Trends in Mental Health Symptoms, Nicotine Product Use, and Their Association Over Time Among Adolescents in Canada, England, and the US: Findings From the ITC Adolescents Tobacco and Vaping Survey, 2020-2023.

ABSTRACT:

Introduction

There is a well-established bidirectional relationship between cigarette smoking and internalizing mental health (IMH) symptoms (eg, symptoms of depression, symptoms of anxiety). However, it is unclear whether IMH symptoms are associated with using different types or combinations of nicotine products (eg, combustible, noncombustible, exclusive product use, or multi-product use). The purpose of this study is to improve our understanding of the relationship between adolescent IMH symptoms and use of a wide variety of nicotine products by examining the association between IMH symptoms and current nicotine use from 2020 to 2023.

Aims and methods

Data come from the 2020 to 2023 waves of the International Tobacco Control (ITC) Adolescents Tobacco and Vaping Survey, an

SUBMITTER: Hackworth EE 

PROVIDER: S-EPMC12187464 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature