Changes in use of cigarettes and non-cigarette alternative products among college students

Multiple tobacco use among young adult waterpipe smokers in Egypt

“…However, the estimates reported for multiple use among current tobacco users vary widely (0.5%-66.2%) depending on the type of tobacco (smoked or smokeless) studied (5,7,12,19). The term "multiple tobacco product use" has only recently been used in the literature and has appeared mainly in studies done in the USA (6,9,11,31).…”

“…However, cigarette smoking is not always included in multiple tobacco use combinations (12). Waterpipe tobacco smoking, smokeless tobacco and electronic nicotine delivery systems (ENDS) are increasingly used worldwide (5,7,8,12,13,18,19), and have been promoted as less harmful alternatives to cigarettes (20,21). Young people who use multiple tobacco products are more prone to nicotine dependence and to continue using tobacco as adults (22).…”

Depressive Symptoms and Cigarette Demand as a Function of Induced Stress

“…Third, we did not assess the use of alternative tobacco products such as e-cigarettes and hookah that are popular among this age-group. 54 Fourth, the mood manipulation employed in the present study was a social stressor. Although this stressor has been utilized previously in the manner presented here for inducing NA, it is unclear how other NA manipulations, such as those designed to induce lower arousal NA (eg, sadness), may be related to cigarette demand.…”

Reasons for using flavored liquids among electronic cigarette users: A concept mapping study

“…ECIGs are a class of products/devices that use an electrically-powered heating element to aerosolize a liquid solution that often contains a combination of propylene glycol, vegetable glycerin, nicotine, and chemical flavorings. The vast majority of adult ECIG users are either current or former combustible cigarette smokers (Shoenborn and Gindi, 2015), however, a small percentage of adult never-tobacco users also use ECIGs (e.g., Barnett et al, 2015; CDC, 2013; Dockrell et al, 2013; Hamilton et al, 2014; King et al, 2013, 2015; Krishnan-Sarin et al, 2015; Loukas et al, 2015; McMillen et al, 2012, 2014; Porter et al, 2015; Saddleson et al, 2015; Sutfin et al, 2013; Wang et al, 2014). One product characteristic of ECIGs that is unique from combustible cigarettes is the availability of a wide variety of flavors.…”