Do smokers of specialty and conventional cigarettes differ in their dependence on nicotine?

Huh, Jimi; Timberlake, David S.

doi:10.1016/j.addbeh.2008.10.014

Cited by 12 publications

(7 citation statements)

References 39 publications

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“…Past research has found users of alternative tobacco products to be less established tobacco users (i.e., less nicotine dependent) than conventional cigarette users [38]. We extend this study by demonstrating that youth alternative tobacco product users are less frequently diagnosed with substance use disorders versus youth who smoke conventional cigarettes.…”

Section: Discussionsupporting

confidence: 60%

Youth tobacco use type and associations with substance use disorders

et al. 2014

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Aims To examine the associations between youth poly-tobacco use and substance use disorders. Design Analysis of data from the 2007–2011 U.S. National Survey on Drug Use and Health. Setting Randomly selected, household-dwelling adolescents from the noninstitutionalized, civilian population of the U.S.A. Participants A total of 91,152 adolescents (ages 12–17). Methods Logistic regression models were used to examine the associations between type of tobacco user (non-user, users of alternative tobacco products only, users of cigarettes only, and users of cigarettes plus alternative tobacco products) with past year alcohol, marijuana, or other illicit drug use disorders, adjusting for demographic and social variables. Findings Compared with non-users of tobacco, the greatest risk for substance use disorders was among users of cigarettes plus alternative tobacco products (alcohol disorder adjusted odds ratio [aOR] 18.3, 95% confidence interval [CI] 16.2–20.6; marijuana disorder aOR 37.2, 95% CI 32.5–42.7; other drug disorder aOR 18.4, 95% CI 15.4–21.8), followed by users of cigarettes only (alcohol disorder aOR 9.6, 95% CI 8.8–10.6; marijuana disorder aOR 20.4, 95% CI 18.1–23.0; other drug disorder aOR 9.4, 95% CI 7.8–11.4), then users of alternative tobacco products only (alcohol disorder aOR 8.1, 95% CI 6.7–9.6; marijuana disorder aOR 9.2, 95% CI 7.5–11.4; other drug disorder aOR 3.2, 95% CI 2.4–4.3). Conclusions Tobacco use in adolescence is associated with higher rates of substance use disorders across all tobacco users, especially among those who use cigarettes plus other tobacco products.

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Section: Discussionsupporting

confidence: 60%

Youth tobacco use type and associations with substance use disorders

et al. 2014

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“…In a recent study conducted with Airmen regarding their e-cigarette use prior to enlistment, individuals who reported using e-cigarettes were over 4 times more likely to be dual and poly-tobacco users compared with the participants who did not use e-cigarettes (8). Given that these individuals are placing themselves at greater risk of cancer, heart disease, and other tobacco-related diseases (19,20), it is critical to understand the combinations of products used by dual and poly-tobacco users and the correlates of use in order to develop effective prevention and cessation interventions.…”

mentioning

confidence: 99%

Types of Dual and Poly-Tobacco Users in the US Military

Little¹,

Bursac²,

Derefinko³

et al. 2016

Am. J. Epidemiol.

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The present investigation was designed to determine the prevalence and types of dual and poly-use of tobacco products in the US Air Force, as well as characteristics and factors associated with these types. We conducted a cross-sectional assessment of tobacco-product use among 13,873 Air Force trainees from 2013 to 2014. The assessment included prevalence of the use of 10 different tobacco products and demographic and environmental factors, such as risk perceptions of tobacco use, peer use, and tobacco-company influences. Latent class analysis was carried out to determine types of poly-tobacco users. Tobacco-product use was reported by 27.1% of participants, and of those, over half reported using more than 1 tobacco product. Latent class analysis indicated 5 classes of poly-tobacco use. Factors associated with poly-tobacco (vs. mono-tobacco) use included lower confidence to remain tobacco-free, low harm perceptions, and receiving tobacco products free at bars or social events. Rates of dual and poly-tobacco use are high among trainees, and while these groups are similar to mono users in some ways, there are a number of differences that need to be considered when developing targeted interventions to address use of multiple tobacco products.

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“…Though our search did not identify studies in Bangladesh, India or Indonesia where specialty cigarettes are most likely to be smoked, one US study by Huh and Timberlake63 used the subscales of the NDSS and the ‘time to first cigarette’ feature from the FTND to assess dependence in bidi/kretek-only, conventional cigarette and poly-tobacco users aged 12–25 years. After accounting for the fact that specialty-only smokers smoked significantly less than poly-tobacco users or users of conventional cigarettes, specialty-only smokers were identified as more nicotine dependent using the NDSS/FTND criteria as a result of their shorter time to first cigarette when compared with conventional cigarette smokers.…”

Section: Resultsmentioning

confidence: 99%