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. Author manuscript; available in PMC: 2026 Aug 6.
Published in final edited form as: Addict Behav. 2025 Aug 6;170:108451. doi: 10.1016/j.addbeh.2025.108451

Table 3. Discrete-time survival analysis (DTSA) assessing initiation of each substance, based on prior cannabis use*, adjusting for sociodemographic, state non-medical cannabis laws, and psychosocial variables.

Variables Cigarettes E-cigarettes Cigars Alcohol
aHR (95% CI) p aHR (95% CI) p aHR (95% CI) p aHR (95% CI) p
Prior cannabis use* (ref: no use) 3.51 (3.11-3.96) <.001 3.73 (3.34-4.17) <.001 3.66 (3.20-4.18) <.001 3.07 (2.73-3.45) <.001
Sociodemographics
Age (at W1 survey) 0.99 (0.98-1.00) .003 0.88 (0.87-0.89) <.001 0.96 (0.95-0.97) <.001 0.95 (0.94-0.96) <.001
Male (ref: female) 0.91 (0.82-1.00) .062 1.18 (1.06-1.31) .002 1.63 (1.45-1.84) <.001 0.71 (0.66-0.77) <.001
Other sexual orientation (ref: heterosexual) 0.95 (0.85-1.07) .401 1.09 (0.98-1.22) .113 0.81 (0.71-0.93) .003 1.20 (1.10-1.32) <.001
Race (ref: White)
 Black 0.60 (0.52-0.70) <.001 0.88 (0.76-1.01) .069 0.85 (0.72-1.01) .058 0.69 (0.61-0.78) <.001
 Asian 0.60 (0.50-0.71) <.001 0.92 (0.78-1.09) .322 0.45 (0.36-0.56) <.001 0.59 (0.52-0.67) <.001
 Other 1.09 (0.91-1.30 ) .368 1.05 (0.88-1.25) .604 1.01 (0.81-1.25) 0.947 1.04 (0.89-1.22) .602
Hispanic (ref: non-Hispanic) 0.77 (0.68-0.88) <.001 0.93 (0.82-1.05) .245 0.69 (0.59-0.8) <.001 0.85 (0.76-0.94) .002
Parent education ≥bachelor’s (ref: <bachelor’s) 0.66 (0.60-0.74) <.001 0.85 (0.77-0.95) .003 0.8 (0.71-0.91) .001 0.93 (0.86-1.01) .078
Rurality (ref: Rural)
 Suburban/micropolitan 0.66 (0.58-0.75) <.001 0.93 (0.81-1.06) .260 0.77 (0.66-0.89) .001 0.92 (0.83-1.02) .110
 Urban 0.76 (0.67-0.85) <.001 1.01 (0.89-1.15) .825 0.88 (0.76-1.02) .086 1.02 (0.92-1.13) .682
State non-medical cannabis legalized (vs. not) 0.83 (0.75-0.91) <.001 0.95 (0.86-1.05) .309 0.76 (0.68-0.85) <.001 0.96 (0.89-1.04) .303
Lifetime mental health diagnoses
 Depressive disorder (vs. no) 1.03 (0.91-1.16) .673 1.11 (0.99-1.26) .082 0.95 (0.83-1.10) .518 1.01 (0.92-1.12) .780
 Anxiety disorder (vs. no) 1.01 (0.89-1.13) .911 1.25 (1.10-1.41) <.001 0.88 (0.77-1.02) .097 0.96 (0.87-1.06) .450
 ADD (vs. no) 1.01 (0.89-1.14) .907 1.18 (1.05-1.33) .006 1.12 (0.97-1.29) .123 1.00 (0.90-1.10) .960
Personality characteristics
 Extraversion 1.02 (0.99-1.05) .239 1.06 (1.02-1.09) .001 1.02 (0.98-1.06) .306 1.00 (0.97-1.02) .728
 Agreeableness 0.81 (0.78-0.85) <.001 0.94 (0.90-0.98) .005 0.79 (0.75-0.83) <.001 0.85 (0.82-0.88) <.001
 Conscientiousness 0.84 (0.81-0.87) <.001 0.95 (0.91-0.98) .005 0.88 (0.84-0.92) <.001 0.91 (0.88-0.93) <.001
 Emotional stability 0.93 (0.89-0.97) <.001 1.03 (0.99-1.07) .183 0.97 (0.92-1.01) .177 0.94 (0.91-0.97) <.001
 Openness to new experiences 0.94 (0.90-0.98) .004 1.04 (0.99-1.08) .089 0.91 (0.87-0.96) <.001 0.99 (0.96-1.02) .504

Notes: * Prior cannabis use defined as ever having used cannabis by the age one year earlier (time-lagged predictor). aHR: Adjusted Hazard Ratio adjusted for all the other predictors or covariates in the table.