Skip to main content

Advertisement

Log in

Physical Aggression and Concurrent Alcohol and Tobacco Use Among Adolescents

  • Published:
International Journal of Mental Health and Addiction Aims and scope Submit manuscript

Abstract

The transition to adolescence involves biological and psychological changes, coinciding with a significant shift in school environment. These factors make young people vulnerable to drinking and smoking. These in turn can lead to aggressive behaviors, especially if they co-occur. The aim of this study was to investigate the associations between the use of alcohol and tobacco alone, and the joint use of these substances, with physical aggression in this population. A representative school sample of 14–16 years old adolescents (N = 944) was used (mean age 15.03 years). In the primary GLIMMIX analyses we used the trait-aggression scores as a continuous dependent variable; in the secondary analysis we investigated trait aggression as a categorical variable. Past month prevalence of smoking and drinking was 29.6 and 41.4 %, respectively. The prevalence of joint use was 21.7 %. Drinking and smoking were additively associated with elevated physical aggression, which was significantly higher among joint-users than in single substance users or non-users. Our findings pinpoint the potential importance of the joint use of these substances in the development of aggressive behaviors during this transition period.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Ang, R. P. (2007). Factor structure of the 12-item aggression questionnaire: Further evidence from Asian adolescent samples. Journal of Adolescence, 30(4), 671–685. doi:10.1016/j.adolescence.2006.05.003.

    Article  PubMed  Google Scholar 

  • Anthony, J. C., & Echeagaray-Wagner, F. (2000). Epidemiologic analysis of alcohol and tobacco use. Alcohol Research & Health, 24(4), 201–208.

    CAS  Google Scholar 

  • Black, S. (2004). The pivotal year. American School Board Journal, 2, 42–44.

    Google Scholar 

  • Burke, M. A., & Sass, T. R. (2008). Classroom peer effects and student achievement. National Center for Analysis of Longitudinal Data in Education Research.

  • Bushman, B. J., & Wells, G. L. (1998). Trait aggressiveness and hockey penalties: predicting hot tempers on the ice. Journal of Applied Psychology, 83(6), 969–974.

    Article  CAS  PubMed  Google Scholar 

  • Buss, A. H., & Perry, M. (1992). The aggression questionnaire. Journal of Personality and Social Psychology, 63, 452–459.

    Article  CAS  PubMed  Google Scholar 

  • Chun, J. S., & Chung, I.-J. (2013). Gender differences in factors influencing smoking, drinking, and their co-occurrence among adolescents in South Korea. Nicotine & Tobacco Research, 15(2), 542–551. doi:10.1093/ntr/nts181.

    Article  Google Scholar 

  • Chung, I.-J., & Chun, J. S. (2010). Co-occurring patterns of smoking and alcohol consumption among Korean adolescents. The American Journal on Addictions, 19(3), 252–256. doi:10.1111/j.1521-0391.2010.00032.x.

    Article  PubMed  Google Scholar 

  • Costa, F. M., Jessor, R., & Turbin, M. S. (1999). Transition into adolescent problem drinking: the role of psychosocial risk and protective factors. Journal of Studies on Alcohol, 60(4), 480–490.

    Article  CAS  PubMed  Google Scholar 

  • Creswelll, J. W. (2012). Educational research: Planning, conducting, and evaluating quantitative and qualitative research. Boston: Pearson Education.

    Google Scholar 

  • Crews, F., He, J., & Hodge, C. (2007). Adolescent cortical development: a critical period of vulnerability for addiction. Pharmacology Biochemistry and Behavior, 86(2), 189–199. doi:10.1016/j.pbb.2006.12.001.

    Article  CAS  Google Scholar 

  • Czobor, P., Bácskai, E., Oberg, D., Haack, J.-M., & Gerevich, J. (2011). The European Adolescent Assessment Dialogue (EuroADAD): a psychometric evaluation. European Addiction Research, 17(6), 302–315.

    Article  PubMed  Google Scholar 

  • Dolcini, M. M., Adler, N. E., Lee, P., & Bauman, K. E. (2003). An assessment of the validity of adolescent self-reported smoking using three biological indicators. Nicotine & Tobacco Research, 5(4), 473–483. doi:10.1080/1462220031000118586.

    Article  Google Scholar 

  • Doran, N., Luczak, S. E., Bekman, N., Koutsenok, I., & Brown, S. A. (2012). Adolescent substance use and aggression: a review. Criminal Justice and Behavior, 39(6), 748–769. doi:10.1177/0093854812437022.

    Article  Google Scholar 

  • Ferreira Antunes, J. L., Toporcov, T. N., Biazevic, M. G., Boing, A. F., Scully, C., & Petti, S. (2013). Joint and independent effects of alcohol drinking and tobacco smoking on oral cancer: a large case–control study. PLoS One, 8(7), e68132. doi:10.1371/journal.pone.0068132.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ge, X., Conger, R. D., & Elder, G. H., Jr. (2001). Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Developmental Psychology, 37(3), 404–417.

    Article  CAS  PubMed  Google Scholar 

  • Gerevich, J., Bácskai, E., & Czobor, P. (2007). The generalizability of the Buss–Perry Aggression Questionnaire. International Journal of Methods in Psychiatric Research, 16(3), 124–136. doi:10.1002/mpr.221.

    Article  PubMed  Google Scholar 

  • Grucza, R. A., & Bierut, L. J. (2006). Cigarette smoking and the risk for alcohol use disorders among adolescent drinkers. Alcoholism, Clinical and Experimental Research, 30(12), 2046–2054. doi:10.1111/j.1530-0277.2006.00255.x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Guilamo-Ramos, V., Jaccard, J., Turrisi, R., & Johansson, M. (2005). Parental and school correlates of binge drinking among middle school students. American Journal of Public Health, 95(5), 894–899. doi:10.2105/ajph.2003.018952.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hendrickson, L. M., Guildford, M. J., & Tapper, A. R. (2013). Neuronal nicotinic acetylcholine receptors: common molecular substrates of nicotine and alcohol dependence. Front Psychiatry, 4, 29. doi:10.3389/fpsyt.2013.00029.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jackson, K. M., Sher, K. J., Cooper, M. L., & Wood, P. K. (2002). Adolescent alcohol and tobacco use: onset, persistence and trajectories of use across two samples. Addiction, 97(5), 517–531.

    Article  PubMed  PubMed Central  Google Scholar 

  • Johnson, C. C., Webber, L. S., Myers, L., Boris, N. W., & Berenson, G. S. (2009). Co-use of alcohol and tobacco among ninth-graders in Louisiana. Prevention of Chronic Diseases, 6(3), A85.

    Google Scholar 

  • Latvala, A., Tuulio-Henriksson, A., Perala, J., Saarni, S. I., Aalto-Setala, T., Aro, H., & Suvisaari, J. (2009). Prevalence and correlates of alcohol and other substance use disorders in young adulthood: a population-based study. BMC Psychiatry, 9, 73. doi:10.1186/1471-244x-9-73.

    Article  PubMed  PubMed Central  Google Scholar 

  • Liao, Y., Huang, Z., Huh, J., Pentz, M. A., & Chou, C. P. (2013). Changes in friends’ and parental influences on cigarette smoking from early through late adolescence. Journal of Adolescent Health, 53(1), 132–138. doi:10.1016/j.jadohealth.2013.01.020.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lightowlers, C., Elliot, M., & Tranmer, M. (2014). The dynamic risk of heavy episodic drinking on interpersonal assault in young adolescence and early adulthood. British Journal of Criminology, 54(6), 1207–1227. doi:10.1093/bjc/azu055.

    Article  Google Scholar 

  • Lotrean, L. M., Kremers, S., Ionut, C., & de Vries, H. (2009). Gender differences regarding the alcohol-tobacco relationship among Romanian adolescents--a longitudinal study. European Journal of Public Health, 19(3), 285–289. doi:10.1093/eurpub/ckp011.

    Article  PubMed  Google Scholar 

  • Mercado-Crespo, M. C., & Mbah, A. K. (2013). Race and ethnicity, substance use, and physical aggression among u.s. High school students. Journal of Interpersonal Violence, 28(7), 1367–1384. doi:10.1177/0886260512468234.

    Article  PubMed  Google Scholar 

  • Miczek, K. A., Fish, E. W., De Almeida, R. M., Faccidomo, S., & Debold, J. F. (2004). Role of alcohol consumption in escalation to violence. Annals of the New York Academy of Sciences, 1036, 278–289. doi:10.1196/annals.1330.018.

    Article  PubMed  Google Scholar 

  • Miotto, P., Pollini, B., Restaneo, A., Favaretto, G., & Preti, A. (2008). Aggressiveness, anger, and hostility in eating disorders. Comprehensive Psychiatry, 49(4), 364–373. doi:10.1016/j.comppsych.2008.01.004.

    Article  PubMed  Google Scholar 

  • Muwonge, R., Ramadas, K., Sankila, R., Thara, S., Thomas, G., Vinoda, J., & Sankaranarayanan, R. (2008). Role of tobacco smoking, chewing and alcohol drinking in the risk of oral cancer in Trivandrum, India: a nested case–control design using incident cancer cases. Oral Oncology, 44(5), 446–454. doi:10.1016/j.oraloncology.2007.06.002.

    Article  CAS  PubMed  Google Scholar 

  • OAS. (2005). Alcohol use and delinquent behaviors among youths NSDUH report. Rockville: NSDUH Report.

  • Ongen, D. E. (2010). The relationships between adaptive and maladaptive perfectionism and aggression among Turkish adolescents. Australian Journal of Guidance and Counselling, 20(1), 99–108.

    Article  Google Scholar 

  • Picciotto, M. R., Lewis, A. S., van Schalkwyk, G. I., & Mineur, Y. S. (2015). Mood and anxiety regulation by nicotinic acetylcholine receptors: a potential pathway to modulate aggression and related behavioral states. Neuropharmacology, 96(Pt B), 235–243. doi:10.1016/j.neuropharm.2014.12.028.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Roberts, S. J., Glod, C. A., Kim, R., & Hounchell, J. (2010). Relationships between aggression, depression, and alcohol, tobacco: implications for healthcare providers in student health. Journal of the American Academy of Nurse Practitioners, 22(7), 369–375. doi:10.1111/j.1745-7599.2010.00521.x.

    Article  PubMed  Google Scholar 

  • SAMSHA. (2005). Results from the 2004 National Survey on Drug Use and Health: National findings. Rockville: Office of Applied Studies.

    Google Scholar 

  • Skara, S., Pokhrel, P., Weiner, M. D., Sun, P., Dent, C. W., & Sussman, S. (2008). Physical and relational aggression as predictors of drug use: gender differences among high school students. Addictive Behaviors, 33(12), 1507–1515. doi:10.1016/j.addbeh.2008.05.014.

    Article  PubMed  Google Scholar 

  • von der Pahlen, B., Santtila, P., Johansson, A., Varjonen, M., Jern, P., Witting, K., & Kenneth Sandnabba, N. (2008). Do the same genetic and environmental effects underlie the covariation of alcohol dependence, smoking, and aggressive behaviour? Biological Psychology, 78(3), 269–277. doi:10.1016/j.biopsycho.2008.03.013.

    Article  PubMed  Google Scholar 

  • Walther, B., Morgenstern, M., & Hanewinkel, R. (2012). Co-occurrence of addictive behaviours: personality factors related to substance use, gambling and computer gaming. European Addiction Research, 18(4), 167–174. doi:10.1159/000335662.

    Article  PubMed  Google Scholar 

  • Wetzels, J. J., Kremers, S. P., Vitoria, P. D., & de Vries, H. (2003). The alcohol-tobacco relationship: a prospective study among adolescents in six European countries. Addiction, 98(12), 1755–1763.

    Article  CAS  PubMed  Google Scholar 

  • Whalen, C. K., Jamner, L. D., Henker, B., & Delfino, R. J. (2001). Smoking and moods in adolescents with depressive and aggressive dispositions: evidence from surveys and electronic diaries. Health Psychology, 20(2), 99–111. doi:10.1037//0278-6133.20.2.99.

    Article  CAS  PubMed  Google Scholar 

  • White, H. R., Fite, P., Pardini, D., Mun, E. Y., & Loeber, R. (2013). Moderators of the dynamic link between alcohol use and aggressive behavior among adolescent males. Journal of Abnormal Child Psychology, 41(2), 211–222. doi:10.1007/s10802-012-9673-0.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ziherl, S., Cebasek Travnik, Z., Kores Plesnicar, B., Tomori, M., & Zalar, B. (2007). Trait aggression and hostility in recovered alcoholics. European Addiction Research, 13(2), 89–93. doi:10.1159/000097938.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Balázs Matuszka.

Ethics declarations

Study Funding

This research project (Törless/z/ Projekt) was founded by the National Research and Technological Office. Contract number: OMFB-00703/2009.

Conflict of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Matuszka, B., Bácskai, E., Czobor, P. et al. Physical Aggression and Concurrent Alcohol and Tobacco Use Among Adolescents. Int J Ment Health Addiction 15, 90–99 (2017). https://doi.org/10.1007/s11469-015-9630-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11469-015-9630-6

Keywords

Navigation