Publications by authors named "Adam Leventhal"

Background: Tobacco retailer density might influence youth e-cigarette use due to increased access and exposure to point-of-sale marketing. There is a need for longitudinal investigations on the association of tobacco retailer density with youth e-cigarette use, with consideration of contextual factors such as neighbourhood walkability that could enhance retailer exposure.

Methods: Five semi-annual waves (Fall 2021-Fall 2023) of a Southern California school-based cohort of youth who never vaped at baseline (n=3401; mean baseline age=15 years [range=12-17]) were merged with spatial data on tobacco retailers corresponding to each school year.

View Article and Find Full Text PDF

Tobacco use is the leading cause of death globally and in the U.S. After decades of decline, driven by decreases in combusted tobacco use, nicotine product use has increased due to Electronic Nicotine Delivery Systems (ENDS), also known as e-cigarettes or vapes.

View Article and Find Full Text PDF

Introduction: This study examined prospective associations of perceived discrimination experience and past-week alcohol use among U.S. adults.

View Article and Find Full Text PDF

Introduction: This study applied a novel tobacco regulatory science paradigm to characterize inter-product variation in the appeal and sensory features of emerging commercial and therapeutic oral nicotine products (ONPs) among young adults that vape e-cigarettes.

Methods: Twenty-three young adults without ONP experience who use e-cigarettes completed a single-blind, single-visit remote lab study. Participants rated appeal and sensory characteristics during 5-minute standardized self-administrations of 8 ONPs (4 fruit, 4 mint) from various brands (Lucy, Rouge, Solace, Nicorette, On!, Velo).

View Article and Find Full Text PDF

This study explores how discrimination experiences during the COVID-19 pandemic relate to anxiety and depressive symptoms in U.S. adults.

View Article and Find Full Text PDF

Background: Understanding disparities in adolescent cigarette smoking is important for effective prevention.

Methods: We investigated disparities in adolescent smoking based on cumulative reported psychosocial/health risk among respondents ages 12-17 years in the US National Survey of Drug Use and Health from 2002 to 2019. Multivariable regression estimated associations of cumulative risk, survey years, and their interaction predicting past-month and daily smoking.

View Article and Find Full Text PDF
Article Synopsis
  • This study explored how cannabis use affects sleep problems in young adults, particularly considering their mental health status.
  • Conducted in Southern California with 1,926 participants aged 20-23, the research analyzed cannabis use frequency and its correlation to sleep quality over time.
  • Results indicated that frequent cannabis use (≥20 days/month) was linked to worse sleep outcomes, especially for those without anxiety or depression, and highlighted the complex interactions between mental health and sleep issues.
View Article and Find Full Text PDF

Significance: E-cigarettes with candy-themed marketing are implicated in decisions to first try e-cigarettes but have unknown effects on the experience of vaping. We compared adults' perceived appeal and sensory attributes after self-administering flavoured e-cigarettes in experimentally manipulated packaging with candy-themed versus standard marketing. We also assessed effect modification by salt vs free-base nicotine formulation.

View Article and Find Full Text PDF

To inform regulatory policy, this article summarises findings on inhalation facilitation from the ninth report of the WHO Study Group on Tobacco Product Regulation. Some additives counteract the harshness and bitterness of tobacco and nicotine product aerosols, making them easier to inhale. Additives that promote inhalability may perpetuate and increase the use of inhaled tobacco and nicotine products, especially by young people.

View Article and Find Full Text PDF

Obsessive-compulsive symptoms (OCS) increase with age during childhood and adolescence, and subthreshold OCS in childhood associate with a higher probability of obsessive-compulsive disorder (OCD) diagnosis in adulthood. Additionally, average age of onset for OCD is in adolescence, with the majority of OCD cases emerging by early adulthood. Despite these trends, the specific course of OCS development in adolescence is relatively unknown.

View Article and Find Full Text PDF

E-cigarettes with ice flavors, which are products with a cooling agent added to a characterizing flavor (e.g., grape-ice), are widely sold.

View Article and Find Full Text PDF

Objective: To test whether the association between flavor at first vape and continued use is mediated through subjective experience at first vape.

Study Design: In a 2020 cross-sectional survey, 955 young adult ever-vapers recalled their first flavor vaped, subjective experiences at first use, current vaping behavior, nicotine dependence, and quit attempts. A latent class model grouped first-use subjective experiences into classes.

View Article and Find Full Text PDF

Background: We tested whether snus marketing with modified risk tobacco product (MRTP) claims: (a) promotes accurate knowledge about snus's health effects in young adults and (b) encourages use intentions in only those who use combustible tobacco without attracting other young adult populations.

Methods: A randomised between-subjects experiment was embedded in a 2020 web survey of participants from Los Angeles (aged 19-23 years). Participants viewed mass-marketed snus advertising materials with (n=1212) vs without (n=1225) US Food and Drug Administration-authorised MRTP claims.

View Article and Find Full Text PDF

Objective: To estimate the extent to which drinking to cope with the COVID-19 pandemic and experiencing pandemic-related life stressors are associated with alcohol use escalation among young adults.

Methods: Respondents in Los Angeles, CA, USA (N=2,130) completed prospective cohort study surveys before (baseline; October 2018-November 2019; mean age: 19.7[SD=0.

View Article and Find Full Text PDF
Article Synopsis
  • This study explores the link between adolescent cannabis use and the ongoing use of nicotine products, aiming to inform prevention strategies.
  • Researchers analyzed data from 14-17-year-olds in Southern California, focusing on different types of cannabis use (smoking, vaping, edibles) and their effects on nicotine use persistence over a 6-month period.
  • Findings suggest that adolescents who use cannabis are significantly more likely to continue using nicotine products, especially e-cigarettes, while cannabis use did not appear to influence the persistence of combustible tobacco use.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the link between vaping and depression in young adults over several years, using advanced epidemiologic methods on a cohort from California who initially showed no signs of depression.
  • Among 1,806 participants, different patterns of vaping behavior were observed: 8.1% continued vaping, 6.2% quit, and 6.5% started using e-cigarettes, while 79.2% did not use vaping products at all.
  • Findings indicate that those who either consistently avoided vaping or discontinued use had a lower risk of developing clinically significant depressive symptoms compared to those who continued vaping.
View Article and Find Full Text PDF

Intranasal oxytocin (INOT) has received attention as a treatment for substance use disorders including tobacco dependence. However, it is unclear whether INOT-related effects differ by sex and social functioning traits. This study examined the influence of sex and two trait social functioning measures (hostility and rejection sensitivity) on INOT effects on abstinence-related subjective measures and smoking lapse.

View Article and Find Full Text PDF

Objective: Synthetic nicotine (SN) e-cigarettes emerged on the market as an alternative to tobacco-derived nicotine (TDN) vaping products. It is critical to understand the harm perceptions, purchase, and use of SN vs. TDN e-cigarettes.

View Article and Find Full Text PDF

Importance: Gummies, flavored vaping devices, and other cannabis products containing psychoactive hemp-derived Δ8-tetrahydrocannabinol (THC) are increasingly marketed in the US with claims of being federally legal and comparable to marijuana. National data on prevalence and correlates of Δ8-THC use and comparisons to marijuana use among adolescents in the US are lacking.

Objective: To estimate the self-reported prevalence of and sociodemographic and policy factors associated with Δ8-THC and marijuana use among US adolescents in the past 12 months.

View Article and Find Full Text PDF

Objective: After remaining stable for many years, the prevalence of depression among adolescents increased over the past decade, particularly among girls. In this study, we used longitudinal data from a cohort of high school students to characterize sex-specific trajectories of depressive symptoms during this period of increasing prevalence and widening gender gap in adolescent depression.

Method: Using data from the Health and Happiness Cohort, a longitudinal 8-wave study of high school students residing in Los Angeles County from 2013 to 2017 (N = 3,393), we conducted a multiple-group, latent class growth analysis by sex to differentiate developmental trajectories in depressive symptoms scores measured by the Center for Epidemiological Studies- Depression (CES-D) scale (range, 0-60).

View Article and Find Full Text PDF

Background And Objectives: Disposable electronic cigarettes (e-cigarettes) are widely used by adolescents and young adults (AYAs). Whether using disposable devices is associated with future e-cigarette use patterns is unknown but important for informing e-cigarette regulation.

Methods: Prospective longitudinal study combining data from adolescent (14-17 years) and young adult (21-24 years) cohorts from Southern California surveyed at baseline and approximately 8-month follow-up during 2021 to 2022.

View Article and Find Full Text PDF
Article Synopsis
  • - The study analyzes data from the PATH study to explore who uses e-cigarettes with high nicotine concentrations, focusing on both exclusive e-cigarette users and dual users (who also smoke cigarettes).
  • - Findings reveal that 18.3% of exclusive e-cigarette users use high nicotine levels compared to only 8.6% of dual users, with younger adults and never smokers more likely to use these high concentrations.
  • - The research suggests that regulatory measures on high-nicotine e-cigarettes may have a greater negative impact on vulnerable groups (like young adults and non-smoking users) rather than those who might benefit from reduced harm.
View Article and Find Full Text PDF

Introduction: Detailed estimates of disparities in cigarette smoking across single- and multi-race groups and their intersections with ethnicity are lacking. This study estimates the prevalence of self-reported current smoking among intersecting adult race-ethnicity groups in the United States.

Aims And Methods: The analysis uses 2018-2019 data from the Tobacco Use Supplement-Current Population Supplement (TUS-CPS; n = 137 471).

View Article and Find Full Text PDF