Patterns and Correlates of Multiple Tobacco Product Use in the United States

Stanton, Cassandra A.; Halenar, Michael J

doi:10.1093/ntr/nty081

Cited by 21 publications

(12 citation statements)

References 24 publications

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“…Although studies on social norm and risk perception of PTU are limited, some studies had examined the socio-demographic characteristics associated with PTU [ 11 , 28 , 29 ]. Consistent with previous studies in other countries [ 2 , 9 , 30 , 31 ], our findings showed that being male and younger age were positively associated with current PTU. Men were reported with higher risk-taking and sensation-seeking behaviors, such as drug or alcohol abuse and smoking experimentation [ 32 , 33 ].…”

Section: Discussionsupporting

confidence: 93%

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Polytobacco product use among current cigarette smokers in Hong Kong, China: results from population surveys (2015–17)

Chau

Wang

et al. 2021

BMC Public Health

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Background Polytobacco product use is increasingly popular, but little is known about the prevalence, trend, and factors of such use particularly in non-western countries. Method A representative sample of 1139 current cigarette smokers aged 15+ (84.1% male) were telephone interviewed in Tobacco Control Policy-related Surveys in 2015–2017. Information collected included poly-tobacco use (PTU), smoking and socio-demographic characteristics. Associations of current PTU with related factors were analyzed using logistic regression with adjustment for confounders. Prevalence was weighted by age and sex of current cigarette users in the general population. Results Eighty-four point one percent (95% CI 81.4–86.6%) were exclusive cigarette smokers. Fifteen point nine percent (13.4–18.6%) were current polytobacco product users, 12.3% (10.2–14.8%) used one tobacco product and 2.52% (1.59–3.97%) used two tobacco products in addition to cigarette. Cigarette use with cigar was more common (6.28%, 4.75–8.27%), and the least used product with cigarette was e-cigarette (1.05%, 0.44–2.50%). The changes in overall prevalence of PTU by number of products use varied in 3 years. Current PTU was associated with being male (AOR 2.01, 95% CI 1.12–3.61), younger age (AORs range from 1.34–4.65, P for trend < .001) and less ready to quit (2.08, 1.09–3.97). Conclusions Prevalence of PTU increased slowly by year, one tobacco product use with cigarette was more common. The most used tobacco product with cigarette was cigar. Being male, younger and less ready to quit were associated with current PTU.

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Section: Discussionsupporting

confidence: 93%

“…Youth were more likely to explore different tobacco products [8,9]. Over 80% of polytobacco product users reported starting PTU in young adult age (aged [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] [10] and continued to use in lives [8]. Most research on PTU was conducted in western countries (e.g.…”

Section: Introductionmentioning

confidence: 99%

Polytobacco product use among current cigarette smokers in Hong Kong, China: results from population surveys (2015–17)

Chau

Wang

et al. 2021

BMC Public Health

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“…Initiating use of multiple tobacco products within the same time period may be a risk factor for continued use over time. Given the growing phenomenon of concurrent multiple tobacco product use,35–40 prevention strategies could include discussion of how combining use of tobacco products may increase risk of addiction. Kasza et al 41 examined predictors of ever or P30D tobacco initiation over a 1-year period and found that after controlling for demographics, ever use of another type of tobacco product was a significant predictor of tobacco product initiation.…”

Section: Discussionmentioning

confidence: 99%

Initiation of any tobacco and five tobacco products across 3 years among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

et al. 2020

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ObjectiveThis study reports weighted cross-sectional prevalence of never use of tobacco, and longitudinal past 12-month (P12M), past 30-day (P30D) and frequent P30D any tobacco or specific tobacco product initiation across three 1-year waves. Longitudinal three-wave pathways are examined to outline pathways of exclusive and polytobacco initiation, as well as pathways of new initiators of electronic nicotine delivery systems (ENDS) or cigarettes.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 youth and adults. 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.ResultsAcross the three age groups, weighted cross-sectional analyses revealed never any tobacco use decreased each year from 2013 to 2016, reflecting overall increases in tobacco initiation in the population during this time. Compared with cigarettes, cigars, hookah and smokeless tobacco, ENDS had the highest proportion of P12M initiation from Wave 1 to Wave 3 (W3) for each age group. Among youth Wave 2 P30D initiators of exclusive ENDS or cigarettes, the most common W3 outcome was not using any tobacco (ENDS: 59.0% (95% CI 48.4 to 68.8); cigarettes: 40.3% (95% CI 28.7 to 53.1)).ConclusionsInitiation rates of ENDS among youth and young adults have increased the number of ever tobacco users in the US prevention strategies across the spectrum of tobacco products which can address youth initiation of tobacco products.

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“…1 As the tobacco market landscape rapidly changes, patterns of use, including dual use (use of 2 products) and polyuse (use of 3 or more products), are evolving. Although the long-term health consequences of dual and polyuse are not well understood, 2,3 the concurrent use of multiple tobacco products influences nicotine dependence, 4 -7 frequency of product use, 5,8,9 and cessation intentions. 7,10…”

Section: Purposementioning

confidence: 99%

Exclusive, Dual, and Polytobacco Use Among US Adults by Sociodemographic Factors: Results From 3 Nationally Representative Surveys

et al. 2020

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Purpose: To provide tobacco product use patterns for US adults by sociodemographic group. Design: A secondary analysis of Tobacco Use Supplement to the Current Population Survey (2014-15), National Health Interview Survey (2015), and Population Assessment of Tobacco and Health (2015-16). Setting: United States. Sample: Three nationally representative samples of adults (N = 28,070-155,067). Measures: All possible combinations of cigarette, Electronic Nicotine Delivery Systems (ENDS), other combustible product, and smokeless tobacco use, defined as current use every day or some days. Analysis: Weighted population prevalence and proportion among tobacco users of exclusive, dual, and polyuse patterns by sex, race/ethnicity, education, income, and age. Results: Exclusive cigarette use was the most prevalent pattern (10.9-12.8% of US population). Dual and polyuse were less prevalent at the population level (2.6-5.2% and 0.3-1.3%, respectively) but represented 16.7-25.5% of product use among tobacco users. Cigarette plus ENDS use was similar by sex, but men were more likely to be dual users of cigarettes plus other combustibles or smokeless tobacco. Among race/ethnic subgroups, non-Hispanic (NH) Whites were most likely to use cigarettes plus ENDS, while NH Blacks were most likely to use cigarettes plus other combustibles. Dual and polyuse were generally less common among adults with higher education, income, and age. Conclusion: Differences in product use patterns by sociodemographic group likely represent different risk profiles with important implications for resulting health disparities.

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Patterns and Correlates of Multiple Tobacco Product Use in the United States

Cited by 21 publications

References 24 publications

Polytobacco product use among current cigarette smokers in Hong Kong, China: results from population surveys (2015–17)

Polytobacco product use among current cigarette smokers in Hong Kong, China: results from population surveys (2015–17)

Initiation of any tobacco and five tobacco products across 3 years among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

Exclusive, Dual, and Polytobacco Use Among US Adults by Sociodemographic Factors: Results From 3 Nationally Representative Surveys

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