Current tobacco use, nicotine dependence, and transitions across stages of alcohol involvement: A latent transition analysis approach.

Published online

Journal Article

OBJECTIVES: This study aims to examine the (a) probability of transition between stages of alcohol involvement and (b) influence of tobacco use and nicotine dependence on transitions. METHODS: Data came from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Latent transition analysis estimated the probability of transitioning between stages of alcohol involvement across waves and the impact of tobacco use and nicotine dependence at Wave 1 on transitions. RESULTS: Males reporting current tobacco use but no dependence at Wave 1 were more likely to progress from No Problems to Moderate Problems (adjusted odds ratio [aOR] = 1.79; 95% confidence interval [CI] [1.44, 2.22]) and from No Problems to Severe Problems (aOR = 2.44; 95% CI [1.25, 4.77]) than nontobacco users. Females reporting current tobacco use but no dependence were more likely to progress from No Problems to Moderate Problems (aOR = 2.00; 95% CI [1.37, 2.94]) and from No Problems to Severe Problems (aOR = 2.87; 95% CI [1.34, 6.13]). Females reporting current tobacco use and dependence were more likely than females not using tobacco to transition from Moderate to No Problems (aOR = 2.10; 95% CI [1.04, 4.22]). CONCLUSIONS: Results suggest that tobacco use is a preceding correlate of progression in alcohol involvement among males and females. Among females, tobacco use and nicotine dependence are also related to alcohol involvement recovery.

Full Text

Duke Authors

Cited Authors

  • Pacek, LR; Reboussin, BA; Green, KM; LaFlair, LN; Storr, CL; Alvanzo, AAH; Mojtabai, R; Cullen, B; Young, AS; Tormohen, K; Riehm, K; Crum, RM

Published Date

  • May 29, 2019

Published In

Start / End Page

  • e1789 -

PubMed ID

  • 31141253

Pubmed Central ID

  • 31141253

Electronic International Standard Serial Number (EISSN)

  • 1557-0657

Digital Object Identifier (DOI)

  • 10.1002/mpr.1789

Language

  • eng

Conference Location

  • United States