Correlates of poly-tobacco use among youth and young adults: Findings from the Population Assessment of Tobacco and Health study, 2013–2014

Osibogun, Olatokunbo; Taleb, Ziyad Ben; Bahelah, Raed; Salloum, Ramzi G.; Maziak, Wasim

doi:10.1016/j.drugalcdep.2018.02.024

Cited by 62 publications

(40 citation statements)

References 35 publications

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“…Polytobacco use (PTU) is increasingly common among US adults,1 2 particularly those aged 18–24 years 3–5. Data from the Population Assessment of Tobacco and Health study indicate PTU prevalence of 21.7% among participants aged 18–24 years, compared with 3.6% of those aged 12–17 years and 15.8% of those aged 24–34 years 3. Another study of adults aged 18–34 years tracked tobacco use over three waves in 2011–2012.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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Background. The risks of polytobacco use among young adults are unclear because we know relatively little about the consistency of multiproduct patterns over time and how these patterns impact cigarette smoking. The purpose of this study was to examine changes in multiple tobacco product use over time and associations with cigarette smoking quantity.Methods. Participants (n=335; 55% male) were 18–24 years old non-daily cigarette smokers living in California. Polytobacco use patterns were assessed quarterly for 2 years.Results. Transition analyses showed that while the number of products that had been used recently was volatile, the most common pattern was stability between timepoints. A longitudinal negative binomial regression model indicated that those who used more non-cigarette products also reported greater cigarette quantity. The strength of this relationship increased over time.Conclusions. Findings suggest that individuals who use more tobacco products are at greater risk for increased cigarette smoking and maintaining a multiple product use pattern.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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“…Although studies on the patterns of polytobacco use have increased, most of these studies used cumbersome combination models that limited the ability to characterize patterns of co-occurring use (25)(26)(27). Our purpose is to determine the patterns of polytobacco use among U.S. Black adolescents.…”

Section: The Current Studymentioning

confidence: 99%

“…This research suggests the need to examine the unique effects of polytobacco use on Black Americans, given the excess morbidity and mortality associated with use. Tobacco use in any form is unsafe (41); therefore, there has been increased public health concerns about use of multiple tobacco products, also referred to as polytobacco use, among U.S. adolescents (25,26). The harmful effects of tobacco use may be heightened when marijuana is also used (42,43).…”

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confidence: 99%

Polytobacco Use Among a Nationally-Representative Sample of Black High School Students

Gilreath

Dangerfield

Ishino

et al. 2020

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Introduction. Studies of the patterns of polytobacco use have increased. However, understanding the patterns of using multiple tobacco products among Black adolescents is minimal. This study identified the patterns of polytobacco use among U.S. Black adolescents. Methods. Latent class analysis (LCA) was used to identify patterns of adolescent polytobacco use among a representative sample of Black youth from the 2017 Youth Risk Behavior Survey (n = 2,782). Ever and recent (past 30 day) use of cigarettes, electronic cigarettes, cigars, and dip or chewing tobacco were used as latent class indicators. Multinomial regression was conducted to identify the association if smoking adjusting for age, grade, and marijuana use. Results. Most students were in the 9th grade (29%), e-cigarette users (21%) and were current marijuana users (25%). Three profiles of tobacco use were identified: Class 1: Non-smokers (81%), Class 2: E-cigarette Users (14%), and Class 3: Polytobacco Users (5%). Black adolescent Polytobacco users were the smallest class, but had the highest conditional probabilities of recent cigarette use, e-cigarette use, ever smoking cigars or chewing tobacco. Ever and current use of marijuana were associated with increased odds of being in the e-cigarette user versus non-smoker group, and current marijuana use was associated with increased odds of polytobacco use (aOR = 24.61, CI = 6.95–87.11). Conclusions. Findings suggests the need for targeted interventions for reducing tobacco use and examining the unique effects of polytobacco use on Black adolescents. Findings confirm a significant association of marijuana use with tobacco use.

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“…With the current surge in availability of a variety of tobacco products, we have also seen an expansion of the marketing for these products that may be contributing to the use of multiple tobacco products, or polytobacco use among young adults 19 38. Recent studies indicate that polytobacco use is becoming increasingly popular among young adults15 39 40 and that young adults are likely to concurrently use cigarettes with emerging tobacco products (eg, ENDS, cigar products and hookah) 40 41. Although the polytobacco use phenomenon is understudied,42 it is known that youth and young adults who use multiple tobacco products may be more susceptible to tobacco advertising compared with non-users or exclusive cigarette users 15.…”

Section: Introductionmentioning

confidence: 99%

Exposure to tobacco marketing in bars predicts subsequent use of multiple tobacco products among non-tobacco-using college students

et al. 2019

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BackgroundDue to other marketing restrictions, one venue where tobacco companies concentrate their marketing efforts to reach young adults is bars/nightclubs.ObjectiveThis study examined the relationship between exposure to tobacco marketing in bars/nightclubs and number of alternative tobacco/nicotine products used 6 months later among college students.MethodsParticipants were 1,406 students aged 18–29 years old who reported going to bars or nightclubs at least rarely (M age=21.95; 67% female; 46% non-Hispanic white). Students completed an online survey in fall 2014/spring 2015 (wave 1) and again 6 months later (wave 2). Multilevel Poisson regression models were used to assess the relationship between exposure to three types of marketing at bars/nightclubs at wave 1 (tobacco/nicotine product advertisements; free samples; industry representatives) and number of tobacco products used (range=0–5) at wave 2, controlling for school type (2 year vs 4 year), age, sex, race/ethnicity and frequency of bar visits. An interaction between the number of wave 1 products and each marketing variable was tested.ResultsGreater exposure to free samples and tobacco industry representatives at bars/nightclubs predicted a greater number of products used 6 months later, but only among wave 1 non-tobacco users and not among tobacco users. Exposure to advertisements at bars/nightclubs did not predict the number of products used 6 months later.ConclusionTobacco companies claim that marketing is targeted to those who already use the product, not to non-users. However, the current study indicates tobacco marketing in bars and nightclubs may encourage use among non-users and has no influence on current users.

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Correlates of poly-tobacco use among youth and young adults: Findings from the Population Assessment of Tobacco and Health study, 2013–2014

Abstract: Regardless of tobacco product type, poly-tobacco use was common among youth and young adults. Interventions designed to address factors associated with poly-tobacco use among youth and young adults are warranted.

Cited by 62 publications

References 35 publications

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

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

Polytobacco Use Among a Nationally-Representative Sample of Black High School Students

Exposure to tobacco marketing in bars predicts subsequent use of multiple tobacco products among non-tobacco-using college students

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