274170 Differences between substance abuse clients in treatment with and without history of tobacco use

Monday, October 29, 2012

Larita Webb, MPH , School of Public Health, University of Memphis, Memphis, TN
Satish Kedia, PhD , School of Public Health, University of Memphis, Memphis, TN
George Relyea, MS , School of Public Health, University of Memphis, Memphis, TN
Kenneth Ward, PhD , School of Public Health, University of Memphis, Memphis, TN
Introduction: Evidence from population studies reveals that the typical pattern of progression to regular use of substances consists of use of one or more gateway substances such as tobacco. However, the few studies among problematic drug users have documented significant deviations from this typical pattern of progression. Objective: To determine the prevalence of atypical progression patterns among people with substance use disorders. Design: A convenience sample of 1,179 clients participating in publicly-funded substance abuse treatment facilities in Tennessee provided retrospective self-reports six months after admission to treatment about their tobacco and substance use histories. Measures: Atypical progression was defined as those with substance use disorders that did not use tobacco. Methods: Likelihood of being a typical vs. atypical progressor was analyzed using multivariable logistic regression analysis, controlling for demographic and substance abuse behavioral factors. Results: Eighty-two percent of substance abuse treatment clients were characterized as typical progressors, with 18% characterized as atypical progressors. Being African American was associated with atypical progression. Having a middle or high school-educated compared to college-educated was associated with typical progression meaning having a history of tobacco use that may have led to problematic substances abuse. Age of onset of drug use was marginally associated with typical progression, with age 6-12 initiators being more likely than 18 or older initiators to follow the typical sequence. Conclusions : It is clear that there are certain segments of the population such as African Americans that may progress to problematic use of substances without necessarily using a gateway substance.

Learning Areas:
Planning of health education strategies, interventions, and programs

Learning Objectives:
Identify characteristics associated with the atypical pattern of progression to problematic substance use.

Keywords: Substance Abuse Prevention, Tobacco

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My research interest consist of developing effective substance abuse prevention programs.I have been the co-author on two publications related to co-occuring tobacco and substance use among substance abuse treatment clients.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.