Exploring the Predictive Validity of the Susceptibility to Smoking Construct for Tobacco Cigarettes, Alternative Tobacco Products, and E-Cigarettes

Cole, Adam G.; Kennedy, Ryan David; Chaurasia, Ashok; Leatherdale, Scott T.

doi:10.1093/ntr/ntx265

Cited by 50 publications

(62 citation statements)

References 30 publications

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Section: Discussionmentioning

confidence: 99%

“…Cole et al 31 measured the predictive validity of the Pierce et al three-item scale for cigarettes and non-cigarette tobacco products among a sample of high school students in Canada. They found that the sensitivity and specificity for the measure were still highest for cigarettes 31 . When comparing these values to those from our study, they show similar patterns, though our study measures participants' ever use of the product, whereas Cole et al 31 measured participants' current use of the product.…”

Section: Discussionmentioning

confidence: 99%

“…They found that the sensitivity and specificity for the measure were still highest for cigarettes 31 . When comparing these values to those from our study, they show similar patterns, though our study measures participants' ever use of the product, whereas Cole et al 31 measured participants' current use of the product.…”

Section: Discussionmentioning

confidence: 99%

“…Researchers have adapted the Pierce et al susceptibility scale to determine adolescent and young adult susceptibility to non-cigarette tobacco products 24,[28][29][30][31] . Lipkus et al 24 adapted the scale for use in a longitudinal study of waterpipe susceptibility among college students (young adults), predicting uptake at follow-up, while Trinidad et al 30 assessed susceptibility rates and characteristics of susceptible youth in a cross-sectional nationally representative survey.…”

Section: Introductionmentioning

confidence: 99%

“…Lipkus et al 24 adapted the scale for use in a longitudinal study of waterpipe susceptibility among college students (young adults), predicting uptake at follow-up, while Trinidad et al 30 assessed susceptibility rates and characteristics of susceptible youth in a cross-sectional nationally representative survey. Most recently, Cole et al 31 adapted a threeitem version of the Pierce et al scale in a longitudinal sample of high school students in Ontario, Canada, testing the predictive validity of this susceptibility scale for several tobacco products, including LCC and WP 31 .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

One-item susceptibility measure predicts waterpipe and little cigar/cigarillo uptake in a national sample of adolescents and young adults in the United States

Orlan

Queen

Ribisl

et al. 2019

Tob. Prev. Cessation

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INTRODUCTION Adolescents and young adults in the United States (US) are increasingly using non-cigarette tobacco products such as waterpipe (WP) and little cigars/cigarillos (LCC). One way to predict which non-user adolescents and young adults are most likely to use these products is through measuring their susceptibility or openness to using the products. METHODS We conducted a national phone survey (baseline) and an internet survey (follow-up) of adolescents and young adults (ages 13-25 years), who, at baseline, had never used WP (N=1002) or LCC (N=990). At baseline, we measured susceptibility using a single item, asking participants whether they would try WP or LCC if their best friend offered it to them, and subsequently measured uptake at follow-up. We conducted multivariate regression analyses to determine whether product-specific susceptibility was a significant predictor of uptake at follow-up. RESULTS Participants who were susceptible and participants who had ever used another tobacco product had higher odds of using WP (AOR=3.5, AOR=4.2) and LCC (AOR=3.2, AOR=5.3) at follow-up than those who were not susceptible to those products, and had not ever used tobacco products respectively, controlling for sociodemographic factors. The one-item measure had adequate sensitivity (WP=51.4%, LCC=40.2%) and specificity (WP=84.9%, LCC=87.9%). CONCLUSIONS Our national study of US adolescents and young adults shows that a one-item susceptibility measure at baseline was a significant predictor of WP and LCC uptake at follow-up, even after controlling for other predictors. Future research should assess the predictive validity of the one-item compared to the multi-item scale.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

One-item susceptibility measure predicts waterpipe and little cigar/cigarillo uptake in a national sample of adolescents and young adults in the United States

Orlan

Queen

Ribisl

et al. 2019

Tob. Prev. Cessation

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Age at Initiation of Cigarette Use in a Nationally Representative Sample of US Youth, 2013-2017

et al. 2021

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IMPORTANCE Cigarettes are still a commonly used tobacco product among youth despite recent declines in cigarette use. OBJECTIVE The aim of this study was to prospectively estimate the age of cigarette use initiation among youth (aged 12-17 years) overall, by sex, and by race/ethnicity. DESIGN, SETTING, AND PARTICIPANTS This cohort study used data from waves 1 through 4 of the nationally representative Population Assessment of Tobacco and Health (PATH) study, conducted from September 12, 2013, to January 3, 2018. Two subpopulations of youth were assessed: (1) those nonsusceptible to cigarette use and (2) never users of cigarettes at their first wave of PATH participation. Weighted interval-censoring survival analyses were used to prospectively estimate the age of initiation of cigarette use outcomes. Weighted interval-censoring Cox proportional hazard models were used to estimate differences in the age of initiation by sex and by race/ethnicity. Statistical analyses were performed from October 7, 2019, to May 1, 2020. EXPOSURES Differences in the age of initiation by sex and race/ethnicity. MAIN OUTCOMES AND MEASURES Age of initiation of susceptibility to cigarette use, ever use, past 30-day use, and fairly regular cigarette use overall, by sex, and by race/ethnicity. RESULTS A total of 15 776 youth never users and, among them, 11 022 youth who were nonsusceptible to cigarette use, were included in this study (weighted mean [SE] age, 13.5 [0.01] years; 58.6% [SE, 0.46%] non-Hispanic White; and 51.0% [SE, 0.32%] boys) and 15 776 were never users of cigarettes at their first wave of PATH participation (weighted mean [SE] age, 13.7 [0.01] years; 55.0% [SE, 0.29%] non-Hispanic White; and 51.0% [SE, 0.15%] boys). By age 18 years, among those who were nonsusceptible, 46.2% (95% CI, 44.3%-48.2%) became susceptible to cigarette use. Among never users, 24.4% (95% CI, 22.9%-25.9%) initiated ever cigarette use, 16.4% (95% CI, 15.2%-17.6%) initiated past 30-day cigarette use, and 4.3% (95% CI, 3.9%-4.8%) initiated fairly regular cigarette use. Boys had a higher risk of initiating ever (hazard ratio [HR], 1.21; 95% CI, 1.08-1.36) and past 30-day cigarette use (HR, 1.27; 95% CI, 1.10-1.47) at earlier ages compared with girls. Non-Hispanic White youth had a higher risk of an earlier age of initiation of susceptibility to cigarette use (HR, 0.77; 95% CI, 0.68-0.88), ever use (HR, 0.59; 95% CI, 0.49-0.71), past 30-day use (HR, 0.64; 95% CI, 0.52-0.77), and fairly regular cigarette use (HR, 0.25; 95% CI, 0.14-0.43) compared with non-Hispanic Black youth. (continued) Key Points Question At what age do youth (aged 12-17 years) initiate 4 cigarette use outcomes (susceptibility to use, ever use, past 30-day use, and fairly regular use)? Findings This cohort study examined nationally representative data for 15 776 youth never users and, among them, 11 022 youth who were nonsusceptible to cigarette use, and found that among youth who were nonsusceptible to cigarette use, by age 18 years, 46.2% became susceptible to cigarette use. Among n...

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Measurement and predictive value of susceptibility to cigarettes, e-cigarettes, cigars, and hookah among Texas adolescents

Carey

Wilkinson

Harrell

et al. 2018

Addictive Behaviors Reports

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Susceptibility to cigarette smoking, defined as the lack of a firm commitment not to smoke in the future, begins in childhood and is a phase in the transition from never to ever use of cigarettes. While a consistent and validated predictor of cigarette use, little research has assessed whether the susceptibility construct applies equally well across other tobacco products. Baseline data were collected in 2014–2015 from a representative sample of (n = 2844) middle and high school students in five counties surrounding the four largest cities in Texas, (49% female and mean age 13.13 years, with subsequent waves at 6, 12, and 18 months. Confirmatory factor analysis examined the appropriateness of a three-item susceptibility measure (product-specific curiosity, intention to use, and peer influence) across product types and ethnic groups (Hispanic versus non-Hispanic). Logistic regression examined whether product specific susceptibility at baseline predicted future product initiation. At baseline, 11.5%, 17.0%, 17.4% and 29.4%, of adolescent never users were susceptible to cigars, cigarettes, hookah and e-cigarettes, respectively; significantly more Hispanic than non-Hispanic adolescents were susceptible to e-cigarettes (32.4% versus 26%, p < 0.01) and cigarettes (19.9% versus 13.9%, p < 0.05). Product-specific items were significantly and consistently associated with the respective underlying susceptibility product construct and across ethnic groups (p < 0.001 for all). Susceptibility to e-cigarettes (AOR = 2.28–6.64) or any combustible product (cigarettes, hookah, cigars; AOR = 3.38–5.20) significantly predicted subsequent ever use. This study confirms the appropriateness of the susceptibility construct across four tobacco product types and ethnic groups, and the utility of susceptibility in predicting future product use among adolescents.

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Exploring the Predictive Validity of the Susceptibility to Smoking Construct for Tobacco Cigarettes, Alternative Tobacco Products, and E-Cigarettes

Cited by 50 publications

References 30 publications

One-item susceptibility measure predicts waterpipe and little cigar/cigarillo uptake in a national sample of adolescents and young adults in the United States

One-item susceptibility measure predicts waterpipe and little cigar/cigarillo uptake in a national sample of adolescents and young adults in the United States

Age at Initiation of Cigarette Use in a Nationally Representative Sample of US Youth, 2013-2017

Measurement and predictive value of susceptibility to cigarettes, e-cigarettes, cigars, and hookah among Texas adolescents

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