Alternative Tobacco Use among College Students: Who is at Highest Risk?

Enofe, Nosayaba; Berg, Carla J.; Nehl, Eric J.

doi:10.5993/ajhb.38.2.3

Cited by 45 publications

(62 citation statements)

References 42 publications

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“…Of note, there were high dual use rates of cigarettes and both ENDS and smokeless tobacco, which has been documented previously (Bombard, Pederson, Nelson, & Malarcher, 2007;Enofe, Berg, & Nehl, 2014;Rath, Villanti, Abrams, & Vallone, 2012). On average, participants were more interested in ENDS than smokeless tobacco across all reasons assessed.…”

Section: Discussionsupporting

confidence: 66%

Cigarette Users' Interest in Using or Switching to Electronic Nicotine Delivery Systems for Smokeless Tobacco for Harm Reduction, Cessation, or Novelty: A Cross-Sectional Survey of US Adults

Berg

Haardöerfer

Escoffery

et al. 2014

Nicotine & Tobacco Research

105

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Introduction: We examined: (a) current (past 30-day) smokers' interest in using or switching to electronic nicotine delivery systems (ENDS) or smokeless tobacco for various reasons; (b) correlates of interest in these products; and (c) subgroups of current smokers in relation to interest in these products. Methods: We conducted a cross-sectional survey assessing sociodemographics, tobacco use, interest in ENDS and smokeless tobacco among smokers, and knowledge about ENDS among 2,501 US adults recruited through an online consumer panel. We oversampled tobacco users (36.7% current cigarette smokers), ethnic minorities, and southeastern US state residents. Results: On average, participants were more interested in ENDS than smokeless tobacco across all reasons provided. Additionally, they were less interested in either product because of their potential use in places prohibiting smoking or due to curiosity and more interested in reducing health risk or cigarette consumption or to aid in cessation. We documented high rates (27.9%) of misbeliefs about Food and Drug Administration approval of ENDS for cessation, particularly among current smokers (38.5%). Also, 27.2% of current smokers had talked with a health care provider about ENDS, with 18.0% reporting that their provider endorsed ENDS use for cessation. Furthermore, cluster analyses revealed 3 groups distinct in their interest in the products, sociodemographics, and smoking-related characteristics. Conclusions: This study highlights higher interest in ENDS versus smokeless tobacco and greater interest in both for harm reduction and cessation than due to novelty or smoking restrictions. Developing educational campaigns and informing practitioners about caveats around ENDS as cessation or harm reduction aids are critical.

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Section: Discussionsupporting

confidence: 66%

Cigarette Users' Interest in Using or Switching to Electronic Nicotine Delivery Systems for Smokeless Tobacco for Harm Reduction, Cessation, or Novelty: A Cross-Sectional Survey of US Adults

Berg

Haardöerfer

Escoffery

et al. 2014

Nicotine & Tobacco Research

105

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“…This finding is in line with previous studies 37,38 . Interestingly, relative to cigarette-only smoking, adolescents with higher perceived family financial status were more likely to report exclusive ATP use and concurrent tobacco use.…”

Section: Concurrent Tobacco Usesupporting

confidence: 94%

Exclusive and concurrent use of cigarettes and alternative tobacco products among Hong Kong adolescents

Jiang¹,

Ho²,

Wang³

et al. 2018

Tob. Prev. Cessation

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INTRODUCTION The use of alternative tobacco products (ATPs) is becoming increasingly popular among the youth. This study aimed to assess cigarette-only smoking, exclusive ATP use, and concurrent use (cigarettes and ATPs) among adolescents in Hong Kong. METHODS We analyzed data of the Hong Kong School-based Survey on Smoking among Students 2012/13 from a representative sample of 45 857 secondary school students. Weighted prevalence of cigarette-only smoking, exclusive ATP use, and concurrent tobacco use were calculated. Multinomial logistic regression examined correlates of exclusive ATP use and concurrent use relative to cigarette-only smoking. Among current (past-30-days) cigarette smokers, multivariable logistic regression assessed whether ATP use was associated with nicotine dependence, quit intention and quit attempt. RESULTS Overall, 5.8% of adolescents reported current tobacco use (2.1% cigaretteonly smoking, 2.5% exclusive ATP use and 1.2% concurrent use). Compared with cigarette-only smoking, exclusive ATP use and concurrent tobacco use were associated with younger age, higher perceived family financial status, absence of cigarette smoking peers, poor knowledge about smoking and more frequent alcohol use. Among current cigarette smokers, ATP use was negatively associated with cigarette quit intention and quit attempt. CONCLUSIONS ATP use was as prevalent as cigarette smoking among adolescents, and ATP users were different from cigarette smokers in many demographic and psychosocial factors. Tobacco control programs among youth should target different types of tobacco users and address all forms of tobacco products. INTRODUCTIONTobacco use often begins in adolescence 1 . Today, the pattern of youth tobacco use has become more complex than ever before as alternative tobacco products (ATPs), such as electronic cigarettes (e-cigarettes) and waterpipe, gain increased popularity. From 2011 to 2014, waterpipe smoking has doubled and e-cigarette use has increased more than 5-fold among U.S. middle and high school students 2,3 . In Poland 4 and New Zealand 5 , e-cigarette use has tripled among school students. A common reason for ATP use is that young people perceive ATPs as less harmful and less addictive than cigarettes 1 . However, ATPs may contain carbon monoxide, carcinogens and other toxicants [6][7][8] . ATPs often contain nicotine 9 , and therefore, ATP use is associated with increased likelihood of nicotine dependence 8,[10][11][12] , especially when used concurrently with cigarettes 1,12 . ATP use often occurs in combination with cigarette smoking, but exclusive ATP use is also prevalent [13][14][15] . Data from the 2012 U.S. National Youth Tobacco Survey showed that 14.6% of secondary school students were current (past-30-days) tobacco AFFILIATION

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“…Sensationseeking traits have been consistently linked to a variety of health risk behaviors, are frequently reported in individuals who use or abuse alcohol or other substances (Carlson, Johnson, & Jacobs, 2010;Charnigo et al, 2013;Ersche, Turton, Pradhan, Bullmore, & Robbins, 2010;Ersche et al, 2012Ersche et al, , 2013Fix et al, 2014;Hampson, Tildesley, Andrews, Barckley, & Peterson, 2013;Weiland et al, 2013), and have recently been linked to the use of new and emerging tobacco products in college students (Enofe, Berg, & Nehl, 2014). Predominant theories suggest that a desire to seek out novel experiences, having a preference to engage in pleasurable activities with high reward output, and being low on harm avoidance, which are all facets of sensation-seeking, may link substance use behavior to the use of new and emerging tobacco products (Cloninger, 1987;Finn, Sharkansky, Brandt, & Turcotte, 2000;Wills, Vaccaro, & McNamara, 1994).…”

mentioning

confidence: 99%

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

133

107

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Alternative Tobacco Use among College Students: Who is at Highest Risk?

Cited by 45 publications

References 42 publications

Cigarette Users' Interest in Using or Switching to Electronic Nicotine Delivery Systems for Smokeless Tobacco for Harm Reduction, Cessation, or Novelty: A Cross-Sectional Survey of US Adults

Cigarette Users' Interest in Using or Switching to Electronic Nicotine Delivery Systems for Smokeless Tobacco for Harm Reduction, Cessation, or Novelty: A Cross-Sectional Survey of US Adults

Exclusive and concurrent use of cigarettes and alternative tobacco products among Hong Kong adolescents

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

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