Dual and polytobacco use after a period of enforced tobacco cessation

Pebley, Kinsey; Krukowski, Rebecca A.; Mallawaarachchi, Indika; Talcott, G. Wayne; Klesges, Robert C.; Little, Melissa A.

doi:10.1016/j.addbeh.2021.107077

Cited by 5 publications

(7 citation statements)

References 23 publications

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“…The first publication dates from 2007, when the term polytobacco is described as the concurrent use of cigarettes and one or more other tobacco products [ 46 ]. Other authors have used the term “dual” to refer to the consumption of two tobacco products and reserve the word polytobacco for the consumption of three or more [ 47 ]. As with polydrug use, when evaluating polytobacco use, the combinations of substances taken into account, the number of them, and frequency and magnitude all vary [ 48 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

Polydrug Definition and Assessment: The State of the Art

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2022

IJERPH

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Polydrug use is a very common phenomenon and represents an important public health problem. The definition of the term has varied since its inception, and consequently so have forms of self-report evaluation. The aim of this review is to offer an overview of how the concept has evolved and its forms of evaluation through self-reporting. A search of the term polydrug was conducted on the PubMed portal up to August 2022, with a total of 2076 publications detected containing the word polydrug in their title, abstract or keywords. This includes publications that represent an advance in the definition and assessment of this construct through self-reports, which may be useful for researchers carrying out future studies in the field. The importance of distinguishing between concurrent and simultaneous polydrug use and the need to employ comparable measures in parameters for the frequency, magnitude and combination of psychoactive substances involved in polydrug use are two of the main recommendations emerging from this review.

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Section: Resultsmentioning

confidence: 99%

Polydrug Definition and Assessment: The State of the Art

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2022

IJERPH

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“…This is important given that dual and polytobacco use is common among military personnel who use tobacco. 19 While enforced tobacco bans have been shown to be effective at reducing the number and frequency of tobacco product use over time, 19 this does not address the root causes of why individuals use tobacco. By understanding the motives associated with increased tobacco use, it is possible to implement programs that provide alternative resources to meet the needs of the Airmen.…”

Section: Discussionmentioning

confidence: 99%

“…This is important given that dual and polytobacco use is common among military personnel who use tobacco. 19 While enforced tobacco bans have been shown to be effective at reducing the number and frequency of tobacco product use over time, 19 this does not address the root causes of why 1. Results from Stratified Linear Regressions of Tobacco Motives Subscale Scores between Males and Females.…”

Section: Discussionmentioning

confidence: 99%

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Motives of Tobacco Use Among Young Adults in the United States Air Force

et al. 2023

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Purpose Research has focused on cigarette use motives and have not included military personnel. The current study assessed tobacco use motives for different products, and differences within males and females and those with different racial identities given historical disparities in tobacco use. Design A cross-sectional survey about tobacco use was administered from October 2019 to February 2022. Setting Four Technical Training bases in the US. Sample Air Force Airmen who used tobacco (N = 3243). Measures Questions were about sociodemographic characteristics, tobacco use, and the Tobacco Motives Inventory (representing affect regulation, boredom, enhancement, and social motives). Analysis Linear regressions assessed associations between overall tobacco use and motives. Stratified analyses assessed associations between tobacco use and motives among males and females, and individuals from different racial backgrounds. Logistic regressions assessed differences in motives and use of different tobacco products between “some day” and “everyday” users. Results Overall, boredom ( B = .09, SE = .01) and affect regulation ( B = .05, SE = .00) motives were associated with higher tobacco use. Males and females and individuals from different racial backgrounds endorsed different motives, but all endorsed boredom as a motive for higher tobacco use. Individuals who used cigarettes, e-cigarettes, or smokeless tobacco “some days” endorsed higher social motives than everyday users, but everyday users endorsed different motives across products. Conclusion There are motives differentiating between “some day” and “everyday” users of tobacco products, which may need to be differentially targeted in intervention programs. Additionally, there are some overlapping motives (affect regulation, boredom) that may be beneficial to address with all tobacco users.

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“…There are some limitations that are important to consider. This cessation intervention was delivered during an enforced military tobacco ban, which has been found to produce long-term cessation rates from 15 to 20% in military populations [44][45][46] . However, all Airmen across all three randomized arms would have experienced the same ban, and therefore the ban would not be expected to confound results.…”

Section: Limitationsmentioning

confidence: 99%

Efficacy of a group-based brief tobacco intervention among young adults aged 18–20 years in the US Air Force

Little¹,

Wang²,

Fahey³

et al. 2021

Tob. Induc. Dis.

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INTRODUCTION Most smokers begin using tobacco before the age of 25 years, making it important to reduce tobacco use during adolescence and early adulthood. Rates of use are historically higher among military personnel. While ‘Tobacco 21’ made it illegal for US retailers to sell tobacco to those aged <21 years, the policy did not address cessation for current youth and young adult tobacco users. Additionally, there is limited research on cessation interventions among young adults under 21 years. The current study evaluated the efficacy of a group-based Brief Tobacco Intervention (BTI) among US Air Force trainees, who are predominantly aged 18–20 years and directly impacted by Tobacco 21 legislation. METHODS Participants were 2969 US Air Force Trainees from April 2017 through January 2018 cluster randomized to three conditions: 1) BTI + Airman’s Guide to Remaining Tobacco Free (AG), 2) AG alone, and 3) the National Cancer Institute’s Clearing the Air (CTA) pamphlet. To assess the efficacy of the interventions among people aged 18–20 years, a domain analysis (<21 years, n=2117; and ≥21 years, n=852) of a multinomial logistic regression model was run. RESULTS Mono tobacco users aged <21 years at baseline who received the BTI+AG had higher odds of quitting tobacco at 3 months (OR=2.13; 95% CI: 1.02–4.46). Dual and poly users aged <21 years at baseline who received the BTI+AG intervention had higher odds of reducing the number of tobacco products used at 3 months (OR=2.94; 95% CI: 1.03–8.37). CONCLUSIONS The BTI was effective for people aged 18–20 years. The current study offers insight into components of interventions that might be successful in helping this age group decrease tobacco use.

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Dual and polytobacco use after a period of enforced tobacco cessation

Cited by 5 publications

References 23 publications

Polydrug Definition and Assessment: The State of the Art

Polydrug Definition and Assessment: The State of the Art

Motives of Tobacco Use Among Young Adults in the United States Air Force

Efficacy of a group-based brief tobacco intervention among young adults aged 18–20 years in the US Air Force

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