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Articles   |    
Trends in the Prevalence of Tobacco Use in the United States, 1991–1992 to 2004–2005
Roberto Secades-Villa, Ph.D.; Mark Olfson, M.D., M.P.H.; Mayumi Okuda, M.D.; Natalie Velasquez, B.S.; Gabriela Pérez-Fuentes, Ph.D.; Shan-Min Liu, M.S.; Carlos Blanco, M.D., Ph.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.002852012
View Author and Article Information

Dr. Secades-Villa is affiliated with the Department of Psychology, University of Oviedo, Plaza Feijoo, Oviedo, Asturias 33003, Spain (e-mail: secades@uniovi.es).
The other authors are with the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City.
Dr. Olfson, Dr. Okuda, Ms. Velasquez, and Dr. Pérez-Fuentes are also with the New York State Psychiatric Institute, New York City.

Copyright © 2013 by the American Psychiatric Association

Abstract

Objective  This study examined changes in the prevalence of daily tobacco use in the United States between 1991–1992 and 2004–2005 by sociodemographic characteristics and psychiatric disorders.

Methods  Secondary analyses were performed using data from the National Longitudinal Alcohol Epidemiologic Survey, conducted in 1991–1992 (N=41,612), and wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, conducted in 2004–2005 (N=34,653).

Results  Although the overall prevalence of past-year daily tobacco use decreased significantly, the reduction was not uniform across all segments of the population. In both surveys, past-year daily tobacco use was higher among respondents with a drug use disorder, an alcohol use disorder, and major depressive disorder and among individuals from socioeconomically disadvantaged groups. Declines in use were slower among individuals with a lifetime alcohol use disorder or major depressive disorder. The prevalence of past-year daily tobacco use did not decrease among Native Americans.

Conclusions  Individuals with substance use disorders or major depressive disorder and Native Americans reported higher rates of past-year daily tobacco use than the general population. These findings suggest the need to emphasize specific interventions for these groups.

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Table 1Respondents reporting past-year daily tobacco use in the NLAES and NESARC wave 2, by sociodemographic and clinical characteristicsa
Table Footer Note

a NLAES, National Longitudinal Alcohol Epidemiologic Survey, conducted in 1991–1992; NESARC, National Epidemiologic Survey on Alcohol and Related Conditions, conducted in 2001–2002 with a follow-up (wave 2) in 2004–2005.

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Table 2Logistic regression analyses of predictors of past-year daily tobacco use among respondents in the NLAES and the NESARC wave 2a
Table Footer Note

a NLAES, National Longitudinal Alcohol Epidemiologic Survey, conducted in 1991–1992; NESARC, National Epidemiologic Survey on Alcohol and Related Conditions, conducted in 2001–2002 with a follow-up (wave 2) in 2004–2005

Table Footer Note

b NLAES is the reference group for the time component of the interaction.

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