Early-onset alcohol, tobacco, and illicit drug use with age at onset of hypertension: a survival analysis.
Social psychiatry and psychiatric epidemiology July 1, 2024 Kesheng Wang, Saima Shafique, Nianyang Wang et al. 1 citation
Using data from 19,270 individuals in the 2015–2019 National Survey on Drug Use and Health who had developed hypertension, the average age at onset of hypertension was 42.7 years. Earlier first use of alcohol, cigars, smokeless tobacco, marijuana, hallucinogens, inhalants, cocaine, LSD, and methamphetamine was associated with a significantly earlier onset of hypertension compared with never using those substances. After accounting for other factors, early-onset (before age 18) use of alcohol, smokeless tobacco, marijuana, inhalants, and methamphetamine each increased the risk of earlier hypertension onset, with hazard ratios ranging from 1.22 to 1.85. The findings suggest that preventing substance use before age 18 may help delay the development of hypertension in adulthood.