Article Open Access August 27, 2024

Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?

1
Department of Internal Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
2
Department of Urban Public Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
3
Marginalization-Related Diminished Returns (MDRs) Center, Los Angeles, CA, United States
4
The Prevention Sciences Research Center, School of Community Health and Policy, Morgan State University, Baltimore, MD, USA
5
Department of Behavioral Health Science, School of Community Health and Policy, Morgan State University, Baltimore, MD, USA
Page(s): 1-13
Received
June 15, 2024
Revised
July 29, 2024
Accepted
August 26, 2024
Published
August 27, 2024
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. (2024). Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?. Current Research in Public Health, 2(1), 1-13. https://doi.org/10.31586/ojn.2024.1052
ACS Style
Assari, S. ; Sheikhattari, P. Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?. Current Research in Public Health 2024 2(1), 1-13. https://doi.org/10.31586/ojn.2024.1052
Chicago/Turabian Style
Assari, Shervin, and Payam Sheikhattari. 2024. "Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?". Current Research in Public Health 2, no. 1: 1-13. https://doi.org/10.31586/ojn.2024.1052
AMA Style
Assari S, Sheikhattari P. Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?. Current Research in Public Health. 2024; 2(1):1-13. https://doi.org/10.31586/ojn.2024.1052
@Article{crph1052,
AUTHOR = {Assari, Shervin and Sheikhattari, Payam},
TITLE = {Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?},
JOURNAL = {Current Research in Public Health},
VOLUME = {2},
YEAR = {2024},
NUMBER = {1},
PAGES = {1-13},
URL = {https://www.scipublications.com/journal/index.php/ojn/article/view/1052},
ISSN = {2831-5162},
DOI = {10.31586/ojn.2024.1052},
ABSTRACT = {Background: Socioeconomic status (SES) is traditionally viewed as a protective factor against impulsivity and subsequent tobacco use in youth. The prevailing model suggests that higher SES is associated with lower impulsivity, which in turn reduces the likelihood of future tobacco use. However, this pathway may not hold uniformly across racial groups due to differences in impulsivity and the phenomenon of Minorities' Diminished Returns (MDRs), where the protective effects of SES, such as educational attainment, tend to be weaker or even reversed for Black youth compared to their White counterparts. Objectives: This study aims to examine the racial heterogeneity in the pathway from childhood SES to impulsivity and subsequent tobacco use initiation during adolescence, focusing on differences between Black and White youth. Methods: Data were drawn from the Adolescent Brain Cognitive Development (ABCD) Study, which includes a diverse sample of youth aged 9 to 16 years. The analysis examined the relationship between baseline family SES (age 9), impulsivity (age 9), and subsequent tobacco use (ages 9 to 16). Impulsivity was measured using the Urgency, Premeditation (lack of), Perseverance (lack of), Sensation Seeking, and Positive Urgency Impulsive Behavior Scale (UPPS-P). Structural equation modeling (SEM) was employed, with analyses stratified by race to explore potential differences in these associations. Results: Overall, 6,161 non-Latino White and 1,775 non-Latino Black adolescents entered our analysis. In the full sample, higher family SES was linked to lower childhood impulsivity and, consequently, less tobacco uses in adolescence. However, racial differences emerged upon stratification. Among White youth, higher SES was associated with lower impulsivity, leading to reduced tobacco use, consistent with the expected model. In contrast, among Black youth, higher SES was not associated with lower impulsivity, thereby disrupting the protective effect of SES on tobacco use through this pathway. These findings suggest that racial heterogeneity exists in the SES-impulsivity-tobacco use pathway, aligning with the MDRs framework, which highlights how structural factors may weaken the protective effects of high SES among Black youth. Conclusions: These findings underscore the importance of considering racial heterogeneity in the relationships between SES, impulsivity, and tobacco use. The observed disparities suggest a need for targeted interventions that address the unique challenges faced by Black youth, who may not experience the same protective benefits of high SES as their White peers. These results carry significant implications for public health strategies aimed at reducing tobacco use in racially diverse populations.},
}
%0 Journal Article
%A Assari, Shervin
%A Sheikhattari, Payam
%D 2024
%J Current Research in Public Health

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%T Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?
%M doi:10.31586/ojn.2024.1052
%U https://www.scipublications.com/journal/index.php/ojn/article/view/1052
TY  - JOUR
AU  - Assari, Shervin
AU  - Sheikhattari, Payam
TI  - Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?
T2  - Current Research in Public Health
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VL  - 2
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SN  - 2831-5162
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UR  - https://www.scipublications.com/journal/index.php/ojn/article/view/1052
AB  - Background: Socioeconomic status (SES) is traditionally viewed as a protective factor against impulsivity and subsequent tobacco use in youth. The prevailing model suggests that higher SES is associated with lower impulsivity, which in turn reduces the likelihood of future tobacco use. However, this pathway may not hold uniformly across racial groups due to differences in impulsivity and the phenomenon of Minorities' Diminished Returns (MDRs), where the protective effects of SES, such as educational attainment, tend to be weaker or even reversed for Black youth compared to their White counterparts. Objectives: This study aims to examine the racial heterogeneity in the pathway from childhood SES to impulsivity and subsequent tobacco use initiation during adolescence, focusing on differences between Black and White youth. Methods: Data were drawn from the Adolescent Brain Cognitive Development (ABCD) Study, which includes a diverse sample of youth aged 9 to 16 years. The analysis examined the relationship between baseline family SES (age 9), impulsivity (age 9), and subsequent tobacco use (ages 9 to 16). Impulsivity was measured using the Urgency, Premeditation (lack of), Perseverance (lack of), Sensation Seeking, and Positive Urgency Impulsive Behavior Scale (UPPS-P). Structural equation modeling (SEM) was employed, with analyses stratified by race to explore potential differences in these associations. Results: Overall, 6,161 non-Latino White and 1,775 non-Latino Black adolescents entered our analysis. In the full sample, higher family SES was linked to lower childhood impulsivity and, consequently, less tobacco uses in adolescence. However, racial differences emerged upon stratification. Among White youth, higher SES was associated with lower impulsivity, leading to reduced tobacco use, consistent with the expected model. In contrast, among Black youth, higher SES was not associated with lower impulsivity, thereby disrupting the protective effect of SES on tobacco use through this pathway. These findings suggest that racial heterogeneity exists in the SES-impulsivity-tobacco use pathway, aligning with the MDRs framework, which highlights how structural factors may weaken the protective effects of high SES among Black youth. Conclusions: These findings underscore the importance of considering racial heterogeneity in the relationships between SES, impulsivity, and tobacco use. The observed disparities suggest a need for targeted interventions that address the unique challenges faced by Black youth, who may not experience the same protective benefits of high SES as their White peers. These results carry significant implications for public health strategies aimed at reducing tobacco use in racially diverse populations.
DO  - Role of Impulsivity in Explaining Social Gradient in Youth Tobacco Use Initiation: Does Race Matter?
TI  - 10.31586/ojn.2024.1052
ER  -