Parent’s Depression as a Moderator of the Association Between Offspring’s Depressive Symptoms and Use of Combustible Cigarettes and Electronic Vapor Products

  • Beom-Young ChoEmail author


Several research teams in systematic reviews have reported a positive association between depression and cigarette smoking,1, 2, 3 with evidence that the association may be bidirectional.1, 2, 3 Compared with the knowledge about the association between depression and cigarette smoking, little is known about the association between depression and electronic vapor product use.4 Two cross-sectional studies of US adults5 and college students6 reported a positive association between mental health problems including depression and electronic vapor product use. A recent longitudinal study among college students in Texas concluded a predictive effect of depressive symptoms on electronic vapor product use, but not vice versa.4

In the USA, both depressive symptoms and nicotine-containing product use, specifically electronic vapor product use, are common and emerging public health concerns among young people.7, 8, 9, 10In 2016, 12.8% of US adolescents aged 12–17 and 10.9% of young...


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Conflict of Interest

The author declare that he has no conflict of interest.


  1. 1.
    Weinberger AH, Kashan RS, Shpigel DM, et al. Depression and cigarette smoking behavior: a critical review of population-based studies. American Journal of Drug & Alcohol Abuse. 2016;43(4):416–431.CrossRefGoogle Scholar
  2. 2.
    Fluharty M, Taylor AE, Grabski M, et al. The association of cigarette smoking with depression and anxiety: a systematic review. Nicotine & Tobacco Research. 2016;19(1):3–13.CrossRefGoogle Scholar
  3. 3.
    Chaiton MO, Cohen JE, O'Loughlin J, et al. A systematic review of longitudinal studies on the association between depression and smoking in adolescents. BMC Public Health. 2009;9(1): 356.CrossRefGoogle Scholar
  4. 4.
    Bandiera FC, Loukas A, Li X, et al. Depressive symptoms predict current E-cigarette use among college students in Texas. Nicotine & Tobacco Research. 2017;19(9): 1102–1106.CrossRefGoogle Scholar
  5. 5.
    Cummins SE, Zhu SH, Tedeschi GJ, et al. Use of e-cigarettes by individuals with mental health conditions. Tobacco Control. 2014;23(suppl 3):iii48–53.CrossRefGoogle Scholar
  6. 6.
    Bandiera FC, Loukas A, Wilkinson AV, et al. Associations between tobacco and nicotine product use and depressive symptoms among college students in Texas. Addictive Behaviors. 2016;63:19–22.CrossRefGoogle Scholar
  7. 7.
    Center for Behavioral Health Statistics and Quality. 2016 National Survey on Drug Use and Health: Methodological summary and definitions. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2017.Google Scholar
  8. 8.
    Wang TW, Gentzke A, Sharapova S, et al. Tobacco product use among middle and high school students — United States, 2011–2017. Morbidity & Mortality Weekly Report. 2018;67:629–633. CrossRefGoogle Scholar
  9. 9.
    U.S. Department of Health and Human Services. E-Cigarette Use among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Office on Smoking and Health. 2016. Available at Accessed on August 8, 2018.
  10. 10.
    Phillips E, Wang TW, Husten CG, et al. Tobacco product use among adults — United States, 2015. Morbidity & Mortality Weekly Report. 2017;66:1209–1215. CrossRefGoogle Scholar
  11. 11.
    Augustyn MB, Fulco CJ, Henry KL. Intergenerational continuity in depression: The importance of time-varying effects, maternal co-morbid health risk behaviors and child’s gender. Journal of Youth & Adolescence. 2018;1–26.Google Scholar
  12. 12.
    Mikkonen J, Moustgaard H, Remes H, et al. Intergenerational transmission of depressive symptoms–The role of gender, socioeconomic circumstances, and the accumulation of parental symptoms. Journal of Affective Disorders. 2016;204:74–82.CrossRefGoogle Scholar
  13. 13.
    Thornberry TP, Henry KL, Krohn MD, et al. Key findings from the Rochester Intergenerational Study. In: Eichelsheim VI, van de Weijer SGA, eds. Intergenerational continuity of criminal and antisocial behavior: An international overview of current studies. London, England: Rougledge:2018:214–234.CrossRefGoogle Scholar
  14. 14.
    Thornberry TP. Three-generation studies: methodological challenges and promise. In: Shanahan MJ, Mortimer JT, Johnson MK, eds. Handbook of the life course, Vol. 2. New York, NY: Springer;2016:571–596.CrossRefGoogle Scholar
  15. 15.
    Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385–401. CrossRefGoogle Scholar
  16. 16.
    Cosco TD, Prina M, Stubbs B, et al. Reliability and validity of the Center for Epidemiologic Studies Depression Scale in a population-based cohort of middle-aged US adults. Journal of Nursing Measurement. 2017:25(3):476–485.CrossRefGoogle Scholar
  17. 17.
    Robins LN, Cottler LB, Bucholz KK, et al. The Diagnostic Interview Schedule for DSM-IV (DIS-IV). St. Louis, MO: Washington University School of Medicine; 2000.Google Scholar
  18. 18.
    Endicott J. Diagnostic interview schedule: reliability and validity. Archives of General Psychiatry. 1981:38(11):1300–1300.CrossRefGoogle Scholar
  19. 19.
    Pratt L, Brody DJ. Depression in the U.S. household population, 2009–2012. NCHS data brief 172. 2014:1–8.Google Scholar
  20. 20.
    Boden JM, Fergusson DM, Horwood LJ. Cigarette smoking and depression: tests of causal linkages using a longitudinal birth cohort. British Journal of Psychiatry. 2010;196:440–446. Scholar
  21. 21.
    Taylor G, McNeill A, Girling A, et al. Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ. 2014;348:g1151. Scholar
  22. 22.
    Fleming CB, Kim H, Harachi TW, et al. Family processes for children in early elementary school as predictors of smoking initiation. Journal of Adolescent Health. 2002:30(3):184–189.CrossRefGoogle Scholar
  23. 23.
    Jamal A, Gentzke A, Hu SS, et al. Tobacco use among middle and high school students — United States, 2011–2016. Morbidity & Mortality Weekly Report. 2017;66:597–603. CrossRefGoogle Scholar

Copyright information

© National Council for Behavioral Health 2019

Authors and Affiliations

  1. 1.Department of Epidemiology, School of Public HealthUniversity of MichiganAnn ArborUSA

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