of a nationally representative sample of adolescents and adults in the United States.Sub-Study 1 aimed 1) to elucidate the temporal order of the longitudinal relationship between different types of tobacco use (i.e., conventional combustible cigarette only use, e-cigarette only use, and dual use of cigarettes and e-cigarettes) and mental health problems, and 2) to examine if the bidirectional relationship differed by the stage of lifespan (i.e., adolescence and adulthood), using Wave 1 to Wave 4 of the Population Assessment of Tobacco and Health. The results from cross-lagged panel models revealed common patterns in the longitudinal relationship between tobacco use and mental health problems: mental health problems increased the risk of subsequent tobacco use where such tobacco use tended to persist over time, which, in turn, further increased the risk of mental health problem. These patterns were consistently observed in both e-cigarette use and conventional cigarette use regardless of age groups. Dual use of conventional cigarettes and e-cigarettes was predictive of subsequent mental health problems among youths but not among adults. The findings of sub-study 1 affirm that those with mental health problems are a high-risk subpopulation for tobacco use across age groups, and that adult dual users have different characteristics compared to youth dual users. Additionally, the findings underscore the need for interventions to raise awareness of negative consequences of tobacco use on mental health.Sub-Study 2 aimed to investigate how the trajectories of smoking behaviors in developmentally important periods (i.e., adolescence and young adulthood) were associated with subsequent mental health, and to test if alcohol and marijuana use in adulthood might mediate the relationship between smoking trajectories and subsequent mental health. Data were drawn from Round 1 to Round 18 of the National Longitudinal Survey of Youth 1997. Group-based multi-trajectory modeling identified seven distinct smoking trajectories based on longitudinal change in multiple indicators of smoking behaviors over 10 years from adolescence to young adulthood. The results from the linear regression model indicated that late-onset moderate smokers, late-onset accelerated smokers, early-onset heavy smokers, and early-onset moderate smokers showed significantly poorer mental health in later adulthood than stable abstainers, even after controlling for baseline mental health condition and covariates. However, the mental health score of quitters in adulthood was not significantly different from that of stable abstainers. Moreover, the results from the joint significance test and causal mediation analysis demonstrated that the use of alcohol and marijuana in adulthood mediated the association between each smoking trajectory and poor mental health. The findings of sub-study 2 suggest that continued smoking, especially early-onset and heavy smoking, from adolescence to young adulthood may have a long-lasting negative impact on mental health, and quitting may mitigate such impact.
