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The Association Between Adolescent Mental Health Symptoms and Characteristics of Cigarette and E-Cigarette Use.

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Title: The Association Between Adolescent Mental Health Symptoms and Characteristics of Cigarette and E-Cigarette Use.
Authors: Hackworth, Emily E. (AUTHOR), Vidaña-Pérez, Dèsirée (AUTHOR), O'Neal, Riley (AUTHOR), Kim, Minji (AUTHOR), Fillo, Jennifer (AUTHOR), Hammond, David (AUTHOR), Thrasher, James F. (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 6, p899-908. 10p.
Subjects: Drug addiction risk factors, Smoking cessation, Risk assessment, Cross-sectional method, Poisson distribution, Secondary analysis, Research funding, Electronic cigarettes, Logistic regression analysis, Internalizing behavior, Anxiety, Descriptive statistics, Intention, Tobacco products, Psychological tests, Data analysis software, Confidence intervals, Mental depression, Adolescence
Geographic Terms: Canada, England, United States
Abstract: Introduction: While there is a bi-directional relationship between internalizing mental health (IMH) symptoms (i.e., symptoms of depression, symptoms of anxiety) and nicotine use, it is unclear how IMH relates to patterns of use. The purpose of this study is to quantitatively examine the relationship between IMH symptoms and indicators of nicotine dependence, quit intentions, and quit attempts among adolescents who use cigarettes and/or e-cigarettes. Methods: Data come from the 2020–2023 waves of the International Tobacco Control (ITC) Adolescents Tobacco and Vaping Survey. The analytic sample for this study includes those reporting past 30-day use of cigarettes and/or e-cigarettes (n = 18,800). We measured indicators of nicotine dependence (i.e., frequency of use, time to first use, and perceived addiction), quit intention, and quit attempt history separately for cigarettes and e-cigarettes. Respondents reported current IMH symptoms (any vs. none). We examined associations between IMH symptoms and all outcomes using regression models, adjusting for dual use, and examining moderation by dual use. Results: IMH symptoms were positively associated with e-cigarette nicotine dependence indicators and intention to quit e-cigarettes. IMH symptoms were positively associated with cigarette nicotine dependence indicators and intention to quit for those reporting dual use of e-cigarettes and cigarettes, but not exclusive cigarette use. IMH symptoms were positively associated with ever having a quit attempt for both products. Conclusions: Findings indicate that IMH symptoms were comorbid with greater dependence on nicotine products, particularly e-cigarettes. Smoking and e-cigarette cessation interventions should consider mental health, though research is needed to understand the directionality of the relationship between IMH symptoms and e-cigarette use. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The Association Between Adolescent Mental Health Symptoms and Characteristics of Cigarette and E-Cigarette Use.
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  Data: <searchLink fieldCode="AR" term="%22Hackworth%2C+Emily+E%2E%22">Hackworth, Emily E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vidaña-Pérez%2C+Dèsirée%22">Vidaña-Pérez, Dèsirée</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Neal%2C+Riley%22">O'Neal, Riley</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Minji%22">Kim, Minji</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fillo%2C+Jennifer%22">Fillo, Jennifer</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hammond%2C+David%22">Hammond, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thrasher%2C+James+F%2E%22">Thrasher, James F.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2026, Vol. 61 Issue 6, p899-908. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Drug+addiction+risk+factors%22">Drug addiction risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+cessation%22">Smoking cessation</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+distribution%22">Poisson distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+cigarettes%22">Electronic cigarettes</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Internalizing+behavior%22">Internalizing behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Intention%22">Intention</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+products%22">Tobacco products</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink><br /><searchLink fieldCode="DE" term="%22England%22">England</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: While there is a bi-directional relationship between internalizing mental health (IMH) symptoms (i.e., symptoms of depression, symptoms of anxiety) and nicotine use, it is unclear how IMH relates to patterns of use. The purpose of this study is to quantitatively examine the relationship between IMH symptoms and indicators of nicotine dependence, quit intentions, and quit attempts among adolescents who use cigarettes and/or e-cigarettes. Methods: Data come from the 2020–2023 waves of the International Tobacco Control (ITC) Adolescents Tobacco and Vaping Survey. The analytic sample for this study includes those reporting past 30-day use of cigarettes and/or e-cigarettes (n = 18,800). We measured indicators of nicotine dependence (i.e., frequency of use, time to first use, and perceived addiction), quit intention, and quit attempt history separately for cigarettes and e-cigarettes. Respondents reported current IMH symptoms (any vs. none). We examined associations between IMH symptoms and all outcomes using regression models, adjusting for dual use, and examining moderation by dual use. Results: IMH symptoms were positively associated with e-cigarette nicotine dependence indicators and intention to quit e-cigarettes. IMH symptoms were positively associated with cigarette nicotine dependence indicators and intention to quit for those reporting dual use of e-cigarettes and cigarettes, but not exclusive cigarette use. IMH symptoms were positively associated with ever having a quit attempt for both products. Conclusions: Findings indicate that IMH symptoms were comorbid with greater dependence on nicotine products, particularly e-cigarettes. Smoking and e-cigarette cessation interventions should consider mental health, though research is needed to understand the directionality of the relationship between IMH symptoms and e-cigarette use. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/10826084.2025.2584705
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 899
    Subjects:
      – SubjectFull: Drug addiction risk factors
        Type: general
      – SubjectFull: Smoking cessation
        Type: general
      – SubjectFull: Risk assessment
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      – SubjectFull: Cross-sectional method
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      – SubjectFull: Poisson distribution
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Electronic cigarettes
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Internalizing behavior
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      – SubjectFull: Anxiety
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Intention
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      – SubjectFull: Tobacco products
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      – SubjectFull: Psychological tests
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Mental depression
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      – SubjectFull: Adolescence
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      – SubjectFull: Canada
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              Text: 2026
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