Publications by authors named "Stephanie Clendennen"
Introduction: National estimates of tobacco use are reported by racial category after excluding all individuals who identify as Hispanic (e.g., non-Hispanic [NH], Black; NH-White).
View Article and Find Full Text PDFObjective: To characterize and compare transitions in cannabis (THC) vaping by sociodemographic and other risk factors among a diverse cohort of youth and young adults observed between Spring 2019 and Fall 2021.
Methods: We analyzed six (6) waves of panel data from n = 2605 youth transitioning into young adulthood via the Texas Adolescent Tobacco and Marketing Surveillance (TATAMS) system; participants provided N = 13,974 observations (i.e.
Background: Young adults are more vulnerable than older adults to engagement with online tobacco marketing and to the use of electronic nicotine delivery systems (ENDS) products. Our study examined the longitudinal associations between engagement with pro- and anti-tobacco information on social media (SM) and young adults' subsequent onset of symptoms of dependence on ENDS products one year later, which remain unclear.
Methods: Participants were college students in the Marketing and Promotions Across Colleges in Texas study.
Objective: This study examines differences in reasons for e-cigarette, cigarette, and cannabis use across exclusive, dual, co-, and poly co-users.
Methods: Participants were 645 young adults who reported past 30-day (P30D) use of e-cigarettes, cigarettes, or cannabis at wave 14 (Fall, 2021) of the Texas Adolescent Tobacco Marketing and Surveillance System (TATAMS). Exclusive users reported P30D use of one product, dual users reported P30D use of e-cigarettes and cigarettes, co-users reported use of cannabis and one tobacco product, and poly co-users reported P30D use of all three products.
Mental Health Status by Race, Ethnicity and Socioeconomic Status among Young Adults in Texas during COVID-19.
J Racial Ethn Health Disparities
February 2024
Background: Differences in symptoms of depression and anxiety by race/ethnicity and socioeconomic status (SES) among a diverse cohort of young adults during the COVID-19 pandemic (Spring 2020-Fall 2021) have not been examined.
Method: We analyzed four waves of biannual, panel data from n = 2629 emerging adults (16-25 years old) from the Texas Adolescent Tobacco and Marketing Surveillance study (TATAMS). We conducted a series of mixed effects ordinal logistic regression models to compare the independent and joint effects of race/ethnicity and SES on symptoms of (a) depression and (b) anxiety, adjusting for sex, cohort, and time.
Article Synopsis
- The study focused on adapting the Metacognitions about Smoking Questionnaire (MSQ) for adolescent and young adult e-cigarette users, aiming to understand their beliefs about e-cigarette use.
- Data were collected from the Texas Adolescent Tobacco and Marketing Surveillance System (TATAMS) in 2020, with participants evaluating their agreement on 20 e-cigarette-related statements using a four-point scale.
- Results indicated that the adapted MSQ could effectively predict the frequency of e-cigarette use among participants who had used e-cigarettes in the past 30 days.
Purpose: No studies of young adults have compared symptoms of nicotine dependence among exclusive past 30-day (P30D) ENDS users versus exclusive P30D cigarette smokers.
Methods: Participants at Wave 14 (Fall 2021) of The Texas Adolescent and Tobacco Marketing Surveillance System (TATAMS) (n = 2,341; mean age = 20.95 years old) who reported P30D exclusive ENDS use (n = 212) and P30D exclusive cigarette smoking (n = 46).
Background: Previous research has shown important links between anxiety and the use of tobacco and cannabis. However, it remains unclear whether anxiety leads youth to start using tobacco and cannabis at an earlier age.
Methods: Data were drawn from Texas Adolescent Tobacco and Marketing Surveillance System for the years 2019-2021(Waves 9-14).
Background: Studies have demonstrated important associations between depressive symptoms and tobacco and marijuana use. However, to date, it is unknown if depressive symptoms predispose youth to tobacco and marijuana use at earlier ages over time.
Methods: Data from the Texas Adolescent Tobacco and Marketing Surveillance System (TATAMS) for the years 2019-2021 (Waves 9-14) were used.
Introduction: No studies have prospectively explored the association between the use of tobacco or cannabis use and the age of onset of depressive or anxiety symptoms, and no studies have identified the peak ages and ranges of onset of these symptoms among tobacco and/or cannabis users.
Aims And Methods: This is a secondary analysis of Texas Adolescent Tobacco and Marketing Surveillance System data, waves 9-14 (2019-20121). Participants were in 10th grade, 12th grade, and 2 years post-high school (HS) at baseline (wave 9).
Article Synopsis
- This study investigates the link between symptoms of depression, anxiety, and their impact on future e-cigarette use among youth and young adults in Texas.
- Data from an online survey involving over 2,300 participants showed that depressive symptoms and comorbid anxiety significantly predicted future use of e-cigarettes containing nicotine and THC.
- The findings suggest that mental health symptoms could serve as key indicators for potential substance use, highlighting the need for targeted counseling and intervention strategies among at-risk youth.
Introduction: This study examined patterns in mental health symptomatology and smoking and vaping behaviors among youth and young adults over a 1-year period from before to during the first year of the Coronavirus Disease 2019 (COVID-19) pandemic.
Aims And Methods: Participants (n = 2148) were 16-24-year-olds who completed three waves of the Texas Adolescent Tobacco and Marketing Surveillance Study (TATAMS). Descriptive statistics and mixed effects logistic regression models were used to examine changes in anxiety symptoms, depressive symptoms, perceived stress, and cigarette, e-cigarette, and marijuana use from before COVID-19 (fall 2019) to 6-month follow-up (spring 2020) and 12-month follow-up (fall 2020) periods during COVID-19.
Purpose Of Review: The purpose of this review was to describe the state-of-the-literature on research specific to cannabis vaping among youth and young adults.
Recent Findings: Out of 1801 records identified, a total of 202 articles met eligibility criteria for inclusion in this review. Most of this literature (46.
E-cigarettes are the most commonly used tobacco product among youth and young adults in the US. Limited research has examined how stress impacts e-cigarette use among young people. We examine the longitudinal associations between perceived stress scale (PSS) score and e-cigarette use behaviors among a diverse cohort of emerging adults.
View Article and Find Full Text PDFArticle Synopsis
- A study examined the health risks associated with vaping among youth and young adults, categorizing users into four groups: never users, marijuana-only, nicotine-only, and dual users.
- Dual vapers reported the highest average of health symptoms, particularly respiratory and gastrointestinal issues, compared to never users.
- The research emphasizes the need for further studies to understand how vaping-related factors, like flavorings and chemicals, contribute to these health problems.
Introduction: Young people with depression and/or anxiety may self-medicate with tobacco or tobacco with marijuana to reduce their symptoms. This study sought to differentiate between the use of tobacco products as intended and tobacco products modified to accommodate marijuana, and to explore their relationships with symptoms of depression and anxiety among youth and young adults.
Methods: The study is a secondary analysis of Wave 9 (Spring 2019) data from the Texas Adolescent Tobacco and Marketing Surveillance (TATAMS) (n=2439, N=274030).
Background: Research is lacking on the impact of the COVID-19 pandemic on marijuana vaping behaviors; a notable limitation as marijuana vaping has been previously associated with respiratory issues among young people. This qualitative study explored how the COVID-19 pandemic influenced vaping perceptions and behaviors among young adults (18 to 25-year-olds).
Methods: Qualitative interviews were conducted with 50 regular marijuana vapers.
Article Synopsis
- The study investigates how adolescents' perceptions of their parents’ knowledge about their activities influence their likelihood of starting to vape nicotine or cannabis.
- It involved a longitudinal survey conducted over three waves, collecting data from students in grades 8, 10, and 12 across 79 schools in Texas, with nearly 3,200 participants reporting no prior vaping activity.
- Results showed that higher perceived parental knowledge significantly reduced the chances of initiating both nicotine and cannabis vaping over a 12-month period, suggesting that involving parents in prevention strategies could be beneficial.
Article Synopsis
- A study examined how the COVID-19 pandemic affected substance use (marijuana, e-cigarettes, and cigarettes) among 709 youth and young adults in Texas, exploring changes in usage patterns and the role of stress and dependence.
- Results showed that a significant number of participants either sustained or increased their substance use during the pandemic, with those experiencing higher levels of dependence and stress more likely to report increased use.
- The findings suggest that health interventions should focus on addressing both the health risks of these substances and the underlying factors like stress that contribute to increased usage during challenging times.
Objective: To investigate the contexts in which college students use e-cigarettes and marijuana, perceptions about the benefits and harms, and health effects of use.
Participants: College student e-cigarette and marijuana ever users (n = 20; 18-21 years old) from the Texas Adolescent Tobacco and Marketing Surveillance System (TATAMS).
Methods: Participants completed a one-hour long online interview about their experiences using e-cigarettes and marijuana.
Article Synopsis
- The study investigates the link between low positive affect (a measure of mental well-being) and the use of multiple tobacco products among adolescents in Texas over several years, using data from nearly 4,000 students from different grades.
- Results show that lower positive affect is associated with higher risks of using various tobacco products: single-product (1.29 times more likely), dual-product (1.35 times), and poly-tobacco use (1.98 times) relative to not using tobacco at all.
- The findings suggest a strong connection between mental health issues and tobacco use in teens, highlighting the importance of addressing emotional well-being in tobacco prevention programs.
E-cigarette use harms adolescent health, yet it continues to escalate rapidly among teens nationwide. This longitudinal study sought to identify and differentiate between developmental trajectories of past 30-day e-cigarette use with and without marijuana (i.e.
View Article and Find Full Text PDFElectronic nicotine delivery systems (ENDS) products have been marketed heavily on social media throughout the past years, which exerts great influence on young adults' ENDS use. Despite scholars' pioneering efforts in investigating the influence of tobacco and nicotine products marketing on young adults' vaping behavior, scholarly attention has been paid primarily to passive exposure to rather than active engagement with the information on social media. In addition, the majority of existing research has been cross-sectional or focused on the unidirectional path from marketing information to behavior.
View Article and Find Full Text PDFIntroduction: Although emotional symptoms and sensation seeking are recognized as important risk factors for tobacco use among youth and young adults, to date, their joint influence on tobacco use has not been examined.
Methods: Data used in this study are from the Texas Adolescent Tobacco and Marketing Surveillance study, a population-based cohort. At baseline, in 2014, participants were in the 10th grade.