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Association of adolescent symptoms of depression and anxiety with daily smoking and nicotine dependence in young adulthood : findings from a 10-year longitudinal study
journal contribution
posted on 2010-09-01, 00:00 authored by M McKenzie, Craig OlssonCraig Olsson, A Jorm, Helena RomaniukHelena Romaniuk, G PattonAims To examine the association of adolescent depression and anxiety symptoms with daily smoking and nicotine dependence in young adulthood.
Design A prospective cohort study of adolescent and young adult health (n = 1943). Teen assessments occurred at 6-monthly intervals, with two follow-up assessments in young adulthood (wave 7, 1998; wave 8, 2001–03).
Setting Victoria, Australia.
Participants Students who participated at least once during the first six (adolescent) waves of the cohort study.
Measurements Adolescent depression and anxiety symptomswere assessed using the Revised Clinical Interview Schedule (CIS-R).Young adult tobacco usewas defined as: daily use (6 or 7 days perweek) and dependent use (>4 on the Fagerstrom Test for Nicotine Dependence).
Findings Among adolescent ‘less than daily’ smokers, those with high levels of depression and anxiety symptoms had an increased risk of reporting nicotine dependence in young adulthood [odds ratio (OR) 3.3, 95% confidence interval (CI) 1.2–9.1] compared to young adults who had low levels of adolescent depression and anxiety symptoms, after adjusting for potential confounding factors. Similarly, in the adjusted model (OR 1.9, 95% CI 1.0–3.4), among adolescent ‘daily’ smokers, those with high levels of depression and anxiety symptoms had an almost two-fold increase in the odds of reporting nicotine dependence in young adulthood compared to young adults with low levels of adolescent depression and anxiety symptoms.
Conclusions Adolescent smokerswith depression and anxiety symptoms are at increased risk for nicotine dependence into young adulthood. They warrant vigilance from primary care providers in relation to tobacco use well into adulthood.
Design A prospective cohort study of adolescent and young adult health (n = 1943). Teen assessments occurred at 6-monthly intervals, with two follow-up assessments in young adulthood (wave 7, 1998; wave 8, 2001–03).
Setting Victoria, Australia.
Participants Students who participated at least once during the first six (adolescent) waves of the cohort study.
Measurements Adolescent depression and anxiety symptomswere assessed using the Revised Clinical Interview Schedule (CIS-R).Young adult tobacco usewas defined as: daily use (6 or 7 days perweek) and dependent use (>4 on the Fagerstrom Test for Nicotine Dependence).
Findings Among adolescent ‘less than daily’ smokers, those with high levels of depression and anxiety symptoms had an increased risk of reporting nicotine dependence in young adulthood [odds ratio (OR) 3.3, 95% confidence interval (CI) 1.2–9.1] compared to young adults who had low levels of adolescent depression and anxiety symptoms, after adjusting for potential confounding factors. Similarly, in the adjusted model (OR 1.9, 95% CI 1.0–3.4), among adolescent ‘daily’ smokers, those with high levels of depression and anxiety symptoms had an almost two-fold increase in the odds of reporting nicotine dependence in young adulthood compared to young adults with low levels of adolescent depression and anxiety symptoms.
Conclusions Adolescent smokerswith depression and anxiety symptoms are at increased risk for nicotine dependence into young adulthood. They warrant vigilance from primary care providers in relation to tobacco use well into adulthood.
History
Journal
AddictionVolume
105Issue
9Pagination
1652 - 1659Publisher
Wiley - Blackwell PublishingLocation
Oxford, U. K.Publisher DOI
ISSN
0965-2140eISSN
1360-0443Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2010, The AuthorsUsage metrics
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No categories selectedKeywords
adolescentdaily smokingdepression and anxietylongitudinalnicotine dependenceyoung adultScience & TechnologyLife Sciences & BiomedicineSubstance AbusePsychiatryCIGARETTE-SMOKINGPSYCHIATRIC-DISORDERSMAJOR DEPRESSIONMENTAL-HEALTHSOCIAL-CONSEQUENCESSUBSTANCE USEENVIRONMENTAL-INFLUENCESFAMILIAL FACTORSCANNABIS USEGENOME-WIDE
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