Smoking, drugs, and other behavioral health problems among multiethnic adolescents in the NHSDA
Abstract
Data from the NHSDA (2000) which contained screening measures for assessing risk for DSM-IV psychiatric disorders, were used to estimate smoking prevalence and its association with these disorders, among European American, Hispanic, and African American adolescents. Prevalence estimates, odds ratios, and hazard models were used to compare ethnic subgroups. European American and Hispanic adolescents born in the U.S. had a higher prevalence of smoking and DSM-IV tobacco dependence, and girls were higher than boys. Lifetime smokers had statistically significant odds ratios for anxiety, affective, substance use, and any behavior disorder, while Current smokers had a similar risk pattern except anxiety disorder. The increased risk for substance use disorder among smokers was notably higher. A hazard analysis showed that early onset of smoking (before 12 years) was related to earlier illicit drug use initiation as contrasted with later onset (12 years +), and non-smoking sharply reduced risk and delayed initiation into drug use. African American and Hispanic immigrants had lower risk of smoking initiation and tobacco dependence, however, ethnic group adolescents who initiated smoking shared increased risk of addictive and non-addictive disorders.
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Studies have found increased rates of substance use among Latino youth with higher levels of acculturation.
“Studies have found increased rates of substance use among Latino youth with higher levels of acculturation (De La Rosa, 2002; Vega et al., 2007).”
From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Vega et al., 2007
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- Authors
- Vega, W. A., Chen, K. W., & Williams, J.
- Corresponding author
- Vega, William A.
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 32
- Issue
- 9
- Pages
- 1949-1956
- ISSN
- 0306-4603 (ISSN-L)
- OpenAlex
- W2010605057
- Cited by
- 82
- References
- 14
- Citations by year
- 2021: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 38 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 6
- FWCI
- 3.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- adolescent smoking, tobacco dependence, substance use disorders, illicit drug use, mental illness, anxiety disorders, mood disorders, behavior disorders, ethnic differences, Latino youth, African American adolescents, European American adolescents, migrant youth, sex differences
- MeSH terms
- Adolescent, Mental Disorders, Child, Ethnicity, Female, Humans, Male, Surveys and Questionnaires, Smoking, Prevalence, Age Distribution, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders
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