Patterns and correlates of polytobacco use in the United States over a decade: NSDUH 2002–2011

Fix, Brian V.; O’Connor, Richard J.; Vogl, Lisa; Smith, Danielle M.; Bansal-Travers, Maansi; Conway, Kevin P.; Ambrose, Bridget K.; Yang, Ling; Hyland, Andrew

doi:10.1016/j.addbeh.2013.12.015

Cited by 86 publications

(99 citation statements)

References 23 publications

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“…To compare our results with the literature of poly-use among current tobacco users, 13,16,[29][30][31][32][34][35][36][37][38][39] it is worth pointing out that previous poly-use prevalence estimates varied widely depending on types of tobacco products examined, frequency of tobacco use (daily vs. nondaily), and gender. In the literature, dual use of cigarettes with SLT (chewing tobacco and snuff) 16,30,31,35,36 and dual use of cigarettes with snuff 13,37 were the most commonly examined poly-use combinations.…”

Section: Discussionmentioning

confidence: 99%

“…At the population level, some studies estimated the prevalence of current polytobacco use among special populations such as the Lumbee American Indians in North Carolina (4.8%), 22 Air Force recruits (1.3%−3.3%), 5,23 active duty military personnel (11.5%), 24 college students (7.4%), 25 young adults aged 18−34 (7.0%), 26 and cancer prevention trial participants (3.7%), 27 while others estimated the prevalence of current polytobacco use among the general population of all adults (ranging from 0.3%−1.6% [28][29][30][31] to 2.5%−3.4% 32,33 and up to 10.6% 34 ), of all men (0.6%−1.6%), 28,[35][36][37] and of all women (0.3%). 36 At the tobacco users' level, the vast majority of studies estimated the prevalence of current polytobacco use among current cigarette smokers (ranging from 2.3%−8.5% 13 , and relatively few studies estimated the prevalence of current polytobacco use among current users of all tobacco products combined (9.9%−12.1% of those aged ≥26 and 21.4%−24.6% of those aged 18−25), 39 among male current snuff users (15.0%−19.2% of daily snuff users and 38.9%−44.7% of nondaily snuff users), 13,37 and among current SLT users (25.0%−42.4%). 30,31,35,36 There is a lack of studies that examine polytobacco use among current cigar users, even though it has been shown that cigars were the most prevalent product concurrently used among current cigarette smokers, 29 and one-half of all polytobacco users consumed both cigarettes and cigars.…”

Section: Original Investigationmentioning

confidence: 99%

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Polytobacco Use of Cigarettes, Cigars, Chewing Tobacco, and Snuff Among US Adults

Sung¹,

Wang²,

Yao³

et al. 2015

NICTOB

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Introduction: Tobacco use prevalence has been commonly estimated on a product by product basis and the extent of polytobacco use among current users of each tobacco product is not well understood. This study aimed to examine the prevalence, trends, and correlates of polytobacco use among current users of cigarettes, cigars, chewing tobacco, and snuff in US adults aged ≥18. Methods: We used pooled data from the 1998, 2000, 2005, and 2010 Cancer Control Supplements of the National Health Interview Survey (N = 123 399 adults). Multivariate logistic regression models were estimated to determine significant factors associated with polytobacco use. Results: In 2010, the prevalence of polytobacco use was 8.6% among current cigarette smokers, 50.3% among current cigar users, 54.8% among current chewing tobacco users, and 42.5% among current snuff users. After controlling for other covariates, gender and race/ethnicity did not show consistent associations with poly-use across these four groups of current tobacco users; however, a positive association of young adulthood, less than high school education, and binge drinking with poly-use was consistently found among all these groups. Conclusions: Polytobacco use is extremely popular among current users of non-cigarette tobacco products. Polytobacco use patterns differ across sociodemographic subpopulations, and the gender and racial/ethnic profiles in poly-users vary across different groups of current tobacco users. Tobacco control strategies need to consider the interrelationships in the use of different tobacco products and the diverse profiles of poly-users in order to develop tailored tobacco prevention and intervention policies to further reduce the burden of tobacco use. 818Nicotine & Tobacco Research, 2016, Vol. 18, No. 5 use has been linked to oral and pharyngeal cancers, bladder and pancreatic cancer, oral leukoplakia, periodontal disease, and hypercholesterolemia.9-12 Because different tobacco products have potentially different levels of addiction and toxicity, 3 polytobacco use may be associated with increased risks of nicotine dependence, 13 adverse health effects, 14 and healthcare utilization compared with exclusive use of a single tobacco product. To evaluate the potential effects of polytobacco use on population health and health-related economic burden, it is crucial to understand the pattern of poly-use and the demographic profile of poly-users.The prevalence of tobacco use has been commonly estimated on a product by product basis in population-level surveillance studies, [15][16][17][18] and the extent of polytobacco use among current users of each tobacco product, especially non-cigarette product, is not well understood. In the literature of polytobacco use among US adults, except few recent studies which examined lifetime polytobacco use, , and relatively few studies estimated the prevalence of current polytobacco use among current users of all tobacco products combined (9.9%−12.1% of those aged ≥26 and 21.4%−24.6% of those aged 18−25), 39 ...

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Section: Discussionmentioning

confidence: 99%

Section: Original Investigationmentioning

confidence: 99%

Polytobacco Use of Cigarettes, Cigars, Chewing Tobacco, and Snuff Among US Adults

Sung¹,

Wang²,

Yao³

et al. 2015

NICTOB

View full text Add to dashboard Cite

show abstract

“…These studies report rapid escalation of smoking behavior in a subset of youth after age 18, the presence of multiple lowerlevel smoking trajectories, and the lack of a Bquitter^group in emerging adults (Hair et al 2017;Johnson et al 2018). Crosssectional studies also highlight that exclusive cigarette use is no longer the typical pattern of tobacco and nicotine use in young people given the high prevalence of multiple tobacco and nicotine product use (i.e., poly-product use) in contemporary adolescents and young adults (Collins et al 2017;Fix et al 2014;Rath et al 2012;Richardson et al 2014;Villanti et al 2016). …”

Section: Young Adults and Tobacco Usementioning

confidence: 99%

Preventing Smoking Progression in Young Adults: the Concept of Prevescalation

et al. 2018

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As adolescents cross the threshold to young adulthood, they encounter more opportunities to engage in or accelerate previously discouraged or prohibited behaviors. Young adults, therefore, are more apt to initiate cigarette smoking and, more importantly, to accelerate their use if they tried and experimented as an adolescent. Preventing the escalation and entrenchment of smoking in the young adult years is critically important to reducing tobacco's long-term health toll. However, traditional interventions for youth have focused on preventing smoking initiation, and interventions for adults have focused on smoking cessation; both have failed to address the needs of young adults. We introduce the concept of Bprevescalation^to capture the need and opportunity to prevent the escalation of risk behaviors that typically occur during young adulthood, with a focus on the example of cigarette smoking. Prevescalation negates the notion that prevention has failed if tobacco experimentation occurs during adolescence and focuses on understanding and interrupting transitions between experimentation with tobacco products and established tobacco use that largely occur during young adulthood. However, since risk behaviors often co-occur in young people, the core concept of prevescalation may apply to other behaviors that co-occur and become harder to change in later adulthood. We present a new framework for conceptualizing, developing, and evaluating interventions that better fit the unique behavioral, psychosocial, and socio-environmental characteristics of the young adult years. We discuss the need to target this transitional phase, what we know about behavioral pathways and predictors of cigarette smoking, potential intervention considerations, and research challenges.

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“…Tobacco use, including use of new and emerging tobacco products, also frequently co-occurs with alcohol and drug use (Falk, Yi, & Hiller-Sturmhöfel, 2006;Fix et al, 2014;Grant, Hasin, Chou, Stinson, & Dawson, 2004;Smith-Simone, Maziak, Ward, & Eissenberg, 2008;Soule, Barnett, & Curbow, 2012;Weitzman & Chen, 2005). LCC and large cigar use have been found to be significantly related to alcohol use, as well as lifetime and current daily marijuana use (Richardson, Rath, Ganz, Xiao, & Vallone, 2013;Schuster, Hertel, & Mermelstein, 2013).…”

mentioning

confidence: 95%

The association between alcohol, marijuana use, and new and emerging tobacco products in a young adult population

Cohn

Villanti

Richardson

et al. 2015

Addictive Behaviors

131

107

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Patterns and correlates of polytobacco use in the United States over a decade: NSDUH 2002–2011

Cited by 86 publications

References 23 publications

Polytobacco Use of Cigarettes, Cigars, Chewing Tobacco, and Snuff Among US Adults

Polytobacco Use of Cigarettes, Cigars, Chewing Tobacco, and Snuff Among US Adults

Preventing Smoking Progression in Young Adults: the Concept of Prevescalation

The association between alcohol, marijuana use, and new and emerging tobacco products in a young adult population

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