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.
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.
Anthony, J. C., & Echeagaray-Wagner, F. (2000). Epidemiologic analysis of alcohol and tobacco use. Alcohol Research & Health, 24(4), 201–208.
Black, S. (2004). The pivotal year. American School Board Journal, 2, 42–44.
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.
Buss, A. H., & Perry, M. (1992). The aggression questionnaire. Journal of Personality and Social Psychology, 63, 452–459.
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.
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.
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.
Creswelll, J. W. (2012). Educational research: Planning, conducting, and evaluating quantitative and qualitative research. Boston: Pearson Education.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
SAMSHA. (2005). Results from the 2004 National Survey on Drug Use and Health: National findings. Rockville: Office of Applied Studies.
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.
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.
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.
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.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
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
About this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11469-015-9630-6