scholarly journals Association of Noncigarette Tobacco Product Use With Future Cigarette Smoking Among Youth in the Population Assessment of Tobacco and Health (PATH) Study, 2013-2015

2018 ◽  
Vol 172 (2) ◽  
pp. 181 ◽  
Author(s):  
Shannon Lea Watkins ◽  
Stanton A. Glantz ◽  
Benjamin W. Chaffee
Keyword(s):  
Cigarette Smoking ◽  
Tobacco Product ◽  
Population Assessment ◽  
Product Use

scholarly journals Not Quite the Rule, But No Longer the Exception: Multiple Tobacco Product Use and Implications for Treatment, Research, and Regulation

2019 ◽  
Vol 22 (11) ◽  
pp. 2114-2117
Author(s):  
Lauren R Pacek ◽  
Andrea C Villanti ◽  
F Joseph Mcclernon
Keyword(s):  
United States ◽  
Cigarette Smoking ◽  
Tobacco Dependence ◽  
The United States ◽  
Tobacco Product ◽  
Regulatory Science ◽  
Tobacco Products ◽  
The Past ◽  
Product Use ◽  
Treatment Research

Abstract The patterns of tobacco product use in the United States have changed during the past several decades. Currently, a large proportion of tobacco users report using multiple tobacco products (MTPs). The prevalence of MTP use varies significantly by cigarette smoking frequency, as well: nearly half (46.9%) of all non-daily smokers report using other tobacco products within the past 30 days. Despite this, much of extant tobacco dependence treatment efforts, tobacco regulatory science research, and tobacco product research, in general, has focused largely on single product use (ie, cigarette smoking). To effectively design interventions and model the potential impact of regulations on tobacco products aimed at reducing tobacco use, as well as effectively study tobacco users, it is essential to consider actual use patterns in the population of tobacco users. Implications: MTP use is increasingly common in the United States. This commentary highlights the impact that MTP use has for efforts to treat tobacco dependence, tobacco regulatory science efforts, as well as on tobacco research, in general.

scholarly journals Flavour types used by youth and adult tobacco users in wave 2 of the Population Assessment of Tobacco and Health (PATH) Study 2014–2015

2019 ◽  
pp. tobaccocontrol-2018-054852 ◽  
Author(s):  
Shyanika W Rose ◽  
Amanda L Johnson ◽  
Allison M Glasser ◽  
Andrea C Villanti ◽  
Bridget K Ambrose ◽  
...  
Keyword(s):  
Young Adult ◽  
Age Groups ◽  
Tobacco Product ◽  
Health Study ◽  
Age Group ◽  
Population Assessment ◽  
Product Use ◽  
Type 3

BackgroundMost youth and young adult (YA) tobacco users use flavoured products; however, little is known about specific flavours used.MethodsWe report flavour types among US tobacco users from the Population Assessment of Tobacco and Health Study, wave 2, 2014–2015. At wave 2, we examined (1) flavour use and type at past 30-day use; (2) new flavoured tobacco product use and type; (3) product-specific flavour patterns across youth (ages 12–17) (n=920), YA (18–24) (n=3726) and adult (25+) (n=10 346) past 30-day and new tobacco users and (4) concordance between self-coded and expert-coded brand flavour type among all adults (18+).ResultsPrevalence of flavoured tobacco product use was highest among youth, followed by YA and adult 25+ any tobacco users. Within each age group, flavoured use was greatest among hookah, e-cigarette and snus users. Overall, menthol/mint, fruit and candy/sweet were the most prevalent flavour types at first and past 30-day use across age groups. For past 30-day use, all flavour types except menthol/mint exhibited an inverse age gradient, with more prevalent use among youth and YAs, followed by adults 25+. Prevalence of menthol/mint use was high (over 50% youth, YAs; 76% adults 25+) and exhibited a positive age gradient overall, though the reverse for cigarettes. Brand-categorised and self-reported flavour use measures among adults 18+ were moderately to substantially concordant across most products.ConclusionsCommon flavours like menthol/mint, fruit and candy/sweet enhance appeal to young tobacco users. Information on flavour types used by product and age can inform tobacco flavour regulations to addess flavour appeal especially among youth.

scholarly journals Susceptibility to tobacco product use among youth in wave 1 of the population Assessment of tobacco and health (PATH) study

2017 ◽  
Vol 101 ◽  
pp. 8-14 ◽  
Author(s):  
Dennis R. Trinidad ◽  
John P. Pierce ◽  
James D. Sargent ◽  
Martha M. White ◽  
David R. Strong ◽  
...  
Keyword(s):  
Tobacco Product ◽  
Population Assessment ◽  
Product Use

scholarly journals Investigating gateway effects using the PATH study

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 264 ◽  
Author(s):  
Peter Lee ◽  
John Fry
Keyword(s):  
Cigarette Smoking ◽  
Propensity Scores ◽  
Meta Analysis ◽  
Smoking Initiation ◽  
Continuous Variable ◽  
Tobacco Product ◽  
Sensitivity Analyses ◽  
Cigarette Use ◽  
Product Use ◽  
Residual Confounding

Background: A recent meta-analysis of nine cohort studies in youths reported that baseline ever e-cigarette use strongly predicted cigarette smoking initiation in the next 6-18 months, with an adjusted odds ratio (OR) of 3.62 (95% confidence interval 2.42-5.41). A recent e-cigarette review agreed there was substantial evidence for this “gateway effect”. As the number of confounders considered in the studies was limited we investigated whether the effect might have resulted from inadequate adjustment, using Waves 1 and 2 of the US PATH study. Methods: Our main analyses considered Wave 1 never cigarette smokers who, at Wave 2, had data on smoking initiation.We constructed a propensity score for ever e-cigarette use from Wave 1 variables, using this to predict ever cigarette smoking. Sensitivity analyses accounted for other tobacco product use, linked current e-cigarette use to subsequent current smoking, or used propensity scores for ever smoking or ever tobacco product use as predictors. We also considered predictors using data from both waves, attempting to reduce residual confounding from misclassified responses. Results: Adjustment for propensity dramatically reduced the unadjusted OR of 5.70 (4.33-7.50) to 2.48 (1.85-3.31), 2.47 (1.79-3.42) or 1.85 (1.35-2.53), whether adjustment was made as quintiles, as a continuous variable or for the individual variables. Additional adjustment for other tobacco products reduced this last OR to 1.59 (1.14-2.20). Sensitivity analyses confirmed adjustment removed most of the gateway effect. Control for residual confounding also reduced the association. Conclusions: We found that confounding is a major factor, explaining most of the observed gateway effect. However, our analyses are limited by small numbers of new smokers considered and the possibility of over-adjustment if taking up e-cigarettes affects some predictor variables. Further analyses are intended using Wave 3 data to try to minimize these problems, and clarify the extent of any true gateway effect.

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

2018 ◽  
Vol 29 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Angela Petersen ◽  
Mark G Myers ◽  
Lyric Tully ◽  
Kristin Brikmanis ◽  
Neal Doran
Keyword(s):  
Cigarette Smoking ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Tobacco Product ◽  
Negative Binomial Regression Model ◽  
Use Patterns ◽  
Product Use ◽  
Smoking Quantity ◽  
Prospective Association ◽  
Over Time

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.

Association of pleasant sensations at cigarette smoking initiation with subsequent tobacco product use among U.S. adolescents

2019 ◽  
Vol 89 ◽  
pp. 151-155
Author(s):  
JuHan Lee ◽  
Catherine W. Striley ◽  
Carlo Custodero ◽  
Harold A. Rocha ◽  
Ramzi G. Salloum
Keyword(s):  
Cigarette Smoking ◽  
Smoking Initiation ◽  
Tobacco Product ◽  
Product Use
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