Polytobacco use among young adult smokers: prospective association with cigarette consumption

Petersen, Angela; Myers, Mark G.; Tully, Lyric; Brikmanis, Kristin; Doran, Neal

doi:10.1136/tobaccocontrol-2018-054625

Cited by 22 publications

(10 citation statements)

References 40 publications

(53 reference statements)

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“…The results of the present study are also consistent with previous research among North American young adults that reported using at least two tobacco products, with shisha being the most common, followed by regular cigarettes and e-cigarettes [37]. The tendency toward polytobacco use is worrying, since young adults who use more tobacco products are at a greater risk for increased regular cigarette smoking and also for maintaining this polytobacco pattern of use [38].…”

Section: Discussionsupporting

confidence: 90%

Sex and Polytobacco Use among Spanish and Turkish University Students

Font‐Mayolas

Sullman

Gras

2019

IJERPH

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Polytobacco use has become increasingly popular among young adults, particularly males, and can be defined as the concurrent use of regular cigarettes and other tobacco products (e.g., e-cigarettes). The present study investigated the use of legal smoking products (cigarettes, waterpipe and electronic cigarettes) among young adults (n = 355) in Spain and Turkey. The survey measured demographics, lifetime and past month tobacco use, waterpipe and e-cigarette use, whether waterpipes and e-cigarettes contained nicotine and reasons for using these substances. The majority of the Turkish (men = 80% and women = 63.9%) and Spanish sample (men = 61.4% and women = 69.3%) were polytobacco users. The most common reason for using e-cigarettes was "to experiment, to see what is like" (Turkish sample: men 66.7% and women 57.1; Spanish sample: men 72.7% and women 93.8%). The most common reason to use regular cigarettes was "to relax and relieve tension" (Turkish sample: men 88.9% and women 77.6%; Spanish sample: men 78.1% and women 76%), while for waterpipe users, the most common reason was "to experiment, to see what it is like" (Turkish sample: men 93.3% and women 80%; Spanish sample: men 78.9% and women 93.8%). The implications for prevention and future research are discussed.

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Section: Discussionsupporting

confidence: 90%

Sex and Polytobacco Use among Spanish and Turkish University Students

Font‐Mayolas

Sullman

Gras

2019

IJERPH

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“…Available research provides evidence that dual- and poly-tobacco use represents a significant public health problem 9 . Also, concurrent use of tobacco products is associated with increased risk of nicotine dependence and smoking-related health complications 10 . Due to changing patterns of tobacco/nicotine use, it is necessary to have data on prevalence and patterns of concurrent use of these products.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of concurrent use of cigarettes, electronic cigarettes, and waterpipes among Serbian youth

Kilibarda

Vukovic

Krstev³

2019

Tob. Induc. Dis.

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INTRODUCTIONConcurrent use of tobacco products is associated with an increased risk of nicotine dependence and smoking-related health complications. Growing popularity of concurrent use of cigarettes and electronic cigarettes and/or waterpipe tobacco is of concern, especially due to the adolescents’ exposure to nicotine and call for the better understanding of patterns and predictors of multiple product use.METHODSThis is a secondary analysis of cross-sectional data obtained through the 2017 Global Youth Tobacco Survey conducted in Serbia on a nationally representative sample of 3362 students aged 13–15 years. Students were categorized into eight groups based on their experience with cigarette, e-cigarette and waterpipe use. To explore differences in sociodemographic and psychosocial characteristics, students were further placed in four groups: non-users; exclusive cigarette users; users of e-cigarette and/or waterpipe who do not smoke cigarettes; cigarette and other product users.RESULTSWe show that among the 13–15 years old students, the most common pattern of tobacco/nicotine use is waterpipe and/or e-cigarette use with no cigarette smoking (7.5%, 95% CI: 6.6–8.4) followed by exclusive cigarette use (5.8 %, 95% CI: 5.0–6.6). Among cigarette smokers, 52.8% were exclusive cigarette smokers. Having the majority of their friends smoking is a mutual predictor for exclusive cigarette (AOR=33.2, 95% CI: 14.52–75.90) waterpipe and/or e-cigarette (AOR=2.57, 95% CI: 1.56–4.25) and cigarette and other products use (AOR=52.3, 95% CI:12.28–223.22) compared to no use of any product, and the same in the case of exposure at the point-of-sale marketing: exclusive cigarette vs not any product users (AOR=1.82, 95% CI: 1.22–2.73); waterpipe and or/e-cigarette vs not any product users (AOR=1.64, 95% CI:1.18–2.28); and cigarette and other products vs not any product users (AOR=3.40, 95% CI: 1.99–5.80).CONCLUSIONSTobacco control interventions should address dual- and poly-tobacco use with special focus on inter-personal factors and protection from exposure to advertising of e-cigarettes and waterpipes.

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“…Significant differences were not found for single and dual tobacco users. Therefore, as other authors have proposed, it appears that the use of more tobacco products is associated with more positive cognitions, a reduction in the perceived risk of tobacco use, and the sustained use of these products [17,26]. Moreover, for waterpipe use, more positive cognitions were found for all types of currents users (single, dual and poly users), than were reported by non-users.…”

Section: Discussionmentioning

confidence: 63%

Cigarette, E-Cigarette and Waterpipe Use among Young Adults: Differential Cognitions about These Three Forms of Smoking

Sullman

Gras

Kagialis

et al. 2020

IJERPH

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Background: Polytobacco use is common among young adults. The purpose of the present study was to investigate a number of cognitions related to the use of three tobacco products (cigarettes, e-cigarettes and waterpipes) among young adults. Methods: Participants (n = 799, 59.4% women) aged 18–25 years old (M = 21.8, SD = 1.7) completed an online tobacco cognitions questionnaire. Results: For all three tobacco products, there was significantly more agreement with the cognition “I would smoke if my best friend offered” among tobacco users (used one or more tobacco products) than among non-users. For e-cigarettes and waterpipes, there was significantly more agreement with the cognition “It would be easy to quit these products” than was reported by non-users. Polytobacco users (three tobacco products) endorsed the cognitions scale (the six cognition items were combined to form a single cognitions scale for each tobacco product) significantly more than non-users for cigarettes and e-cigarettes. Furthermore, waterpipe users, polytobacco users, dual users and single users all endorsed the combined cognitions scales more strongly than non-users. Conclusions: Efforts to prevent polytobacco use should ensure that young adults have the necessary self-efficacy to resist peer pressure and provide them with clear information about the health risks associated with using alternative tobacco products.

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Polytobacco use among young adult smokers: prospective association with cigarette consumption

Cited by 22 publications

References 40 publications

Sex and Polytobacco Use among Spanish and Turkish University Students

Sex and Polytobacco Use among Spanish and Turkish University Students

Prevalence and correlates of concurrent use of cigarettes, electronic cigarettes, and waterpipes among Serbian youth

Cigarette, E-Cigarette and Waterpipe Use among Young Adults: Differential Cognitions about These Three Forms of Smoking

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