The effect of college attendance on young adult cigarette, e-cigarette, cigarillo, hookah and smokeless tobacco use and its potential for addressing tobacco-related health disparities

Leas, Eric C.; Trinidad, Dennis R.; Pierce, John P.; Benmarhnia, Tarik

doi:10.1016/j.ypmed.2019.105954

Cited by 7 publications

(8 citation statements)

References 38 publications

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“…A previous study of PATH waves 1–2 (2013–2015) estimating the association between perceptions of the harmfulness of hookah compared to cigarettes with initiation of ever hookah use at wave 2 found that those who perceive hookah as less harmful had increased odds of initiating hookah use (HR = 2.89; 95%CI = 1.82–4.61) compared to those who perceive hookah as more harmful than cigarettes [ 35 ]. Interestingly, recent studies suggest that most hookah users in college do not admit to their health care providers that they use hookah [ 36 ], potentially because of the infrequent use patterns of hookah products [ 37 ] and they incorrectly think that they are free from the risk of nicotine addiction [ 38 ]. Therefore, education and intervention campaigns are needed to correct misperceptions about the harmfulness and addictiveness of hookah among young adults, as our results show that many young adults initiate ever or past 30-day hookah users in this developmental stage of life.…”

Section: Discussionmentioning

confidence: 99%

Age of initiation of hookah use among young adults: Findings from the Population Assessment of Tobacco and Health (PATH) study, 2013–2017

Pérez

Kuk²,

Bluestein³

et al. 2021

PLoS ONE

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Objective To prospectively estimate the age of initiation of ever, past 30-day, and fairly regular hookah use among young adults (ages 18–24) overall, by sex, by race/ethnicity, and to explore the association of prior use of other tobacco products with these hookah use behaviors. Methods Secondary data analyses of the first four waves (2013–2017) of the PATH study, a nationally representative longitudinal cohort study of US young adults. Young adult never hookah users at the first wave of adult participation in PATH waves 1–3 (2013–2016) were followed-up into waves 2–4 (2014–2017) to estimate the age of initiation of three outcomes: (i) ever use, (ii) past 30-day use, and (iii) fairly regular hookah use. Weighted interval-censoring Cox proportional hazards regression models were used to examine the differences in the estimated age of initiation by sex and by race/ethnicity while controlling for the total number of other tobacco products ever used at participants’ first wave of PATH participation. In addition, to examine if prior use of other tobacco products was associated with the age of hookah initiation behaviors, six additional Cox models are reported for each hookah initiation behaviors. Results The largest increase in hookah use occurred between ages 18 and 19: 5.8% for ever use and 2.7% for past 30-day hookah use. By age 21, 10.5%, 4.7% and 1.2% reported initiation of ever, past 30-day and fairly regular hookah use, respectively. There were statistically significance differences in the age of initiation of hookah use behaviors by race/ethnicity. Conclusion Educational interventions should target young adults before the age of 21, focusing efforts specifically on males, non-Hispanic Blacks and Hispanics, to stall initiation and progression of hookah use behaviors.

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Section: Discussionmentioning

confidence: 99%

Age of initiation of hookah use among young adults: Findings from the Population Assessment of Tobacco and Health (PATH) study, 2013–2017

Pérez

Kuk²,

Bluestein³

et al. 2021

PLoS ONE

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“…Based on Surgeon General reports, the majority of experimentation has ceased by age 25 but lifetime risks of tobacco-related diseases begin to increase. 1,7,39 Statistical analyses were conducted using SAS version 9.4. 40 All estimates were weighted using respondents' person-level TUS-CPS survey weights, and data were standardized by age and sex within race/ethnicity and educational categories to the 2010 US population.…”

Section: Methodsmentioning

confidence: 99%

“…Educational attainment has a major impact on smoking behaviors, where smoking rates generally decrease with increasing education levels. [4][5][6][7][8][9] An investigation of national cigarette smoking trends between 1974-1985 showed a large and increasing gap in smoking status across education, with an annual decline in smoking prevalence about five times greater among college graduates than those with less than a high school education. 10 The education gap in smoking rates continues to grow: in 2018, cigarette smoking rates were six times greater for US adults with less than a high school education than for those with an advanced degree.…”

Section: Introductionmentioning

confidence: 99%

Widening disparities in cigarette smoking by race/ethnicity across education level in the United States

Nguyen-Grozavu

Pierce

Sakuma

et al. 2020

Preventive Medicine

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Reducing tobacco use is an important public health objective. It is the largest preventable cause of death and disease, yet inequalities remain. This study examines combined educational and racial/ ethnic disparities in the United States related to cigarette smoking for the three largest racial/ethnic groups (African Americans, Hispanics/Latinos, and non-Hispanic Whites). Data included nine Tobacco Use Supplements to the Current Population Surveys (TUS-CPS) conducted in the United States from 1992/1993-2018 for four smoking metrics: ever smoking rates, current smoking rates, consumption (cigarettes per day), and quit ratios. Across all TUS-CPS samples, there were 9.5% African Americans, 8.8% Hispanics/Latinos, and 81.8% non-Hispanic Whites who completed surveys. Findings revealed that lower educational attainment was associated with increased ever and current smoking prevalence over time across all racial/ethnic groups, and education-level disparities within each race/ethnicity widened over time. Disparities in ever and current smoking rates between the lowest and highest categories of educational attainment (less than a high school education vs. completion of college) were larger for African Americans and non-Hispanic Whites than Hispanics/Latinos. Non-Hispanic Whites had the highest cigarette consumption across all education levels over time. College graduates had the highest quit ratios for all racial/ethnic groups from 1992-2018, with quit ratios significantly increasing for Hispanics/Latinos and non-Hispanic Whites, but not African Americans. In conclusion, educational disparities in smoking have worsened over time, especially among African Americans and Hispanics/Latinos. Targeted

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“…Tobacco consumption impacts the entire system of the body with malignant long-lasting disorders [Mehrotra et al 2019;Azagba et al 2020;Leas et al 2020]. The relationship between the consumption of tobacco and disease has been extensively studied [Lachenmeier et al 2018].…”

Section: Tobacco Associated Disease Burdenmentioning

confidence: 99%

Discrepancies in Belief, Behavior And Knowledge Towards Tobacco Consumption

2020

IJFBS

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Aim and objective: Tobacco consumption is a leading cause of death, associated with significant health hazards and comprising millions of lives worldwide. India is the third-largest consumer of tobacco in the world; in-spite of adequate control measures taken by the government to cease tobacco consumption. The objective of this review is to highlight the discrepancies in belief, behavior, and knowledge towards tobacco consumption in India. The study also aims to specify factors influencing trends of tobacco consumption and to associate the extent of their influence based on the user’s perception concerning the quality of life. Study design: Review of the literature. Methods: Authors undertook a literature search in the electronic databases EMBASE, Medline, and Scopus with regard to associated disease burden and factors influencing tobacco consumption. Results: According to the review, sociodemographic, economic, personal, environmental, and healthy life indicators are the most influential variables affecting tobacco consumption. This highlights the need for revisiting the tobacco control laws in India, addressing the existing barriers to have significant impacts on the tobacco picture of the country. Although at state-levels, a certain extent of success has been achieved; in-tranquil, national-level non-prioritization of tobaccocontrol still exists. The possible reason might be a lack of awareness about health hazards owing to tobacco use. Conclusion: This dictates to improve health outcomes among individuals by including effective interventions. In all, its mandate to map the current issue of harm reduction framework through research, education, awareness, and implementation of policies for improved quality of life and health.

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The effect of college attendance on young adult cigarette, e-cigarette, cigarillo, hookah and smokeless tobacco use and its potential for addressing tobacco-related health disparities

Cited by 7 publications

References 38 publications

Age of initiation of hookah use among young adults: Findings from the Population Assessment of Tobacco and Health (PATH) study, 2013–2017

Age of initiation of hookah use among young adults: Findings from the Population Assessment of Tobacco and Health (PATH) study, 2013–2017

Widening disparities in cigarette smoking by race/ethnicity across education level in the United States

Discrepancies in Belief, Behavior And Knowledge Towards Tobacco Consumption

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