Nicotine Dependence and Psychiatric and Substance Use Comorbidities in a Sample of American Indian Male Veterans
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Background American Indians and Alaska Natives have the highest rates of nicotine dependence in the U.S. However, studies analyzing associations between nicotine dependence and psychiatric and substance use disorders in these groups have been limited. Methods This study analyzes the co-occurrence of current and lifetime DSM-III-R nicotine dependence with psychiatric and substance use disorders in a community sample of 480 American Indian male veterans. Results Lifetime nicotine dependence (23.3%) was associated with all lifetime disorders studied, including alcohol use and drug use disorders, affective and anxiety disorders, PTSD, pathological gambling and antisocial personality disorder. Current nicotine dependence was present in 19% of the sample and significantly associated with current affective and gambling disorder. Conclusions Substantial co-morbidity exists between nicotine dependence and other substance abuse and psychiatric disorders among this sample of American Indian male veterans, particularly for lifetime diagnoses. Screening for all psychiatric disorders among American Indian/Alaska Native smokers may be warranted. Although these results are similar to those observed among the general U.S. population, unique risk factors exist among American Indians/Alaska Natives which may require further attention. Specific public health and clinical interventions to reduce the rate of nicotine dependence among American Indians/Alaska Natives are recommended.
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In a study with AIAN veterans, lifetime nicotine dependence was associated with lifetime alcohol use, drug use disorders, mood and anxiety disorders, and antisocial personality disorder.
“Similar findings were obtained in a study with AIAN veterans, where lifetime nicotine dependence was associated with lifetime alcohol use, drug use disorders, mood and anxiety disorders, and antisocial personality disorder [60].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [60]
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- Authors
- Dickerson, D. L., O’Malley, S. S., Canive, J., Thuras, P., & Westermeyer, J.
- Affiliations
- University of California, Los Angeles (US)
- Yale University (US)
- University of Minnesota (US)
- Corresponding author
- Dickerson, Daniel L.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2009-01
- Volume
- 99
- Issue
- 1-3
- Pages
- 169-175
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC2662517
- OpenAlex
- W2060052189
- Cited by
- 34
- References
- 36
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 1 · 2013: 3 · 2012: 4
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (T32AA015496, P50AA015632, T32AA01549602, K05AA014715, P50-AA15632)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Keywords
- nicotine dependence, psychiatric comorbidity, substance use disorders, alcoholism, drug use disorders, mood disorders, anxiety disorders, post-traumatic stress disorder, gambling addiction, antisocial personality disorder, smoking, mental health screening
- MeSH terms
- Adult, Age Factors, Mental Disorders, Data Interpretation, Statistical, Humans, Indians, North American, Male, Middle Aged, Socioeconomic Factors, Tobacco Use Disorder, United States, Veterans, Odds Ratio, Diagnosis, Dual (Psychiatry), Substance-Related Disorders
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