Understanding Smoking Etiology through TVE Models

Society for Research on Nicotine and Tobacco

March 13, 2012

Understanding is influenced by the view…

Nicotine Dependence Symptoms

… and by the timing of that view

Direction of relationship between smoking and ND?

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7 20 38 75 150

Pro

ba

bil

ity

of

De

pe

nd

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ce

Number of Cigarettes/ Wk

predicted

observed

Dierker et al., 2007, UpTERN data

Relationship between Smoking Quantity and DSM-IV Nicotine Dependence

Methods

Sample: Social-Emotional Contexts of Adolescent Smoking Patterns (SECASP) Study, a longitudinal study of novice adolescent smokers with 6 assessment waves (baseline and 6, 15, 24, and 48 months following baseline).

• Former experimenters (<100 cigarettes/life; no smoking 90 days) • Recent experimenters (<100 cigarettes/life, smoked in 90 days)• Current smokers (>100 cigarettes/life,smoked in past 30 days)

Measures:

Smoking regularity: # days smoked/ past 30.

Smoking/Tobacco exposure: # cigarettes/past 7 days.

Nicotine dependence: Average score on the 10-item adolescent version of the NDSS

Smoking Quantity

Nicotine Dependence

Implications ….

• Intervening on smoking behavior following early exposures with programs that focus on limiting exposure and helping kids to recognize symptoms.

• Low level smokers who have established somewhat more regular patterns will require intervention that addresses symptoms of dependence.

TVE providing an important additional perspective…

Acknowledgements

Arielle Selya, Jennifer Rose, Robin Mermelstein, Don Hedecker, Runze Li and Xianming Tan

Center Grant (NIDA DA010075) awarded to the Methodology Center, Penn State University

P01CA098262 from the National Cancer Institute

R01 DA022313-01A2, R01 DA022313-02S1 and R21DA024260 from the National Institute on Drug Abuse