Developmental patterns of tobacco product and cannabis use initiation in high school.

Addiction
Junhan ChoAdam M Leventhal

Abstract

To identify prototypical developmental patterns of tobacco product and cannabis use and co-use initiation during adolescence, and determine risk factors for and consequences of these initiation patterns. Prospective repeated-measures cohort with eight semi-annual assessments during high school. Multiple-event process survival mixture modeling identified latent initiation classes with distinct patterns of variation in timing of use initiation of tobacco products and cannabis. We then estimated: (1) associations of baseline risk factors with membership in initiation classes and (2) differences between initiation classes in frequency of cannabis and tobacco product use at the final assessment. Ten high schools in the Los Angeles, CA, USA metropolitan area, 2013-17. Students [1031 (45.4%) males; mean (standard deviation) age at baseline = 14.6 (0.39) years] who had never used any tobacco products or cannabis at baseline 9th grade assessment (n = 2272). Self-report measures of electronic cigarette (e-cigarette), combustible cigarette, hookah, cigar/cigarillos and cannabis use were collected at each assessment. Four distinct tobacco and cannabis use initiation classes were identified: (1) early and high-risk cannabis and polytobacco ...Continue Reading

References

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Citations

May 20, 2021·Addictive Behaviors·Afton KechterAdam M Leventhal
Jul 18, 2021·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Mike VuoloBrian C Kelly

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