Prospective Association Between Tobacco Use and at-Risk Alcohol Consumption Among Swedish Adolescents: Outlining the Influence of Tobacco Product, Frequency of Use and Gender in the LoRDIA Cohort

Introduction: Tobacco use is not only a major risk factor for morbidity and mortality but also associated with alcohol misuse. While personality traits may be driving this association, the psychoactive component of tobacco, nicotine, may also be a major risk factor. The aim with this study was to fu...

Full description

Saved in:
Bibliographic Details
Main Authors: Johanna Andersson, Kristina Berglund, Robin Irmel, Louise Adermark
Format: Article
Language:English
Published: SAGE Publishing 2024-10-01
Series:Tobacco Use Insights
Online Access:https://doi.org/10.1177/1179173X241298524
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841560274704793600
author Johanna Andersson
Kristina Berglund
Robin Irmel
Louise Adermark
author_facet Johanna Andersson
Kristina Berglund
Robin Irmel
Louise Adermark
author_sort Johanna Andersson
collection DOAJ
description Introduction: Tobacco use is not only a major risk factor for morbidity and mortality but also associated with alcohol misuse. While personality traits may be driving this association, the psychoactive component of tobacco, nicotine, may also be a major risk factor. The aim with this study was to further assess the prospective association between tobacco use and alcohol consumption, with special emphasis on the role of the tobacco product used (cigarettes and Swedish snus), frequency of use, and gender. Methods: Data was extracted from the prospective cohort Longitudinal Research on Development In Adolescence (LoRDIA), following Swedish adolescents over four waves (∼13 to 17 years of age). Tobacco use was reported with respect to product used and frequency of use, while alcohol use was assessed using AUDIT-C, as well as frequency of use within the last year. Results: Use of tobacco, independent of product used and gender, was associated with increased alcohol consumption. High frequency of use and dual use strengthened to association. Individuals initiating tobacco use during the study period progressively increased their frequency of alcohol consumption compared to non-users during consecutive waves. Furthermore, tobacco use was associated with at-risk consumption of alcohol at follow up, even when adjusting for previous alcohol inebriation, socioeconomical factors, gender and novelty seeking. Conclusions: The data presented here suggests that nicotine use during adolescence, and especially dual use, is a major risk factor for future hazardous alcohol intake. This finding is especially important considering the escalated use of nicotine pouches, which in many ways resembles Swedish snus. From a public health perspective, preventive measures and policies designed to counteract all forms of nicotine use among youths is warranted.
format Article
id doaj-art-6fb6af597101420d995f0c8cf059c1c0
institution Kabale University
issn 1179-173X
language English
publishDate 2024-10-01
publisher SAGE Publishing
record_format Article
series Tobacco Use Insights
spelling doaj-art-6fb6af597101420d995f0c8cf059c1c02025-01-04T11:03:19ZengSAGE PublishingTobacco Use Insights1179-173X2024-10-011710.1177/1179173X241298524Prospective Association Between Tobacco Use and at-Risk Alcohol Consumption Among Swedish Adolescents: Outlining the Influence of Tobacco Product, Frequency of Use and Gender in the LoRDIA CohortJohanna AnderssonKristina BerglundRobin IrmelLouise AdermarkIntroduction: Tobacco use is not only a major risk factor for morbidity and mortality but also associated with alcohol misuse. While personality traits may be driving this association, the psychoactive component of tobacco, nicotine, may also be a major risk factor. The aim with this study was to further assess the prospective association between tobacco use and alcohol consumption, with special emphasis on the role of the tobacco product used (cigarettes and Swedish snus), frequency of use, and gender. Methods: Data was extracted from the prospective cohort Longitudinal Research on Development In Adolescence (LoRDIA), following Swedish adolescents over four waves (∼13 to 17 years of age). Tobacco use was reported with respect to product used and frequency of use, while alcohol use was assessed using AUDIT-C, as well as frequency of use within the last year. Results: Use of tobacco, independent of product used and gender, was associated with increased alcohol consumption. High frequency of use and dual use strengthened to association. Individuals initiating tobacco use during the study period progressively increased their frequency of alcohol consumption compared to non-users during consecutive waves. Furthermore, tobacco use was associated with at-risk consumption of alcohol at follow up, even when adjusting for previous alcohol inebriation, socioeconomical factors, gender and novelty seeking. Conclusions: The data presented here suggests that nicotine use during adolescence, and especially dual use, is a major risk factor for future hazardous alcohol intake. This finding is especially important considering the escalated use of nicotine pouches, which in many ways resembles Swedish snus. From a public health perspective, preventive measures and policies designed to counteract all forms of nicotine use among youths is warranted.https://doi.org/10.1177/1179173X241298524
spellingShingle Johanna Andersson
Kristina Berglund
Robin Irmel
Louise Adermark
Prospective Association Between Tobacco Use and at-Risk Alcohol Consumption Among Swedish Adolescents: Outlining the Influence of Tobacco Product, Frequency of Use and Gender in the LoRDIA Cohort
Tobacco Use Insights
title Prospective Association Between Tobacco Use and at-Risk Alcohol Consumption Among Swedish Adolescents: Outlining the Influence of Tobacco Product, Frequency of Use and Gender in the LoRDIA Cohort
title_full Prospective Association Between Tobacco Use and at-Risk Alcohol Consumption Among Swedish Adolescents: Outlining the Influence of Tobacco Product, Frequency of Use and Gender in the LoRDIA Cohort
title_fullStr Prospective Association Between Tobacco Use and at-Risk Alcohol Consumption Among Swedish Adolescents: Outlining the Influence of Tobacco Product, Frequency of Use and Gender in the LoRDIA Cohort
title_full_unstemmed Prospective Association Between Tobacco Use and at-Risk Alcohol Consumption Among Swedish Adolescents: Outlining the Influence of Tobacco Product, Frequency of Use and Gender in the LoRDIA Cohort
title_short Prospective Association Between Tobacco Use and at-Risk Alcohol Consumption Among Swedish Adolescents: Outlining the Influence of Tobacco Product, Frequency of Use and Gender in the LoRDIA Cohort
title_sort prospective association between tobacco use and at risk alcohol consumption among swedish adolescents outlining the influence of tobacco product frequency of use and gender in the lordia cohort
url https://doi.org/10.1177/1179173X241298524
work_keys_str_mv AT johannaandersson prospectiveassociationbetweentobaccouseandatriskalcoholconsumptionamongswedishadolescentsoutliningtheinfluenceoftobaccoproductfrequencyofuseandgenderinthelordiacohort
AT kristinaberglund prospectiveassociationbetweentobaccouseandatriskalcoholconsumptionamongswedishadolescentsoutliningtheinfluenceoftobaccoproductfrequencyofuseandgenderinthelordiacohort
AT robinirmel prospectiveassociationbetweentobaccouseandatriskalcoholconsumptionamongswedishadolescentsoutliningtheinfluenceoftobaccoproductfrequencyofuseandgenderinthelordiacohort
AT louiseadermark prospectiveassociationbetweentobaccouseandatriskalcoholconsumptionamongswedishadolescentsoutliningtheinfluenceoftobaccoproductfrequencyofuseandgenderinthelordiacohort