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Article Open Access August 29, 2024

Adversities Mediate Social Determinants of Youth Tobacco Use Initiation

Shervin Assari 1, 2, 3, 4,*, Payam Sheikhattari 5, 6 and Hossein Zare 7, 8
1
Department of Internal Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
2
Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
3
Department of Urban Public Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
4
Marginalization-Related Diminished Returns (MDRs) Center, Los Angeles, CA, United States
5
Center for Urban Health Disparities Research and Innovation, Morgan State University, Baltimore, MD, USA
6
The Prevention Sciences Research Center, School of Community Health and Policy, Morgan State University, Baltimore, MD, USA;Department of Behavioral Health Science, School of Community Health and Policy, Morgan State University, Baltimore, MD, USA
7
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
8
School of Business, University of Maryland Global Campus (UMGC), College Park, MD, United States
Publihed in: Current Research in Public Health (Volume 4, Issue 1, 2024)
Page(s): 15-26
DOI: 10.31586/jbls.2024.1039
Received
June 22, 2024
Revised
July 24, 2024
Accepted
August 22, 2024
Published
August 29, 2024
Keywords
: Social Determinants of Health; Youth Tobacco Use; Adversities; Mediation; Parental Education; Household Income; Neighborhood Income; Family Structure; Perceived Discrimination; Life Trauma; Financial Strain
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright: Copyright © The Author(s), 2024. Published by Scientific Publications
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APA Style
Assari, S. , Sheikhattari, P. , & Zare, H. (2024). Adversities Mediate Social Determinants of Youth Tobacco Use Initiation. Current Research in Public Health, 4(1), 15-26. https://doi.org/10.31586/jbls.2024.1039
ACS Style
Assari, S. ; Sheikhattari, P. ; Zare, H. Adversities Mediate Social Determinants of Youth Tobacco Use Initiation. Current Research in Public Health 2024 4(1), 15-26. https://doi.org/10.31586/jbls.2024.1039
Chicago/Turabian Style
Assari, Shervin, Payam Sheikhattari, and Hossein Zare. 2024. "Adversities Mediate Social Determinants of Youth Tobacco Use Initiation". Current Research in Public Health 4, no. 1: 15-26. https://doi.org/10.31586/jbls.2024.1039
AMA Style
Assari S, Sheikhattari P, Zare H. Adversities Mediate Social Determinants of Youth Tobacco Use Initiation. Current Research in Public Health. 2024; 4(1):15-26. https://doi.org/10.31586/jbls.2024.1039 
@Article{crph1039,
AUTHOR = {Assari, Shervin and Sheikhattari, Payam and Zare, Hossein},
TITLE = {Adversities Mediate Social Determinants of Youth Tobacco Use Initiation},
JOURNAL = {Current Research in Public Health},
VOLUME = {4},
YEAR = {2024},
NUMBER = {1},
PAGES = {15-26},
URL = {https://www.scipublications.com/journal/index.php/JBLS/article/view/1039},
ISSN = {2831-5162},
DOI = {10.31586/jbls.2024.1039},
ABSTRACT = {Background: Social determinants of health (SDOH) significantly influence health behaviors, including tobacco use among youth. Adversities such as perceived discrimination, perceived neighborhood stress, life trauma, and financial strain are stressors that may mediate the relationship between various SDOH and youth tobacco use. This study aims to investigate whether multidimensional adversities mediate the effects of SDOH on tobacco use among youth. Methods: Data from the Adolescent Brain Cognitive Development (ABCD) study were used to test our hypotheses. The sample included a diverse cohort of youth aged 9-10 years old followed until they were 15-16 years old. We examined the effects of baseline parental education, household income, neighborhood income, and family structure on subsequent youth tobacco use. Structural equation models were used to test if adversities (perceived discrimination, life trauma, financial strain) operate as potential mediators. Results: All ABCD participants were eligible for our analysis, regardless of race, ethnicity, or SDOHs (n = 11,878). The findings indicated that the effects of parental education, household income, neighborhood income, and family structure on youth tobacco use were partially mediated by adversities. Higher levels of parental education and household income were associated with lower tobacco use, and this relationship was weakened when accounting for adversities. Similarly, stable family structures and higher neighborhood income were linked to reduced tobacco use, with adversities playing a mediating role. Conclusions: Multidimensional adversities partially mediate the relationship between SDOH at baseline and subsequent youth tobacco use. Interventions aimed at reducing youth tobacco use should address both the social determinants and multiple adversities experienced by adolescents. Policies to improve the educational and economic situations of families, enhance neighborhood environments, and support stable family structures all reduce youth tobacco use, with lower exposure to adversities explaining this effect.},
}
%0 Journal Article
%A Assari, Shervin
%A Sheikhattari, Payam
%A Zare, Hossein
%D 2024
%J Current Research in Public Health

%@ 2831-5162
%V 4
%N 1
%P 15-26

%T Adversities Mediate Social Determinants of Youth Tobacco Use Initiation
%M doi:10.31586/jbls.2024.1039
%U https://www.scipublications.com/journal/index.php/JBLS/article/view/1039

TY  - JOUR
AU  - Assari, Shervin
AU  - Sheikhattari, Payam
AU  - Zare, Hossein
TI  - Adversities Mediate Social Determinants of Youth Tobacco Use Initiation
T2  - Current Research in Public Health
PY  - 2024
VL  - 4
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SN  - 2831-5162
SP  - 15
EP  - 26
UR  - https://www.scipublications.com/journal/index.php/JBLS/article/view/1039
AB  - Background: Social determinants of health (SDOH) significantly influence health behaviors, including tobacco use among youth. Adversities such as perceived discrimination, perceived neighborhood stress, life trauma, and financial strain are stressors that may mediate the relationship between various SDOH and youth tobacco use. This study aims to investigate whether multidimensional adversities mediate the effects of SDOH on tobacco use among youth. Methods: Data from the Adolescent Brain Cognitive Development (ABCD) study were used to test our hypotheses. The sample included a diverse cohort of youth aged 9-10 years old followed until they were 15-16 years old. We examined the effects of baseline parental education, household income, neighborhood income, and family structure on subsequent youth tobacco use. Structural equation models were used to test if adversities (perceived discrimination, life trauma, financial strain) operate as potential mediators. Results: All ABCD participants were eligible for our analysis, regardless of race, ethnicity, or SDOHs (n = 11,878). The findings indicated that the effects of parental education, household income, neighborhood income, and family structure on youth tobacco use were partially mediated by adversities. Higher levels of parental education and household income were associated with lower tobacco use, and this relationship was weakened when accounting for adversities. Similarly, stable family structures and higher neighborhood income were linked to reduced tobacco use, with adversities playing a mediating role. Conclusions: Multidimensional adversities partially mediate the relationship between SDOH at baseline and subsequent youth tobacco use. Interventions aimed at reducing youth tobacco use should address both the social determinants and multiple adversities experienced by adolescents. Policies to improve the educational and economic situations of families, enhance neighborhood environments, and support stable family structures all reduce youth tobacco use, with lower exposure to adversities explaining this effect.
DO  - Adversities Mediate Social Determinants of Youth Tobacco Use Initiation
TI  - 10.31586/jbls.2024.1039
ER  -