Symptoms of Depression and Anxiety and Subsequent Use of Nicotine and THC in Electronic Cigarettes

Bibliographic Data

ID21645009
AuthorsStephanie L Clendennen (0000-0002-3890-9733, University of Texas Health Science Center at Dallas, corresponding author), Jacob Smith (0000-0003-2719-029X, University of Texas Health Science Center at Dallas), Aslesha Sumbe (0000-0002-6623-8543, University of Texas Health Science Center at Dallas), Baojiang Chen (0000-0002-9683-9390, University of Texas Health Science Center at Dallas), Anna V Wilkinson (0000-0002-1805-8863, University of Texas Health Science Center at Dallas), Melissa B Harrell (0000-0003-3285-0870, University of Texas Health Science Center at Dallas)
Year2023
Volume58
Issue5
Pages591-600
Publication date2023-04-16
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2023.2177110
PMID36912516
OpenAlexW4321497099
LanguageEN
Citations received6
References cited58

BACKGROUND: This study examines whether symptoms of depression, anxiety, or comorbid depression and anxiety are associated with future use of nicotine or THC in e-cigarettes. METHODS: Data were from an online survey of youth and young adults in urban areas of Texas with complete data (n = 2,307) in spring 2019 (baseline) and spring 2020 (12-month follow-up). Multivariable logistic regression models examined associations between self-reported symptoms of depression, anxiety, or comorbid depression and anxiety at baseline and past 30-day e-cigarette use with nicotine or THC at 12-month follow-up. Analyses adjusted for baseline demographics and baseline past 30-day e-cigarette, combustible tobacco, marijuana, and alcohol use and stratified by race/ethnicity, gender, grade level, and SES. RESULTS: Participants were 16-23 years old, 58.1% female and 37.9% Hispanic. At baseline, 14.7% reported symptoms of comorbid depression and anxiety, 7.9% depression, and 4.7% anxiety. Prevalence of past 30-day e-cigarette use at 12-month follow-up was 10.4% with nicotine and 10.3% with THC. Symptoms of depression and comorbid depression and anxiety at baseline were significantly associated with both nicotine and THC use in e-cigarettes 12 months later. Symptoms of anxiety were associated with nicotine use in e-cigarettes 12 months later. CONCLUSIONS: Symptoms of anxiety and depression may be important indicators of future nicotine and THC vaping among young people. Clinicians should be aware of groups most at risk who may benefit from substance use counseling and intervention

Anxiety · Electronic cigarette · Nicotine · Nicotine dependence · Psychiatry · Clinical Psychology · Medicine · Nicotinic Acetylcholine Receptors Study · Psychology · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes

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