How are lifetime polytobacco users different than current cigarette-only users? Results from a Canadian young adult population

Bombard, Jennifer M.; Pederson, Linda L.; Koval, John J.; O’Hegarty, Michelle

doi:10.1016/j.addbeh.2009.06.009

Cited by 43 publications

(49 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…By the end of the study period, poly-use represented the most common pattern of ever tobacco use. This corroborates other studies that have reported high rates of poly-use, 17,30 a pattern that may be particularly problematic as some studies indicate that it is associated with increased risk of tobacco-related disease 48,49 and harm escalation, 50 and may hinder cessation. 7,32 The majority of poly-users first reported use of multiple tobacco product types at the same wave, suggesting that the sequence between initiating use of different tobacco products may not be long.…”

Section: Discussionsupporting

confidence: 77%

“…For example, a recent study found that 30% of young adult current tobacco users had ever used multiple tobacco products, 18 which corroborates findings in other samples. 29,30 Another nationally representative study reported the highest prevalence of poly-use among those aged 18 to 24 years compared with those aged 25 years and older. 17 This has implications as poly-users may have higher rates of nicotine addiction, 7,31 may have more withdrawal symptoms during quit attempts, 31 and may be less likely to quit.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The Next Generation of Users: Prevalence and Longitudinal Patterns of Tobacco Use Among US Young Adults

et al. 2014

View full text Add to dashboard Cite

Objectives. We monitored the prevalence and patterns of use of the array of tobacco products available to young adults, who are at risk for initiation and progression to established tobacco use. Methods. We used data from waves 1 to 3 of GfK’s KnowledgePanel (2011–2012), a nationally representative cohort of young adults aged 18 to 34 years (n = 2144). We examined prevalence and patterns of tobacco product use over time, associated demographics, and state-level tobacco policy. We used multivariable logistic regression to determine predictors of initiation of cigarettes as well as noncombustible and other combustible products. Results. The prevalence of ever tobacco use rose from 57.28% at wave 1 to 67.43% at wave 3. Use of multiple products was the most common pattern (66.39% of tobacco users by wave 3). Predictors of initiation differed by product type and included age, race/ethnicity, policy, and use of other tobacco products. Conclusions. Tobacco use is high among young adults and many are using multiple products. Efforts to implement policy and educate young adults about the risks associated with new and emerging products are critical to prevent increased initiation of tobacco use.

show abstract

Section: Discussionsupporting

confidence: 77%

mentioning

confidence: 99%

The Next Generation of Users: Prevalence and Longitudinal Patterns of Tobacco Use Among US Young Adults

et al. 2014

View full text Add to dashboard Cite

show abstract

“…But the messaging on the negative health consequences of cigarette smoking appears to protect school children from using other tobacco products. Consistent with previous studies 17,[40][41][42] , we found that exclusive ATP use and concurrent tobacco use were associated with more frequent alcohol consumption. As noted in other studies, adolescent cigarette smokers who used ATPs were more prone to engage in other risk behaviors, such as drunk drinking 40 and illicit drug use 18,40,41 , than cigarette-only smokers.…”

Section: Concurrent Tobacco Usesupporting

confidence: 82%

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

Jiang¹,

Ho²,

Wang³

et al. 2018

Tob. Prev. Cessation

View full text Add to dashboard Cite

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

show abstract

“…Importantly, dual users also may differ in other ways not assessed in this study including tobacco dependence symptomology, tobacco use frequency, quit attempts, and patterns of drug/alcohol use. 12,13,29 One large-scale survey among U.S. undergraduate students has confirmed an association between current waterpipe use and alcohol/ illicit drug use. 16 Future studies of concurrent tobacco use among waterpipe users should include items that assess these vulnerabilities.…”

Section: Commentmentioning

confidence: 99%

A Multiyear Survey of Waterpipe and Cigarette Smoking on a US University Campus

Cobb

Khader

Nasim

et al. 2012

Journal of American College Health

View full text Add to dashboard Cite

Objectives To examine the prevalence and characteristics of dual users of cigarettes and waterpipes by comparing them to individuals who use either product exclusively. Participants Cross-sections of undergraduate students at a public university recruited each spring semester from 2006–2011 (total N=2998). Methods Participants completed an internet survey that assessed demographics, tobacco use, perceptions, and norms concerning various tobacco products. Individuals who reported exclusive cigarette, exclusive waterpipe, and dual (waterpipe+cigarette) use were examined. Results Across years, 22% reported exclusive cigarette, 6.1% exclusive waterpipe, and 9.3% dual cigarette and waterpipe use. Dual users differed in demographics and social influences from their exclusive counterparts. Conclusions Findings suggest dual waterpipe and cigarette use was more prevalent than exclusive waterpipe use, and dual users may differ from individuals who use either product alone. These results warrant the inclusion of waterpipe specific content in state and national surveys as well as tobacco prevention and intervention efforts.

show abstract

How are lifetime polytobacco users different than current cigarette-only users? Results from a Canadian young adult population

Cited by 43 publications

References 22 publications

The Next Generation of Users: Prevalence and Longitudinal Patterns of Tobacco Use Among US Young Adults

The Next Generation of Users: Prevalence and Longitudinal Patterns of Tobacco Use Among US Young Adults

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

A Multiyear Survey of Waterpipe and Cigarette Smoking on a US University Campus

Contact Info

Product

Resources

About