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Disruptive Symptoms In Childhood And Adolescence And Early Initiation Of Tobacco And Cannabis Use: The Gazel Youth Study

Published online by Cambridge University Press:  16 April 2020

C. Galéra ,
M.-P. Bouvard ,
M. Melchior ,
J.-F. Chastang ,
E. Lagarde ,
G. Michel ,
G. Encrenaz ,
A. Messiah  and
E. Fombonne
C. Galéra*
Affiliation:
University Bordeaux-2, Charles-Perrens Hospital, Child Psychiatry Department, Bordeaux, France Inserm U897, University Bordeaux-2, Équipe prévention et prise en charge des traumatismes, Bordeaux, France
M.-P. Bouvard
Affiliation:
University Bordeaux-2, Charles-Perrens Hospital, Child Psychiatry Department, Bordeaux, France
M. Melchior
Affiliation:
Inserm U687, University Paris XI, IFR69, 94807Villejuif, France
J.-F. Chastang
Affiliation:
Inserm U687, University Paris XI, IFR69, 94807Villejuif, France
E. Lagarde
Affiliation:
Inserm U897, University Bordeaux-2, Équipe prévention et prise en charge des traumatismes, Bordeaux, France
G. Michel
Affiliation:
University Bordeaux-2, Department of Psychology, Bordeaux, France
G. Encrenaz
Affiliation:
Inserm U897, University Bordeaux-2, Équipe prévention et prise en charge des traumatismes, Bordeaux, France
A. Messiah
Affiliation:
Inserm U897, University Bordeaux-2, Équipe prévention et prise en charge des traumatismes, Bordeaux, France
E. Fombonne
Affiliation:
McGill University, Montreal Children's Hospital, Child Psychiatry Department, Montreal, Quebec, Canada
*
*Corresponding author. Tel.: +33556566719. E-mail address: [email protected] (C. Galéra).
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Abstract

Purpose

To examine the link between symptoms of hyperactivity-inattention and conduct disorder in childhood, and the initiation of tobacco and cannabis use, controlling for other behavioral symptoms, temperament and environmental risk factors.

Method

The sample (N = 1107 participants, aged 4 to 18 years at baseline) was recruited from the population-based longitudinal Gazel Youth study with a follow-up assessment 8 years later. Psychopathology, temperament, environmental variables, and initiation of tobacco and cannabis use were self-reported. Event time analyses were performed to assess the effects of childhood disruptive symptoms on age at first use of tobacco and cannabis.

Results

Proportional hazard models revealed that participants with high levels of childhood symptoms of both hyperactivity-inattention and conduct disorder were at highest risk of early tobacco initiation (in males: hazard ratio [HR] = 2.05; confidence interval [CI]: 1.24–3.38; in females: HR = 2.01; CI: 1.31–3.09), and, in males, of early cannabis initiation (HR = 1.95; CI: 1.04–3.64). Temperament, through activity in both males and females and negative emotionality in females, was also associated to early substance use initiation.

Conclusions

Children who simultaneously have high levels of symptoms of hyperactivity-inattention and conduct disorder are at increased risk for early substance initiation. These associations may guide childhood health professionals to consider the liability for early substance initiation in high-risk groups.

Keywords

Attention deficit hyperactivity disorderExternalizing behavior disordersConduct disorderTobaccoMarijuanaEpidemiology
Type
Child and Adolescent Psychiatry
Information
European Psychiatry , Volume 25 , Issue 7 , November 2010 , pp. 402 - 408
Copyright
Copyright © Elsevier Masson SAS 2019

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