ArticleJournal of the American Academy of Child and Adolescent Psychiatry2018
Mental Health Problems and Onset of Tobacco Use Among 12- to 24-Year-Olds in the PATH Study.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 48 papers.
What it found
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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.
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Who cites it
48 citing papers in PubMed, 88 citations in OpenAlex.
- A prospective co-twin control analysis of internalizing and externalizing pathways for alcohol, nicotine, and cannabis use problems from adolescence through adulthood.Psychological medicine · 2026Article
- Early onset of tobacco use behaviour and maintenance of tobacco abstinence: The impact of tobacco user in family.Journal of family medicine and primary care · 2025Article
- Use of Electronic and Conventional Cigarettes and Self-Rated Mental Health in High School Students.Children (Basel, Switzerland) · 2025Article
- Nicotine-Cannabis Transitions and Nicotine Abstinence Among United States Adults.Epidemiology (Cambridge, Mass.) · 2025Article
- Trends in Mental Health Symptoms, Nicotine Product Use, and Their Association Over Time Among Adolescents in Canada, England, and the US: Findings From the ITC Adolescents Tobacco and Vaping Survey, 2020-2023.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Declines in cigarette smoking among US adolescents and young adults: indications of independence from e-cigarette vaping surge.Tobacco control · 2025Article
- Youth Participatory Action Communication Research: A Model for Developing Youth-Driven Health Campaigns.Health communication · 2025Article
- E-cigarette usage and mental health among undergraduate medical and health sciences students.Scientific reports · 2025Article
- The Role of Statistical Power: A Study of Relationship Between Emotional and Conduct Problems, Sociodemographic Factors, and Smoking Behaviours in Large and Small Samples of Latvian Adolescents.Medicina (Kaunas, Lithuania) · 2025Article
- Changes in quality of life and mental health outcomes related to vaping cessation among US adults.Tobacco control · 2025Article
- Protocol for a Cluster Randomized Controlled Trial to Reduce Susceptibility to Tobacco Use Among School Going Adolescents in a South-Indian District-(Project TEACH).Indian journal of psychological medicine · 2025Article
- Patterns and prevalence of depression, tobacco, and caffeine use among university students from different majors in Lebanon: a cross-sectional study.Frontiers in public health · 2025Article
- Racial and Ethnic Disparities in Mental Health Problems and Tobacco and Cannabis Use Among US Emerging Adults.Journal of racial and ethnic health disparities · 2024Article
- Sex differences in the roles of nicotine use and puberty on youth C-reactive protein levels: Effects above and beyond adversity.Brain, behavior, & immunity - health · 2024Article
- Does the time to nicotine dependence vary by internalizing symptoms for young people who use e-cigarettes? An analysis of the Population Assessment of Tobacco and Health (PATH) study, (Waves 1-5; 2013-2019).Addictive behaviors · 2024Article
- Patterns of Tobacco and Cannabis Use Among Sexual Minority Females and Males From PATH Wave 5: The Role of Sociodemographic and Psychosocial Correlates.Substance use & addiction journal · 2024Article
- Tobacco use disorder in patients with other mental disorders: a dual disorder perspective from clinical neuroscience.Frontiers in psychiatry · 2024Review
- Psychological distress and e-cigarette use among young Australians: An exploratory, qualitative study.Tobacco induced diseases · 2024Article
- Cigarette Smoking, Mental Health, Depression, Maryland Behavioral Risk Factor Surveillance System Survey, 2020.Tobacco use insights · 2024Article
- The interaction of e-cigarette use and mental health symptoms on risk of cigarette smoking initiation among young adults in the United States.Addiction (Abingdon, England) · 2023Article
Corrections and comments
- Erratum issuedCorrection.2025
Authors and funding
20 authors at 6 institutions in 1 country.
Funding
Abstract
objectiveTo examine whether mental health problems predict incident use of 12 different tobacco products in a nationally representative sample of youth and young adults.
methodThis study analyzed Wave (W) 1 and W2 data from 10,533 12- to 24-year-old W1 never tobacco users in the Population Assessment of Tobacco and Health (PATH) Study. Self-reported lifetime internalizing and externalizing symptoms were assessed at W1. Past 12-month use of cigarettes, electronic nicotine delivery systems (ENDS), traditional cigars, cigarillos, filtered cigars, pipe, hookah, snus pouches, other smokeless tobacco, bidis and kreteks (youth only), and dissolvable tobacco was assessed at W2.
resultsIn multivariable regression analyses, high-severity W1 internalizing (adjusted odds ratio [AOR] = 1.5, 95% CI = 1.3-1.8) and externalizing (AOR = 1.3, 95% CI = 1.1-1.5) problems predicted W2 onset of any tobacco use compared to no/low/moderate severity. High-severity W1 internalizing problems predicted W2 use onset across most tobacco products. High-severity W1 externalizing problems predicted onset of any tobacco (AOR = 1.6, 95% CI = 1.3-1.8), cigarettes (AOR = 1.4, 95% CI = 1.0-2.0), ENDS (AOR = 1.8, 95% CI = 1.5-2.1), and cigarillos (AOR = 1.5, 95% CI = 1.0-2.1) among youth only.
conclusionInternalizing and externalizing problems predicted onset of any tobacco use. However, findings differed for internalizing and externalizing problems across tobacco products, and by age, gender, and race/ethnicity. In addition to screening for tobacco product use, health care providers should screen for a range of mental health problems as a predictor of tobacco use. Interventions addressing mental health problems may prevent youth from initiating tobacco use.
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Registered trials
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.