Transitions in tobacco use profiles among adolescents: Results from the Population Assessment of Tobacco and Health (PATH) study waves 3 and 4

Romm, Katelyn F; Childers, Margaret G.; Douglas, Ashley; Bray, Bethany C.; Dino, Geri; Blank, Melissa D.

doi:10.1016/j.drugalcdep.2022.109272

Cited by 12 publications

(19 citation statements)

References 34 publications

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“…ever e-cig-cigarette use to polytobacco use) [16]. This latter pattern also was observed for adolescents whose parents are less educated [14,16].…”

Section: Introductionmentioning

confidence: 69%

“…Adolescents' parents reported on their highest level of education (continuous; less than high school to 4-year college graduate). These sociodemographic variables have shown to predict patterns of youth tobacco use [14,16].…”

Section: Socio-demographic Predictorsmentioning

confidence: 99%

“…Some consistent findings are observed in the very few studies that have employed such models to examine polytobacco use transitions. First, certain classes are reliably identified, including those characterized by little use of any product (non-users) or by use of several products (polytobacco users) [14][15][16]. Additional classes are characterized by one (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Additional classes are characterized by one (e.g. e-cig only) [14] or two products (e.g. e-cig-hookah) [15,16].…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal transitions in adolescent polytobacco use across waves 1–4 of the Population Assessment of Tobacco and Health study

et al. 2022

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Aims This study aims to identify adolescent patterns of polytobacco use and measure transitions between patterns over time. Design Longitudinal analysis using data derived from waves 1–4 (2013–18) of the Population Assessment of Tobacco and Health (PATH) study. Transitions in tobacco use patterns were examined via latent transition analysis, and then, socio‐demographic characteristics were used to predict transitions via logistic regression. Setting United States. Participants Participants included 975 adolescents who used at least one tobacco product at any wave (W1 mean age = 13.29, standard deviation = 0.86; W4 54.2% male; 54.5% white, 25.9% Hispanic). Measurements Measurements included past 30‐day use of cigarettes, electronic cigarettes (e‐cigs), traditional cigars, cigarillos, filtered cigars, snus, smokeless tobacco (SLT) or hookah. Findings Six latent classes were identified. Cigarette users (43.5–58.8%) and SLT users (50.8–79.6%) tended to persist in their use over time. E‐cig users began to probably transition to non‐users (80.0%), but became more likely to persist in this use over time (31.1%). Non‐users at a given wave were most likely to transition to e‐cig users (8.5–43.7%) or cigarette users (6.7–28.6%). Cigarillo/poly‐users and hookah/poly‐users displayed more variable transition patterns. Adolescents were more likely to transition to non‐use (versus become/remain e‐cig users) if they were older (cigarette users, SLT users), younger (e‐cig users), other race (SLT users), male (SLT users) or had less‐educated parents (SLT users) compared with their counterparts. Hispanic (versus white) cigarette users were more likely to transition to non‐users than to persist in this use. Conclusions Among adolescents in the United States, patterns of tobacco use characterized by the use, mainly, of single, specific products appear to be stable, particularly by late adolescence. In contrast, patterns characterized by polytobacco use appear to be more variable and may represent experimentation without specialization.

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“…ever e-cig-cigarette use to polytobacco use) [16]. This latter pattern also was observed for adolescents whose parents are less educated [14,16].…”

Section: Introductionmentioning

confidence: 69%

Section: Socio-demographic Predictorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Additional classes are characterized by one (e.g. e-cig only) [14] or two products (e.g. e-cig-hookah) [15,16].…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal transitions in adolescent polytobacco use across waves 1–4 of the Population Assessment of Tobacco and Health study

et al. 2022

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“…25 This relatively high utilization has raised considerable concerns that these devices not only expose the developing brain to the deleterious effect of nicotine and promote addiction but also serve as a “gateway” facilitating a transition to smoking conventional cigarettes, 54 a pattern noted in recent observational studies. 55–57 Evidence suggests that despite protestations to the contrary, companies producing electronic cigarettes actively promote youth use through strategies such as flavors and the renormalization of nicotine use ( i.e. , vaping as glamorous) to generate lifelong users of their products.…”

Section: Electronic Cigarettes: a New Pandemic Vehiclementioning

confidence: 99%

Anesthesiologists and the Other Pandemic: Tobacco Use

Warner

2022

Anesthesiology

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Tobacco use will kill a projected 1 billion people in the 21st century in one of the deadliest pandemics in history. Tobacco use disorder is a disease with a natural history, pathophysiology, and effective treatment options. Anesthesiologists can play a unique role in fighting this pandemic, providing both immediate (reduction in perioperative risk) and long-term (reduction in tobacco-related diseases) benefits to their patients who are its victims. Receiving surgery is one of the most powerful stimuli to quit tobacco. Tobacco treatments that combine counseling and pharmacotherapy (e.g., nicotine replacement therapy) can further increase quit rates and reduce risk of morbidity such as pulmonary and wound-related complications. The perioperative setting provides a great opportunity to implement multimodal perianesthesia tobacco treatment, which combines multiple evidence-based tactics to implement the four core components of consistent ascertainment and documentation of tobacco use, advice to quit, access to pharmacotherapy, and referral to counseling resources.

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Behavioral intentions assessment of a disposable e‐cigarette among adult current, former, and non‐smokers in the United States

Russell¹,

McKinney²,

Fearon

2023

Drug Testing and Analysis

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Modeling the public health effects of e‐cigarettes requires estimates of the likelihood that different individuals and population subgroups will start using e‐cigarettes and subsequently transition to and from combustible cigarette use. To begin to generate input values for modeling efforts, this study assessed adults' behavioral intentions in relation to a disposable e‐cigarette, “BIDI® Stick.” An online questionnaire assessed intentions to try and use a BIDI® Stick regularly in 11 flavor variants among United States (U.S.) nationally representative samples of adult (21+ years) non‐smokers (n = 2284), current smokers (n = 2391), former smokers (n = 2241), and young adult (21–24 years) non‐smokers (n = 1140) of combustible cigarettes following exposure to product information and images. Current smokers rated their intentions to use a BIDI® Stick to partially or completely replace cigarettes. Positive intention to try a BIDI® Stick at least once was, for each flavor variant, highest among current smokers (22.4%–28.1%), lower among former smokers (6.0%–9.7%) and non‐smokers (3.4%–5.2%), and lowest among never‐smokers (1.0%–2.4%). Among current smokers, former smokers, and non‐smokers, trial and regular use intentions were lowest among e‐cigarette non‐users and e‐cigarette never‐users. Approximately 23.6% of current smokers reported an intention to use a BIDI® Stick in at least one flavor to completely switch from cigarettes and/or to reduce cigarette consumption. Low trial and regular use intentions suggest that U.S. adults who do not currently smoke cigarettes and/or use e‐cigarettes are unlikely to initiate use of the BIDI® Stick e‐cigarette. Trial and regular use intentions are highest among adults who currently smoke cigarettes and/or use e‐cigarettes. A moderate proportion of current smokers may try using a BIDI® Stick e‐cigarette as a partial or complete replacement for combustible cigarettes.

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Transitions in tobacco use profiles among adolescents: Results from the Population Assessment of Tobacco and Health (PATH) study waves 3 and 4

Cited by 12 publications

References 34 publications

Longitudinal transitions in adolescent polytobacco use across waves 1–4 of the Population Assessment of Tobacco and Health study

Longitudinal transitions in adolescent polytobacco use across waves 1–4 of the Population Assessment of Tobacco and Health study

Anesthesiologists and the Other Pandemic: Tobacco Use

Behavioral intentions assessment of a disposable e‐cigarette among adult current, former, and non‐smokers in the United States

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