Young people who have multiple symptoms of attention deficit/hyperactivity disorder (ADHD) are more likely to use nicotine through vaping, smoking, or other tobacco products. This has been revealed in a recent study which was published in JAMA Network Open. The research has also highlighted a worrying link between mental health and substance use among adolescents. What Did The Study Find?The study is led by Sean Esteban McCabe, an epidemiologist at the University of Michigan and analyzed the data from the Population Assessment of tobacco and Health (PATH) Study. This long-term research tracked 13,572 American adolescents between the ages of 12 and 17 over a period of nine years. The study used annual surveys to gather information on tobacco use and ADHD symptoms.The results showed that teens who exhibited three or more symptoms of ADHD had significantly higher adjusted odds of using nicotine-based products, compared to those with no symptoms. Interestingly, individuals with "asymptomatic" ADHD—meaning they had very mild or no noticeable symptoms—did not show higher odds of tobacco use compared to those in the control group.Understanding ADHD and Nicotine UseADHD is one of the most prevalent neurodevelopmental conditions in childhood. It is commonly characterized by difficulty in paying attention, controlling impulses, and, in some cases, excessive activity. While the symptoms vary in intensity, even a few persistent signs can have notable effects on a young person’s behavior and choices.In this study, symptoms were assessed through questions like: “When was the last time that you did the following things two or more times… Felt restless or the need to run around or climb on things?” The more such symptoms a teenager reported, the higher their risk of using tobacco.For example, the research found that teens with three to four ADHD symptoms were 60% more likely to vape than those with no ADHD symptoms.Nicotine as a Form of Self-Medication?One of the main reasons behind this pattern may be nicotine’s short-term effects on the brain. It can temporarily improve focus and alertness, which might appeal to individuals struggling with ADHD. “So people with ADHD might use tobacco to self-medicate,” McCabe explained to ScienceNews.While this might offer a brief sense of relief, nicotine remains highly addictive and poses numerous health risks, especially to young, developing bodies and brains.Implications for Parents and Public HealthThese findings contribute to growing evidence that links psychological or mental health issues with substance use, including nicotine addiction. Past studies have also connected tobacco use with anxiety and depression.McCabe emphasizes the importance of not overlooking ADHD symptoms in children. “This study suggests that if their symptoms of ADHD are controlled through therapy… or if the symptoms naturally dissipate, [kids] remain at lower risk for tobacco and nicotine and associated adverse outcomes,” he noted.Although cigarette smoking has declined among teenagers in recent years, the popularity of vaping continues to rise. Marketed initially as a safer alternative, vaping has now been linked to several health concerns. Experts warn that it is far from harmless.“Tobacco remains the leading cause of preventable death,” McCabe said. “Preventing tobacco use would be a powerful game changer for anyone — including those with ADHD.”