Correlates of tobacco product cessation among youth and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

Kasza, Karin A.; Edwards, Kathryn C.; Tang, Ziyue; Stanton, Cassandra A.; Sharma, Eva; Halenar, Michael J; Taylor, Kristie; Donaldson, Elisabeth A.; Hull, Lynn C; Bansal-Travers, Maansi; Limpert, Jean; Zandberg, Izabella; Gardner, Lisa; Hammad, Hoda T.; Borek, Nicolette; Kimmel, Heather L.; Compton, Wilson M.; Hyland, Andrew

doi:10.1136/tobaccocontrol-2019-055255

Cited by 52 publications

(38 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The main categories included: persistent use (continued use across multiple time points), discontinued use (use to no use), relapse (stopped use and began use again), switching (changing between product types), and inconsistent use (back and forth between use and non-use). Evidence from the PATH Study has shown that the majority of cigarette smokers persist with smoking across time [ 10 , 11 ], whereas transition behaviors among smokers initiating and persisting with NVP use (concurrent users) are more highly variable [ 11 , 12 , 13 ]. Moreover, continuing with/transitioning toward cigarettes, is more common than continuing with/transitioning toward NVPs.…”

Section: Introductionmentioning

confidence: 99%

“…When it comes to differential transitions away from smoking by vaping status, Coleman et al [ 12 ] found that among baseline concurrent users, daily vapers were more likely than non-daily vapers to report smoking abstinence at follow-up. Kasza et al [ 13 ] found that vaping was positively associated with making attempts to quit, but was not associated with discontinuing smoking among attempters. However, some caution is required when interpreting population-based studies as NVP use is not randomized and there is reason to believe those vaping differ from those who are not.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Changes in Smoking and Vaping over 18 Months among Smokers and Recent Ex-Smokers: Longitudinal Findings from the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys

Gravely

Meng

Cummings

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

This descriptive study of smokers (smoked at least monthly) and recent ex-smokers (quit for ≤2 years) examined transitions over an 18 month period in their smoking and vaping behaviors. Data are from Waves 1 (W1: 2016) and 2 (W2: 2018) of the ITC Four Country Smoking and Vaping Survey, a cohort study of adult (≥18+) smokers, concurrent users (smoke and vape), and recent ex-smokers from Australia, Canada, England, and the United States (US). Respondents (N = 5016) were classified according to their smoking and vaping status, which resulted in eight subgroups: (1) exclusive daily smokers (2) exclusive non-daily smokers; (3–6) concurrent users (subdivided into four groups by each combination of daily/non-daily smoking and daily/non-daily vaping); (7) ex-smokers who vape; (8) ex-smokers not vaping. The analyses focused first on describing changes between groups from W1 to W2. Second, transition outcomes were assessed based on changes in smoking and vaping between W1 and W2. Transitions focused on smoking were: no change in smoking (continued smoking at the same frequency); decreased smoking; increased smoking; discontinued smoking; relapsed (ex-smokers at W1 who were smoking at W2). Transitions focused on vaping were: initiated vaping; switched from smoking to vaping. Overall, this study found that the vast majority of smokers were smoking 18 months later. Non-daily smokers were more likely than daily smokers to have discontinued smoking (p < 0.0001) and to have switched to exclusive vaping (p = 0.034). Exclusive non-daily smokers were more likely than exclusive daily smokers to have initiated vaping (p = 0.04). Among all W1 daily smokers, there were no differences in discontinued smoking between daily smokers who vaped (concurrent users) and exclusive daily smokers; however, concurrent users were more likely than exclusive daily smokers to have decreased to non-daily smoking (p < 0.001) or to have switched to vaping by W2 (p < 0.001). Among all W1 non-daily smokers, there were no significant differences in increased smoking or discontinued smoking between concurrent users or exclusive smokers. Most ex-smokers remained abstinent from smoking, and there was no difference in relapse back to smoking between those who vaped and those who did not.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changes in Smoking and Vaping over 18 Months among Smokers and Recent Ex-Smokers: Longitudinal Findings from the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys

Gravely

Meng

Cummings

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…Future studies can also examine correlates that predict these unique patterns among exclusive and non-exclusive hookah users. Kasza et al 44 45 and Edwards et al 46 examine demographic correlates of initiation, cessation and relapse of hookah use to further explore predictors of these outcomes.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal pathways of exclusive and polytobacco hookah use among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

et al. 2020

Self Cite

View full text Add to dashboard Cite

ObjectiveThe goal of this study is to examine cross-sectional rates of use and longitudinal pathways of hookah use among US youth (ages 12-17), young adults (ages 18-24), and adults 25+ (ages 25 and older).DesignData were drawn from the first three waves (2013–2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US adults and youth. Respondents with data at all three waves (youth, n=11 046; young adults, n=6478; adults 25+, n=17 188) were included in longitudinal analyses.ResultsYoung adults had higher ever, past 12-month (P12M) and past 30-day cross-sectional prevalence of hookah use at each wave than youth or adults 25+. The majority of Wave 1 (W1) hookah users were P12M users of other tobacco products (youth: 73.9%, young adults: 80.5%, adults 25+: 83.2%). Most youth and adult W1 P12M hookah users discontinued use in Wave 2 or Wave 3 (youth: 58.0%, young adults: 47.5%, adults 25+: 63.4%). Most W1 P12M hookah polytobacco users used cigarettes (youth: 49.4%, young adults: 59.4%, adults 25+: 63.2%) and had lower rates of quitting all tobacco than exclusive hookah users or hookah polytobacco users who did not use cigarettes.ConclusionsHookah use is more common among young adults than among youth or adults 25+. Discontinuing hookah use is the most common pathway among exclusive or polytobacco hookah users. Understanding longitudinal transitions in hookah use is important in understanding behavioural outcomes at the population level.

show abstract

“…Figure 1 shows that the broad transitions of initiation, cessation and relapse can occur in steps (denoted by showing two arrows between user states); for example, cigarette smoking cessation is composed of moving from being a current smoker to making a quit attempt to succeeding in a quit attempt. Three papers in this issue describe correlates of the broad transitions of initiation,22 cessation23 and relapse24 for each type of tobacco product, along with correlates of steps within each of these transitions over a 1-year time frame using data from W1 to W2 and from W2 to W3 of the PATH Study. Table 2 lists the individual-level initial correlates considered in this issue for each of the broad transitions and steps within them, though other factors at the environment level or product level, for example, may also relate to transition behaviours or interact with individual-level correlates to affect transition behaviours.…”

Section: Overview Of Tobacco Use Transitions For Population Healthmentioning

confidence: 99%

“…Specifically, we outline a high-level conceptual overview to guide thinking about three broad transition behaviours: (1) initiation of tobacco use among non-users; (2) cessation of use among current users; and (3) relapse back to tobacco use among former users. These transition behaviours can apply to several different types of tobacco products4–9 and may be influenced by a set of demographic and tobacco use correlates 22–24. The papers that follow in this journal issue use this overview for different tobacco products among youth 12–17 years of age, young adults 18–24 years of age and adults 25 years of age and older.…”

Section: Introductionmentioning

confidence: 99%

Overview of tobacco use transitions for population health

et al. 2020

Self Cite

View full text Add to dashboard Cite

The Family Smoking Prevention and Tobacco Control Act provided the US Food and Drug Administration authority to regulate tobacco products using a population health standard. Models have been developed to estimate the population health impacts of tobacco initiation, cessation and relapse transitions. Models should be informed by high-quality, longitudinal data to estimate these constructs. Simulation studies have generated data to predict the impact of various tobacco control interventions, including the influence of regulations on tobacco use behaviours and health. The purpose of this paper is to provide a high-level conceptual overview for understanding tobacco transition behaviours and correlates of these behaviours using data from the Population Assessment of Tobacco and Health (PATH) Study, a US nationally representative longitudinal tobacco study of about 46 000 persons aged 12+ years. The papers that follow in this journal issue build and expand on this conceptual overview using data from the first three waves of the PATH Study. These papers describe use patterns of different tobacco products and their correlates, and can serve as foundations for more in-depth papers that will help the research community better understand the population health impacts and drivers of different tobacco use patterns.

show abstract

Correlates of tobacco product cessation among youth and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

Cited by 52 publications

References 36 publications

Changes in Smoking and Vaping over 18 Months among Smokers and Recent Ex-Smokers: Longitudinal Findings from the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys

Changes in Smoking and Vaping over 18 Months among Smokers and Recent Ex-Smokers: Longitudinal Findings from the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys

Longitudinal pathways of exclusive and polytobacco hookah use among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

Overview of tobacco use transitions for population health

Contact Info

Product

Resources

About