Adolescent tobacco use and substance abuse treatment outcomes

Marcel A. de Dios, Ellen L. Vaughan, Cassandra A. Stanton, Raymond Niaura

Research output: Contribution to journalArticlepeer-review


This study investigated the relationship between cigarette-smoking status and 12-month alcohol and marijuana treatment outcomes in a sample of 1,779 adolescents from the Drug Abuse Treatment Outcomes Study for Adolescents. Participants were classified into four groups based on change in cigarette-smoking status from intake to the 12-month follow-up: persistent smokers, nonsmokers, quitters, and smoking initiators. Logistic regression was used to predict likelihood of relapse to alcohol, marijuana, and other drugs after controlling for intake levels and demographic/treatment characteristics. Results found persistent smokers and smoking initiators to have significantly greater odds of alcohol and marijuana relapse compared with quitters. Furthermore, persistent smokers and smoking initiators were also found to have distinctively shorter periods to marijuana relapse at follow-up. Implications for the implementation of tobacco cessation treatment in the context of substance abuse treatment for adolescents are discussed.

Original languageEnglish (US)
Pages (from-to)17-24
Number of pages8
JournalJournal of Substance Abuse Treatment
Issue number1
StatePublished - Jul 2009


  • Adolescent
  • Substance abuse treatment
  • Substance use
  • Tobacco use

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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