Evidence map›Paper›PMID 28582698›Full record

ArticleDrug and alcohol dependence2017

Co-occurrence of tobacco product use, substance use, and mental health problems among adults: Findings from Wave 1 (2013-2014) of the Population Assessment of Tobacco and Health (PATH) Study.

Kevin P Conway, Victoria R Green, Karin A Kasza, Marushka L Silveira, Nicolette Borek, Heather L Kimmel, James D Sargent, Cassandra Stanton, Elizabeth Lambert, Nahla Hilmi and 6 more

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
12.3field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 211 citations in OpenAlex.

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  9. Trends in cannabis use among those with and without a cancer diagnosis according to state-level cannabis policy: findings from the PATH Study, Waves 1-5 (2013-2019).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  11. Cannabis Use and Subsequent Cigarette Discontinuation Among U.S. Adults in the Population Assessment of Tobacco and Health Study, Waves 1-5.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

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

16 authors at 6 institutions in 1 country.

Kevin P ConwayDivision of Epidemiology, Services, Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, United States. Electronic address: kconway@nida.nih.gov.
Victoria R GreenDivision of Epidemiology, Services, Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, United States; Kelly Government Solutions, Rockville, MD, United States.
Karin A KaszaDepartment of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY, United States.
Marushka L SilveiraDivision of Epidemiology, Services, Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, United States; Kelly Government Solutions, Rockville, MD, United States.
Nicolette BorekOffice of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD, United States.
Heather L KimmelDivision of Epidemiology, Services, Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, United States.
James D SargentC. Everett Koop Institute, Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, United States.
Cassandra StantonWestat, Rockville, MD, United States.
Elizabeth LambertDivision of Epidemiology, Services, Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, United States.
Nahla HilmiDivision of Epidemiology, Services, Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, United States; Kelly Government Solutions, Rockville, MD, United States.
Chad J ReissigOffice of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD, United States.
Kia J JacksonOffice of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD, United States.
Susanne E TanskiC. Everett Koop Institute, Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, United States.
David MaklanWestat, Rockville, MD, United States.
Andrew J HylandDepartment of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY, United States.
Wilson M ComptonDivision of Epidemiology, Services, Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, United States.
National Institutes of Health · USOffice of Science · USKelly Services (United States) · USNational Institute on Drug Abuse · USRoswell Park Comprehensive Cancer Center · USWestat (United States) · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
NCI NIH HHS P30 CA023108NIDA NIH HHS HHSN271201100027C
6 · The paper itself

Abstract

backgroundAlthough non-cigarette tobacco product use is increasing among U.S. adults, their associations with substance use and mental health problems are unclear. This study examined co-occurrence of tobacco use, substance use, and mental health problems, and its moderation by gender, among 32,202U.S. adults from Wave 1 (2013-2014) of the nationally representative longitudinal Population Assessment of Tobacco and Health (PATH) Study.

methodsParticipants self-reported current cigarette, e-cigarette, traditional cigar, cigarillo, filtered cigar, hookah, smokeless tobacco and other tobacco product use; past year alcohol, marijuana, and other drug use; and past year substance use, internalizing and externalizing problems.

resultsCompared to non-current tobacco users, current users were more likely to report alcohol or drug use (adjusted odds ratio (AOR)=2.6; 95% confidence interval (CI): 2.3, 2.9), with the strongest associations observed for cigarillo and hookah users. Across all tobacco product groups, users were more likely to report internalizing (AOR=1.9; 95% CI: 1.7, 2.1), externalizing (AOR=1.6; 95% CI: 1.5, 1.8), and substance use (AOR=3.4; 95% CI: 2.9, 4.1) problems than non-users. Gender moderated many of these associations and, of these, all non-cigarette tobacco product associations were stronger among females.

conclusionsThis nationally representative study of U.S. adults is the first to comprehensively document tobacco use, substance use, and mental health comorbidities across the range of currently available tobacco products, while also demonstrating that female tobacco users are at increased risk for substance use and mental health problems. These findings may point to gender differences in vulnerability and suggest that interventions incorporate gender-specific approaches.

Indexed as

Population SurveillanceAdolescentAdultAgedComorbidityFemaleHumansLongitudinal StudiesMaleMental DisordersMental HealthMiddle AgedSelf ReportSubstance-Related DisordersTobacco ProductsTobacco, SmokelessCannabisComorbidityEpidemiologic studiesGenderMental healthTobacco

Identifiers

PMID28582698
PMCPMC5534376
OpenAlexW2618542833

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.