ArticleJournal of studies on alcohol and drugs2024
It's Not Just Black and White: Identifying the Combined Influence of Multilevel Determinants of Tobacco Use Among Black Adolescents.
Article in Journal of studies on alcohol and drugs, 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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Abstract
objectiveBlack individuals are disproportionately affected by tobacco-related illnesses. Although tobacco use is often initiated in adolescence and risk factors thereof originate from multiple domains of influence, investigations of tobacco use among Black adolescents seldom consider these domains simultaneously. These examinations are needed to identify the impact of co-occurring risk factors on tobacco use and inform comprehensive tobacco prevention and treatment programs. Our study sought to identify the combined influence of factors across multiple domains on tobacco use among Black adolescents.
methodParticipants were non-Hispanic Black (
resultsFour latent classes were identified. According to item response probabilities, they were named low risk (LR; 36.5%), low psychological (LP; 19.0%), high psychological (HP; 30.4%), and high social, psychological, and behavioral (HSPB; 14.1%) risk. The odds of ever and current tobacco use were highest among adolescents in the HSPB latent class compared with the other latent classes (odds ratio = 6.5 to 42.1).
conclusionsAdolescents with the highest odds of tobacco use endorse multiple risks including feeling distress, perceiving tobacco as beneficial for handling stress, and using substances, and may prioritize the management of negative emotions over perceived health consequences from tobacco use. Multilevel interventions that incorporate the development of coping strategies for effectively handling negative affect may prove highly effective in preventing tobacco use among Black adolescents.
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