Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Topic/Program Collections
    • Blog
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Topic/Program Collections
    • Blog
  • Subscribe
  • Alerts
  • Careers
American Academy of Pediatrics
Brief Reports

Trends in Incidence of Nicotine Use Disorder Among Adolescents in the Pediatric Hospital, 2012–2019

Abbey Masonbrink, Troy Richardson, Matt Hall, Delwyn Catley and Karen Wilson
Hospital Pediatrics January 2021, 11 (1) 25-29; DOI: https://doi.org/10.1542/hpeds.2020-0183
Abbey Masonbrink
aDepartment of Pediatrics, Children’s Mercy Hospital and School of Medicine, University of Missouri-Kansas City, Kansas City, Missouri;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Troy Richardson
aDepartment of Pediatrics, Children’s Mercy Hospital and School of Medicine, University of Missouri-Kansas City, Kansas City, Missouri;
bChildren’s Hospital Association, Lenexa, Kansas; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matt Hall
aDepartment of Pediatrics, Children’s Mercy Hospital and School of Medicine, University of Missouri-Kansas City, Kansas City, Missouri;
bChildren’s Hospital Association, Lenexa, Kansas; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Delwyn Catley
aDepartment of Pediatrics, Children’s Mercy Hospital and School of Medicine, University of Missouri-Kansas City, Kansas City, Missouri;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Karen Wilson
cMount Sinai Kravis Children’s Hospital, Mount Sinai Health System, New York, New York
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF

Abstract

OBJECTIVES: To assess trends in the incidence of nicotine use disorder (NUD) and describe associated factors among adolescents in the pediatric emergency department (ED) and inpatient settings.

METHODS: We conducted a retrospective cohort study of all adolescents (11–18 years) with a hospital encounter (inpatient, observation, or ED) in the Pediatric Health Information System between January 1, 2012, and September 30, 2019. After excluding adolescents with a previous International Classification of Diseases, Ninth Revision, and International Classification of Diseases, Tenth Revision, NUD diagnosis in the past 2 years, adolescents with new NUD diagnosis (ie, NUD incidence) were identified. A multivariable generalized liner mixed model was used to assess adjusted NUD incidence and investigate the relationship of NUD with patient characteristics and any interactions between characteristics and time. Spearman’s correlation coefficient was used to assess the correlation between NUD incidence and e-cigarette use reported among youth.

RESULTS: Of 3 963 754 adolescents, 15 376 (0.4%) had a new diagnosis of NUD. Between 2012 and 2019, NUD incidence increased from 0.3% to 0.4% (P < .001). Findings from the time interaction effect analysis revealed increasing NUD incidence among certain subpopulations, including boys, those with a commercial or other insurance type, adolescents seen in the ED, those from the lowest and highest median household income quartile, and those in the South and West US Census regions. The correlation between NUD incidence and e-cigarette use among high school students was ρ = 0.884 (P = .006).

CONCLUSIONS: The incidence of NUD among adolescents is increasing. Efforts to increase the screening and treatment of NUD among adolescents in the hospital, particularly among the at-risk populations identified, are needed.

  • Copyright © 2021 by the American Academy of Pediatrics
View Full Text

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Hospital Pediatrics: 11 (1)
Hospital Pediatrics
Vol. 11, Issue 1
1 Jan 2021
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Trends in Incidence of Nicotine Use Disorder Among Adolescents in the Pediatric Hospital, 2012–2019
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Trends in Incidence of Nicotine Use Disorder Among Adolescents in the Pediatric Hospital, 2012–2019
Abbey Masonbrink, Troy Richardson, Matt Hall, Delwyn Catley, Karen Wilson
Hospital Pediatrics Jan 2021, 11 (1) 25-29; DOI: 10.1542/hpeds.2020-0183

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Trends in Incidence of Nicotine Use Disorder Among Adolescents in the Pediatric Hospital, 2012–2019
Abbey Masonbrink, Troy Richardson, Matt Hall, Delwyn Catley, Karen Wilson
Hospital Pediatrics Jan 2021, 11 (1) 25-29; DOI: 10.1542/hpeds.2020-0183
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Asthma to EVALI: Tobacco Use Is a Pediatric Problem
  • Google Scholar

More in this TOC Section

  • Characteristics of Afebrile Infants ≤60 Days of Age With Invasive Bacterial Infections
  • A Cost Comparison of Infliximab Versus Intravenous Immunoglobulin for Refractory Kawasaki Disease Treatment
Show more Brief Reports

Similar Articles

Subjects

  • Substance Abuse
    • Substance Abuse
    • Smoking
  • Adolescent Health/Medicine
    • Adolescent Health/Medicine
  • Journal Info
  • Editorial Board
  • Editorial Policies
  • Overview
  • Licensing Information
  • Authors/Reviewers
  • Author Guidelines
  • Reviewer Guidelines
  • Submit My Manuscript
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Subscribe
  • Contact Us
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • RSS Feeds
  • shopAAP
  • AAP.org
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
American Academy of Pediatrics

© 2021 American Academy of Pediatrics