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Emotional and Social Changes: Mood swings: Experiencing dramatic mood swings, from euphoria to irritability or anxiety

Data: Population Assessment of Tobacco and Health (PATH) Study Public Use Files (PUF), Waves 14 1 Model controlled for sex, age, race/ethnicity, annual family income, Census region, past-month cigarette use, past-month e-cigarette use, past-month other tobacco use, past-month alcohol use, past-month drug use, living with a tobacco user, and recent internalizing and externalizing problems 2 Model controlled for past-month traditional cigar use 3 Model controlled for past-month cigarillo use 4 Model controlled for past-month filtered cigar use Initiation of Combustible Tobacco or Any Three Tobacco Products Only We next estimated the association between past-year blunt use and starting to use combustible tobacco (cigarettes or cigars), similar to Mayer et al