Cognitive mediators and disparities in the relation between teen depressiveness and smoking.

Ritesh Mistry, Giridhara R Babu, Tanmay Mahapatra, William J McCarthy

Abstract read

In one paragraph

Article in Drug and alcohol dependence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it

0cells of the map it votes in

6citing papers in PubMed

1.2field-weighted citation impact, top 22% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

Application of the Human Well-Being Index to Sensitive Population Divisions: A Children's Well-Being Index Development.Child indicators research · 2018
Article
Co-occurrence of tobacco product use, substance use, and mental health problems among youth: Findings from wave 1 (2013-2014) of the population assessment of tobacco and health (PATH) study.Addictive behaviors · 2018
Article
Risk Factors for Substance Misuse and Adolescents' Symptoms of Depression.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
Article
Psychological and Familial Factors of Depression in Relation to Adolescent Smoking Behavior.Advanced biomedical research · 2017
Article
Alcohol and tobacco use in youth with and without chronic pain.Journal of pediatric psychology · 2015
Article
Complementary and Alternative Medicine Use by Children With Pain in the United States.Academic pediatrics
Article

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Ritesh MistryCenter for Cancer Prevention and Control Research, University of California, Los Angeles, United States; Department of Health Behavior and Health Education, University of Michigan, United States. Electronic address: riteshm@umich.edu.

Giridhara R BabuDepartment of Epidemiology, University of California, Los Angeles, United States; Indian Institute of Public Health-Hyderabad (Bangalore Wing), Public Health Foundation of India, India.

Tanmay MahapatraDepartment of Epidemiology, University of California, Los Angeles, United States.

William J McCarthyCenter for Cancer Prevention and Control Research, University of California, Los Angeles, United States.

University of California, Los Angeles · USMichigan United · US

Funding

NIMHD NIH HHS L60 MD001976

6 · The paper itself

Abstract

backgroundDepressiveness and tobacco use in adolescents are linked, however, there is limited evidence about the cognitive mediators involved and how the role of mediators may differ by gender and racial/ethnic subgroups.

methodsWe used a racially/ethnically diverse population-based cross-sectional sample of middle and high school students (n=24,350). Logistic regression models measured the associations of depressiveness with tobacco smoking status, and whether smoking-related knowledge and attitudes (KA) and smoking refusal self-efficacy (SE) attenuated the associations indicating preliminary evidence of mediation.

resultsDepressiveness was associated with intention to smoke (OR=2.41; 95% CI=2.22, 2.61), experimental smoking (OR=1.93; 95% CI=1.72, 2.17) and established smoking (OR=1.85; 95% CI=1.57, 2.18). The percent attenuation of these associations due to the inclusion of smoking-related KA and smoking refusal SE was 58% for intention to smoke (p<0.001), 68% for experimental smoking (p<0.001) and 86% for established smoking (p<0.001). The association of depressiveness with established smoking did not remain statistically significant (OR=1.16; CI=0.97, 1.40) after including smoking-related KA and smoking refusal SE. Attenuation was more pronounced in males and white students.

conclusionsThe results suggest that smoking-related KA and smoking refusal SE attenuated the relation between depressiveness and smoking, indicating that they may serve as mediators of the link between depressiveness and smoking. Tobacco use prevention programs targeting teens with the aim of increasing anti-smoking KA and smoking refusal SE may benefit from addressing depressiveness, particularly by using gender and racially/ethnically tailored strategies. The cross-sectional nature of the data precludes causal inferences.

Indexed as

AdolescentChildCross-Sectional StudiesDepressive DisorderEducational StatusEthnicityFemaleHealth Knowledge, Attitudes, PracticeHumansMalePeer GroupSex FactorsSmokingUnited StatesAdolescentDepressionGenderMediationRace/ethnicitySmoking

Identifiers

PMID24768409

DOI10.1016/j.drugalcdep.2014.03.022

OpenAlexW1998276737

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.