Increase In Cigarette Use Research Articles

Did the 2016 election cause changes in substance use? An intersectional approach

AbstractThis paper examines the impact of the 2016 election on substance use. One of Donald Trump's major campaign initiatives was to build a wall at the American/Mexican border, and he frequently made negative comments about various underrepresented groups. I hypothesize that this unorthodox rhetoric, coupled with Donald Trump's proposed policies during his campaign, created an exogenous shock of discrimination for women, and ethnic and racial minority groups when he was elected. The Behavioral Risk Factor Surveillance System dataset, which has a variety of health measures and demographic information compiled at the individual level, is utilized to empirically examine the hypothesis. I examine the average treatment effects of the election using a difference‐in‐differences estimation strategy. The results indicate that there has been an increase in cigarette use for Hispanic individuals. These results highlight the impact that discriminatory rhetoric by political leaders and public figures has on marginalized groups within society. Policy implications include new ways to target substance use by targeting discrimination.

Smokers Are More Likely to Smoke More after the COVID-19 California Lockdown Order.

To determine if cigarette smoking, electronic cigarette use, and rate of consumption of these products differed before and after a pandemic lockdown order, two convenience samples of adults in Central California were recruited and surveyed before (March 2020) and after (May 2020) COVID-19 lockdown orders were implemented in California (n = 2571). Multivariable logistic and negative binomial regression models tested the association between adults recruited pre- or post-California lockdown and past month cigarette use, past month electronic cigarette use, past month cigarette consumption, and past month e-cigarette consumption among current users, controlling for demographic differences. Adults pre- and post-lockdown had equal odds of using cigarettes during the past month. Cigarette users who responded post-lockdown had higher cigarette consumption rates compared to cigarette users who responded pre-lockdown (IRR = 1.13, 95% CI = 1.15, 1.23). Adults who responded post-lockdown had lower odds of using electronic cigarettes during the past month compared to participants surveyed before the order (OR = 0.66, 95% CI: 0.55, 0.78). Cigarette users may be using more cigarettes during the state mandated lockdown. Possible causes for this increase in cigarette use may include increased stress, the change in workplace smokefree protections coverage, and increased opportunities for smoking or vaping.

Interparental conflict and long-term adolescent substance use trajectories: The role of adolescent threat appraisals.

Although interparental conflict (IPC) has been linked directly and indirectly (via adolescents' appraisals) with a wide range of adolescent outcomes, little is known about the implications of IPC and related adolescent threat appraisals for substance use. Drawing on the cognitive-contextual framework, we test competing hypotheses about how IPC may impact adolescent substance use outcomes, specifically testing whether (a) threat appraisals are directly related to escalation in alcohol and tobacco use over adolescence, or (b) threat appraisals are indirectly associated with substance use through their impact on adolescent internalizing problems. Family data from 768 2-caregiver families were analyzed for this study. Adolescents (53% female) were followed on 7 occasions starting in the fall of 6th grade (mean age = 11.3 years) through the spring of 11th grade. IPC and family demographic data were collected from parents. Youth provided data on their appraisals of conflict, internalizing problems, and substance use. Using longitudinal growth curve models, findings supported threat appraisals as a direct risk factor for escalating cigarette use, but not escalating alcohol use, during adolescence. In the alcohol trajectory model, IPC was a direct predictor of increases in alcohol use over time. These findings indicate that high levels of threat appraisals are a specific and direct risk for greater increases in cigarette use over the course of adolescence and that IPC confers risk for increasing rates of alcohol use over adolescence. (PsycINFO Database Record

Sex Differences in Childhood Bullying Victimization and Trajectories of Substance Use From Adolescence to Adulthood

Recent research has found that repeated bullying victimization increases the risk of developing several unhealthy habits later in life including periodic substance use. Comparatively less research, however, has examined whether the association between bullying victimization and developmental growth in substance use is different for males and females. The present study addressed this gap in the literature by analyzing data from the National Longitudinal Survey of Youth 1997. Results from a series of sex-specific latent growth curve models reveal that bullied males experience faster increases in cigarette and marijuana use from adolescence to young adulthood compared to non-bullied males, while bullied females experience faster increases in cigarette use compared to non-bullied females. Bullied males also experience slower declines in cigarette and marijuana use from adolescence to middle adulthood, while bullied females experience slower declines in alcohol and cigarette use. Implications of these findings for research on sex differences in bullying victimization and developmental patterns of substance use are discussed.

An exploratory randomized controlled trial of a novel high-school-based smoking cessation intervention for adolescent smokers using abstinence–contingent incentives and cognitive behavioral therapy

BackgroundThere are few effective smoking cessation interventions for adolescent smokers. We developed a novel intervention to motivate tobacco use behavior change by (1) enhancing desire to quit through the use of abstinence–contingent incentives (CM), (2) increasing cessation skills through the use of cognitive behavioral therapy (CBT), and (3) removing cessation barriers through delivery within high schools. MethodsAn exploratory four-week, randomized controlled trial was conducted in Connecticut high schools to dismantle the independent and combined effects of CM and CBT; smokers received CM alone, CBT alone, or CM+CBT. Participants included 82 adolescent smokers seeking smoking cessation treatment. The primary outcome was seven-day end-of-treatment (EOT) point prevalence (PP) abstinence, determined using self-reports confirmed using urine cotinine levels. Secondary outcomes included one-day EOT PP abstinence and cigarette use during treatment and follow up. ResultsAmong participants who initiated treatment (n=72), group differences in seven-day EOT-PP abstinence were observed (χ2=10.48, p<0.01) with higher abstinence in the CM+CBT (36.7%) and CM (36.3%) conditions when compared with CBT (0%). One-day EOT-PP abstinence evidenced similar effects (χ2=10.39, p<0.01; CM+CBT: 43%, CM: 43%, CBT: 4.3%). Survival analyses indicated differences in time to first cigarette during treatment (χ2=8.73, p=0.003; CBT: Day 3, CM: Day 9, CM+CBT: Day 20). At one- and three-month follow ups, while no differences were observed, the CM alone group had the slowest increase in cigarette use. ConclusionsHigh-school, incentive-based smoking cessation interventions produce high rates of short-term abstinence among adolescent smokers; adding cognitive behavioral therapy does not appear to further enhance outcomes.

The Relative Importance of Immigrant Generation for Mexican Americans’ Alcohol and Tobacco Use from Adolescence to Early Adulthood

The rapidly growing Hispanic population in the US may be at-risk for greater substance use according to immigrant generation status. This study utilized latent growth curve analyses to determine whether trajectories of alcohol and cigarette use vary according to immigrant status in a Mexican-heritage sample (n = 1,274) from the National Longitudinal Study of Adolescent Health. Changes in alcohol and cigarette use were estimated over a 13-year span from adolescence (mean age = 15.9) to early adulthood. Alcohol use did not vary significantly by immigrant status. In contrast, third generation youth experienced greater increases in cigarette use over time compared to their second generation peers. Second generation youth also experienced greater acceleration in cigarette use compared to first generation youth. Immigrants who arrived in the US more recently experienced slower acceleration in cigarette use compared to those who have been in the US for longer periods of time.

Tobacco: The growing epidemic in China

Summary China, with 20% of the world's population, produces and consumes about 30% of the world's cigarettes, and already suffers about a million deaths a year from tobacco. This is more than in any other country, and the hazards are expected to increase substantially during the next few decades, over and above the effects of demographic changes, as a delayed effect of the large increase in cigarette use between the 1950s and 1990s and of a further sharp increase in cigarette consumption since 1999. In developed countries cigarette smoking became popular during the first half of the twentieth century, but the main increase in tobacco deaths was not seen until several decades later, during the second half of the century. In the US, mean cigarette consumption per adult in 1910, 1930 and 1950 was 1, 4 and 10 a day, respectively, after which it remained fairly constant for a few decades. As a delayed result of this increase in cigarette smoking, the proportion of all US deaths at ages 35–69 attributed to tobacco rose over the next few decades from ‘‘only'' about 12% in 1950 to 33% in 1990. In Chinese men, the pattern of increase in cigarette smoking that had been seen between 1910 and 1950 in the US was repeated 40years later between 1952 and 1992. In most parts of China women now smoke far less than men. Mean cigarette consumption per Chinese man in 1952, 1972 and 1992 was 1, 4 and 10 per day, respectively, after which it leveled off for a few years, then continued to rise. Nationwide retrospective and prospective studies in China indicate that by 1990 tobacco already caused about 12% of all male deaths at ages 35–69, and by 2030 it will probably cause about one third of them, unless there is widespread cessation among those who already smoke. Although the overall hazard per cigarette smoker may be about the same in China as elsewhere, the chief diseases by which tobacco caused death in the 1990s were very different in China, with about half of the tobacco deaths involving emphysema rather than cardiovascular disease. The patterns of tobacco death also differed between one region and another, and may change substantially over time as a result of changes in diet and other factors. Large prospective epidemiological studies are now in place to monitor the evolution of the growing tobacco epidemic in China and elsewhere over the next few decades.

Environmental tobacco smoke and the epidemic of asthma in children: the role of cigarette use

Asthma is the most common chronic disease affecting youth worldwide. The prevalence of asthma has increased at least 3-fold during the past several decades. The reason for this increase remains unknown. To examine one possible factor that may be affecting the increase in prevalence of asthma among youth. Data on the incidence of asthma among youth were aggregated using the National Health Interview Survey (sample of 4,500 children) and were compared on an ecologic level with data on cigarette consumption in the United States from 1900 to 2003 from the American Lung Association. Our results suggest a parallel increase in the rates of cigarette use among adults and asthma in children. These findings show an increase in cigarette use during the past 4 birth cohorts, with subsequent leveling off at a population level with a progressively more prominent increase in cigarette use among women in the United States. We present one possible factor that may be contributing to the epidemic of childhood asthma. We hypothesize that (1) there has been a marked increase in smoking during the past century, (2) this increase in smoking has resulted in a substantial increase in exposure to environmental tobacco smoke among children, and (3) increased exposure to environmental tobacco smoke has contributed to the increase in childhood asthma. Data on trends in cigarette use among adults and asthma prevalence among children during the past century are presented as ecological evidence in support of this hypothesis. Future studies will be needed to confirm these findings with community-level analyses in a variety of geographic regions.

Probable Cigarette Dependence, PTSD, and Depression after an Urban Disaster: Results from a Population Survey of New York City Residents 4 Months after September 11, 2001

Disaster exposure may exacerbate psychopathology and substance—related disorders. Four months after September 11, 2001, using random—digit dialing to contact a representative sample of adults (N = 2001) living in New York City, we assessed cigarette smoking and symptoms of probable cigarette dependence using measures from the National Survey on Drug Use and Health. A total of 36.8% of smokers reported increased cigarette use; 10.4% of respondents reported three or more symptoms of cigarette dependence and were considered cases of probable cigarette dependence based on DSM—IV criteria. Cases were more likely to report an increase in cigarette use since September 11 than non—cases (69.4% among cases vs. 2.2% among non—cases, p < 0.001). Cases were more likely to have probable posttraumatic stress disorder (PTSD) and depression than non—cases (18.1% vs. 5.7% for PTSD, p < 0.001; 23.6% vs. 6.0% for depression, p < 0.001). Increased cigarette use since September 11 was associated with probable PTSD among cases (23.4% vs. 6.4%, p = 0.011) and non—cases (15.1% vs. 5.5%, p = 0.034) but was associated with probable depression only among cases of probable cigarette dependence (28.3% vs. 13.3%, p = 0.027). This study showed the co—occurrence of probable cigarette dependence with increased cigarette use and the co—occurrence of probable cigarette dependence with probable PTSD and depression after September 11.

Preventing cigarette smoking with youth

A repeated measures, control group design compared skills-building with attitude modification approaches to prevent cigarette smoking of 234 sixth graders. Subjects in a skills-building condition, more than those in an attitude modification condition or in a control condition, had better posttest scores on cognitive and interpersonal precursors of nonsmoking. Greater pretest to posttest changes in cigarette use were reported for attitude modification condition subjects than for skills-building and control condition subjects. Compared with attitude modification and control condition subjects, skills-building condition subjects had lower reported increases in cigarette use from posttest to 6 months and from 6 to 12 months.

Smoking habits in a hospitalized population: 1970-1980.

The smoking habits of 23,953 hospitalized men and women aged 20 to 80, interviewed in nine United States cities between 1970 and 1980, were examined. Comparisons were made of age-adjusted smoking rates in 1970-1975 vs 1976-1980, stratified by sex, race, and educational level. An overall decrease in smoking exposure between the time periods studied was observed: a decline in rates of current cigarette smokers and an increase in use of cigarettes containing less than or equal to 12 mg tar. Nevertheless, among current smokers, there was no reduction in the proportions of those who smoke 31+ cigarettes daily. An enhancing effect of higher education on rates of smoking cessation and use of cigarettes containing less than or equal to 12 mg tar was observed. In both time periods, proportionately more Black than White men were smokers, although the difference was smaller in college educated groups. These findings point up the limited effectiveness of public health education about smoking in lower socioeconomic groups, and suggest that in the future, lung cancer and other diseases for which smoking is a major factor will be increasingly social class related diseases.