Evidence map›Paper›PMID 38104055›Full record

ArticleSocial psychiatry and psychiatric epidemiology2024

Early-onset alcohol, tobacco, and illicit drug use with age at onset of hypertension: a survival analysis.

Kesheng Wang, Saima Shafique, Nianyang Wang, Suzy Mascaro Walter, Xin Xie, Ubolrat Piamjariyakul, Erin L Winstanley

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Article in Social psychiatry and psychiatric epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Kesheng WangDepartment of Family and Community Health, School of Nursing, Health Sciences Center, West Virginia University, 64 Medical Center Drive, Morgantown, WV, 26506, USA. kesheng.wang@hsc.wvu.edu.ORCID http://orcid.org/0000-0001-7118-3877
Saima ShafiqueDepartment of Family and Community Health, School of Nursing, Health Sciences Center, West Virginia University, 64 Medical Center Drive, Morgantown, WV, 26506, USA.
Nianyang WangDepartment of Health Policy and Management, School of Public Health, University of Maryland, College Park, MD, 20742, USA.
Suzy Mascaro WalterDepartment of Family and Community Health, School of Nursing, Health Sciences Center, West Virginia University, 64 Medical Center Drive, Morgantown, WV, 26506, USA.
Xin XieDepartment of Economics and Finance, College of Business and Technology, East Tennessee State University, Johnson City, TN, 37614, USA.
Ubolrat PiamjariyakulOffice of Research and Scholarly Activities, School of Nursing, Health Sciences Center, West Virginia University, 64 Medical Center Drive, Morgantown, WV, 26506, USA.
Erin L WinstanleyDepartment of Behavioral Medicine and Psychiatry, School of Medicine, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, 26506, USA.
West Virginia University · USEast Tennessee State University · USUniversity of Maryland, College Park · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the associations of age when first substance use and early-onset substance use before age 18 with age at onset (AAO) of hypertension.

methodsThis study included 19,270 individuals with AAO of hypertension from the 2015-2019 National Survey on Drug Use and Health. Age when first use of 10 substance use variables included alcohol, daily cigarettes, cigars, smokeless tobacco, marijuana, cocaine, hallucinogens, lysergic acid diethylamide (LSD), inhalants, and methamphetamine use. The outcome was AAO of hypertension and variable cluster analysis was used to classify the exposures and outcome. Substance use status was classified into three categories: early-onset substance use (first used substance before age 18), late-onset substance use (first used substance after age 18), and never used.

resultsThe mean AAO of hypertension was 42.7 years. Age when first use of 10 substance use variables had significant correlations with AAO of hypertension (all p values < 0.001). Individuals with early-onset alcohol, cigars, smokeless tobacco, marijuana, hallucinogens, inhalants, cocaine, LSD, and methamphetamine use revealed significantly earlier onset of hypertension than those never used. Compared with never used substances, the Cox regression model showed that early-onset alcohol, smokeless tobacco, marijuana, inhalants, and methamphetamine use had an increased risk of AAO of hypertension [hazard ratio (HR) (95%CI) = 1.22 (1.13, 1.31), 1.36 (1.24, 1.49), 1.85 (1.75, 1.95), 1.41 (1.30, 1.52), and 1.27 (1.07,1.50), respectively].

conclusionThese findings suggest that intervention strategies or programs focusing on preventing early-onset substance use before age 18 may delay the onset of adult hypertension.

Indexed as

Age of OnsetHypertensionSubstance-Related DisordersAdolescentAdultAlcohol DrinkingFemaleHealth SurveysHumansMaleMiddle AgedRecreational Drug UseSurvival AnalysisUnited StatesYoung AdultAge at onsetCox regressionEarly-onset substance useHypertensionSurvival analysisVariable cluster analysis

Identifiers

PMID38104055
OpenAlexW4389823004

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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.