TY  - JOUR
PY  - 2021//
TI  - Longitudinal impact of depressive symptoms and peer tobacco use on the number of tobacco products used by young adults
JO  - International journal of environmental research and public health
A1  - North, Caroline
A1  - Marti, C. Nathan
A1  - Loukas, Alexandra
SP  - e11077
EP  - e11077
VL  - 18
IS  - 21
N2  - We examined the role of depressive symptoms in the longitudinal trajectory of the number of tobacco products used across young adulthood, ages 18-30 years, and whether peer tobacco use exacerbated the effects of the depressive symptoms. Participants were 4534 initially 18-25-year-old young adults in the Marketing and Promotions Across Colleges in Texas project (Project M-PACT), which collected data across a 4.5-year period from 2014 to 2019. Growth curve modeling within an accelerated design was used to test study hypotheses. Elevated depressive symptoms were associated with a greater number of tobacco products used concurrently and at least six months later. The number of tobacco-using peers moderated the association between depressive symptoms and the number of tobacco products trajectory. Young adults with elevated depressive symptoms used a greater number of tobacco products but only when they had a greater number of tobacco-using peers. <br><br>FINDINGS indicate that not all young adults with depressive symptoms use tobacco. Having a greater number of tobacco-using peers may facilitate a context that both models and encourages tobacco use. Therefore, tobacco prevention programs should aim to include peer components, especially for young adults.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph182111077
ID  - ref1
ER  -