Tobacco Use Transitions in the United States: The National Longitudinal Study of Adolescent Health

Overview

Journal Prev Med

Specialty Public Health

Date 2015 Sep 13

PMID 26361752

Citations 22

Authors

Annette R Kaufman

Stephanie Land

Mark Parascandola

Erik Augustson

Cathy L Backinger

Affiliations

Soon will be listed here.

Abstract

Objectives: The purpose of this study is to evaluate and describe transitions in cigarette and smokeless tobacco (ST) use, including dual use, prospectively from adolescence into young adulthood.

Methods: The current study utilizes four waves of the National Longitudinal Study of Adolescent Health (Add Health) to examine patterns of cigarette and ST use (within 30 days of survey) over time among a cohort in the United States beginning in 7th-12th grade (1995) into young adulthood (2008-2009). Transition probabilities were estimated using Markov modeling.

Results: Among the cohort (N=20,774), 48.7% reported using cigarettes, 12.8% reported using ST, and 7.2% reported dual use (cigarettes and ST in the same wave) in at least one wave. In general, the risk for transitioning between cigarettes and ST was higher for males and those who were older. Dual users exhibited a high probability (81%) of continuing dual use over time.

Conclusions: Findings suggest that adolescents who use multiple tobacco products are likely to continue such use as they move into young adulthood. When addressing tobacco use among adolescents and young adults, multiple forms of tobacco use should be considered.

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References

OConnor R, Cummings K, Rees V, Connolly G, Norton K, Sweanor D . Surveillance methods for identifying, characterizing, and monitoring tobacco products: potential reduced exposure products as an example. Cancer Epidemiol Biomarkers Prev. 2009; 18(12):3334-48. PMC: 4637821. DOI: 10.1158/1055-9965.EPI-09-0429. View

Hatsukami D, Severson H . Oral spit tobacco: addiction, prevention and treatment. Nicotine Tob Res. 2000; 1(1):21-44. DOI: 10.1080/14622299050011131. View

. NIH State-of-the-Science Conference Statement on Tobacco Use: Prevention, Cessation, and Control. NIH Consens State Sci Statements. 2007; 23(3):1-26. View

Williams D . Race/ethnicity and socioeconomic status: measurement and methodological issues. Int J Health Serv. 1996; 26(3):483-505. DOI: 10.2190/U9QT-7B7Y-HQ15-JT14. View

Rath J, Villanti A, Abrams D, Vallone D . Patterns of tobacco use and dual use in US young adults: the missing link between youth prevention and adult cessation. J Environ Public Health. 2012; 2012:679134. PMC: 3361253. DOI: 10.1155/2012/679134. View

Amrock S, Gordon T, Zelikoff J, Weitzman M . Hookah use among adolescents in the United States: results of a national survey. Nicotine Tob Res. 2013; 16(2):231-7. DOI: 10.1093/ntr/ntt160. View

Timberlake D, Huh J, Lakon C . Use of propensity score matching in evaluating smokeless tobacco as a gateway to smoking. Nicotine Tob Res. 2009; 11(4):455-62. DOI: 10.1093/ntr/ntp008. View

Agaku I, Ayo-Yusuf O, Vardavas C, Alpert H, Connolly G . Use of conventional and novel smokeless tobacco products among US adolescents. Pediatrics. 2013; 132(3):e578-86. PMC: 3876763. DOI: 10.1542/peds.2013-0843. View

Wetter D, McClure J, de Moor C, Cofta-Gunn L, Cummings S, Cinciripini P . Concomitant use of cigarettes and smokeless tobacco: prevalence, correlates, and predictors of tobacco cessation. Prev Med. 2002; 34(6):638-48. DOI: 10.1006/pmed.2002.1032. View

10.

Primack B, Soneji S, Stoolmiller M, Fine M, Sargent J . Progression to Traditional Cigarette Smoking After Electronic Cigarette Use Among US Adolescents and Young Adults. JAMA Pediatr. 2015; 169(11):1018-23. PMC: 4800740. DOI: 10.1001/jamapediatrics.2015.1742. View

11.

Bunnell R, Agaku I, Arrazola R, Apelberg B, Caraballo R, Corey C . Intentions to smoke cigarettes among never-smoking US middle and high school electronic cigarette users: National Youth Tobacco Survey, 2011-2013. Nicotine Tob Res. 2014; 17(2):228-35. PMC: 4515756. DOI: 10.1093/ntr/ntu166. View

12.

Spangler J, Michielutte R, Bell R, Knick S, Dignan M, Summerson J . Dual Tobacco use among Native American adults in southeastern North Carolina. Prev Med. 2001; 32(6):521-8. DOI: 10.1006/pmed.2001.0835. View

13.

Kandel D, Schaffran C, Griesler P, Hu M, Davies M, Benowitz N . Salivary cotinine concentration versus self-reported cigarette smoking: Three patterns of inconsistency in adolescence. Nicotine Tob Res. 2006; 8(4):525-37. PMC: 2538943. DOI: 10.1080/14622200600672732. View

14.

McClave-Regan A, Berkowitz J . Smokers who are also using smokeless tobacco products in the US: a national assessment of characteristics, behaviours and beliefs of 'dual users'. Tob Control. 2010; 20(3):239-42. DOI: 10.1136/tc.2010.039115. View

15.

Fiscella K, Williams D . Health disparities based on socioeconomic inequities: implications for urban health care. Acad Med. 2004; 79(12):1139-47. DOI: 10.1097/00001888-200412000-00004. View

16.

White H, Bray B, Fleming C, Catalano R . Transitions into and out of light and intermittent smoking during emerging adulthood. Nicotine Tob Res. 2009; 11(2):211-9. PMC: 2658905. DOI: 10.1093/ntr/ntn017. View

17.

Fix B, OConnor R, Vogl L, Smith D, Bansal-Travers M, Conway K . Patterns and correlates of polytobacco use in the United States over a decade: NSDUH 2002-2011. Addict Behav. 2014; 39(4):768-81. PMC: 3984759. DOI: 10.1016/j.addbeh.2013.12.015. View

18.

Boyle R, St Claire A, Kinney A, DSilva J, Carusi C . Concurrent use of cigarettes and smokeless tobacco in Minnesota. J Environ Public Health. 2012; 2012:493109. PMC: 3323852. DOI: 10.1155/2012/493109. View

19.

Kay R . A Markov model for analysing cancer markers and disease states in survival studies. Biometrics. 1986; 42(4):855-65. View

20.

Primack B, Sidani J, Agarwal A, Shadel W, Donny E, Eissenberg T . Prevalence of and associations with waterpipe tobacco smoking among U.S. university students. Ann Behav Med. 2008; 36(1):81-6. PMC: 3004534. DOI: 10.1007/s12160-008-9047-6. View