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

Lauren R. Pacek, Beth A. Reboussin, Kerry M. Green, Lareina N. LaFlair, Carla L. Storr, Anika A.H. Alvanzo, Ramin Mojtabai, Bernadette Cullen, Andrea S. Young, Kayla Tormohen, Kira Riehm, Rosa M. Crum

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Article numbere1789
JournalInternational Journal of Methods in Psychiatric Research
Volume28
Issue number3
DOIs
StatePublished - Sep 1 2019

Keywords

  • NESARC
  • alcohol use disorder
  • latent class analysis
  • latent transition analysis
  • tobacco use

ASJC Scopus subject areas

  • Psychiatry and Mental health

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