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Am J Drug Alcohol Abuse. 2017 Mar;43(2):132-145. doi: 10.1080/00952990.2016.1193511. Epub 2016 Aug 5.

The co-occurrence of nicotine and other substance use and addiction among youth and adults in the United States: implications for research, practice, and policy.

Author information

1
a The National Center on Addiction and Substance Abuse , New York , NY , USA.
2
b Department of Community Health and Social Medicine, Sophie Davis Biomedical Education/CUNY School of Medicine , The City College of New York , New York , NY , USA.
3
c Department of Psychiatry , Yale University School of Medicine , New Haven , CT , USA.

Abstract

BACKGROUND:

The increasing popularity of non-cigarette nicotine products, especially among youth, highlights the need for greater attention to their potential risks, including nicotine addiction and other substance use and addiction.

OBJECTIVES:

To examine the extent to which nicotine product use co-occurs with other substance use and addiction among youth and adults, describe the demographic groups and types of nicotine products associated with an increased risk of such co-occurrence, and discuss implications for research, prevention, clinical practice, and policy.

METHODS:

Analyzing 2014 data from two nationally representative US surveys, the National Survey on Drug Use and Health (NSDUH) and the Monitoring the Future (MTF) study, we examined the co-occurrence between nicotine product use and alcohol and other drug use and addiction.

RESULTS:

Individuals of all ages who reported using nicotine products of any kind were significantly more likely than nonusers to report alcohol, marijuana, other drug, and poly-substance use and to meet diagnostic criteria for a substance-use disorder. Users of multiple nicotine products generally were the most likely to engage in alcohol and other drug use and to be addicted to these other substances.

CONCLUSIONS:

The substantial co-occurrence of all forms of nicotine use and other substance use and addiction underscores the need to control the growing use of non-cigarette nicotine products among youth and to incorporate all forms of nicotine product use into substance use and addiction research, prevention, clinical practice, and policy efforts.

KEYWORDS:

Cigarettes; co-occurrence; electronic cigarettes; nicotine; substance use disorders; tobacco

PMID:
27494436
DOI:
10.1080/00952990.2016.1193511
[Indexed for MEDLINE]

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