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Trajectories of Marijuana Use Beginning in Adolescence Predict Tobacco Dependence in Adulthood a

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Judith S. Brook Ed.D. , Jung Yeon Lee Ph.D. & David W. Brook M.D. a

Department of Psychiatry, New York University School of Medicine, New York, NY, USA Accepted author version posted online: 26 Sep 2014.

To cite this article: Judith S. Brook Ed.D., Jung Yeon Lee Ph.D. & David W. Brook M.D. (2014): Trajectories of Marijuana Use Beginning in Adolescence Predict Tobacco Dependence in Adulthood, Substance Abuse, DOI: 10.1080/08897077.2014.964901 To link to this article: http://dx.doi.org/10.1080/08897077.2014.964901

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ACCEPTED MANUSCRIPT Trajectories of Marijuana Use Beginning in Adolescence Predict Tobacco Dependence in Adulthood

Downloaded by [The University of British Columbia] at 10:53 22 November 2014

Judith S. Brook, Ed.D., Jung Yeon Lee, Ph.D., David W. Brook, M.D.

Department of Psychiatry, New York University School of Medicine, New York, NY, USA.

Correspondence may be addressed to: Dr. Judith S. Brook, Department of Psychiatry, New York University School of Medicine, 215 Lexington Ave., 15th Fl., New York, NY 10016, U.S.A. Email: [email protected],

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ACCEPTED MANUSCRIPT

ABSTRACT. Background: Although the “stage theory” suggests that marijuana use occurs after the initiation of tobacco smoking, substantial evidence exists that they often occur concurrently, and that the use of marijuana may influence the use of tobacco. Methods: This study uses

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trajectory analysis to examine the relationship between marijuana use beginning in adolescence and adult tobacco dependence in a 5-wave longitudinal study (mean ages in each wave: 14, 19, 24, 29, and 32). The sample consisted of 816 participants (52% African Americans, 48% Puerto Ricans), of whom 60 % were females. Logistic regression analyses were conducted to predict later tobacco dependence from earlier trajectories of marijuana use. Results: A higher Bayesian posterior probability (BPP) for the chronic marijuana use trajectory group (OR=10.93, p

Trajectories of Marijuana Use Beginning in Adolescence Predict Tobacco Dependence in Adulthood.

Although the "stage theory" suggests that marijuana use occurs after the initiation of tobacco smoking, substantial evidence exists that they often oc...
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