Open AccessCurrent tobacco use, nicotine dependence, and transitions across stages of alcohol involvement: A latent transition analysis approach
Author(s) -
Pacek Lauren R.,
Reboussin Beth A.,
Green Kerry M.,
LaFlair Larei.,
Storr Carla L.,
Alvanzo Anika A.H.,
Mojtabai Ramin,
Cullen Bernadette,
Young Andrea S.,
Tormohen Kayla,
Riehm Kira,
Crum Rosa M.
Publication year - 2019
Publication title -
international journal of methods in psychiatric research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.275
H-Index - 73
eISSN - 1557-0657
pISSN - 1049-8931
DOI - 10.1002/mpr.1789
Subject(s) - odds ratio , confidence interval , alcohol , nicotine , nicotine dependence , tobacco use , medicine , alcohol dependence , demography , odds , psychology , environmental health , psychiatry , logistic regression , chemistry , population , biochemistry , sociology
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.