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Published on: November 21, 2013
Attention deficit hyperactivity disorder symptoms predict nicotine dependence and progression to regular smoking from
Bernard F Fuemmeler1, Scott H Kollins, F Joseph McClernon
1Community and Family Medicine, University Medical Center, Duke University Medical Center, USA. Bernard.fuemmeler@duke.edu
Objective:
To examine the association between retrospectively reported attention deficit hyperactivity disorder (ADHD) symptoms and progression to smoking and the association with nicotine dependence.
Methods:
Study sample consisted of a nationally representative cohort of U.S. adolescents (n = 13,494). Logistic regression was used to examine ADHD symptoms from both the inattentive (IN) and hyperactive-impulsive (HI) domains and smoking trajectories. Linear regression was used to examine nicotine dependence.
Results:
HI symptoms were associated with progression from nonsmoking to regular smoking (OR = 1.14, 95% CI = 1.07-1.21), and with progression from experimentation to regular smoking (OR = 1.16, 95% CI = 1.08-1.26). IN and HI symptoms were associated with nicotine dependence among current smokers (IN: beta = 0.17, SE = 0.03, p < 0.0001; HI: beta = 0.10, SE = 0.04., p < .001).
Conclusions:
These results have important implications for the development of prevention and treatment modalities.
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