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Youth tobacco product use in the United States.
Pediatrics. 2015 Mar; 135(3):409-15.Ped

Abstract

BACKGROUND

Noncigarette tobacco products are increasingly popular among youth, especially cigarette smokers. Understanding multiple tobacco product use is necessary to assess the effects of tobacco products on population health. This study examines multiple tobacco product use and associated risk factors among US youth.

METHODS

Estimates of current use were calculated for cigarettes, cigars, smokeless tobacco, hookah, e-cigarettes, pipes, bidis, kreteks, snus, and dissolvable tobacco by using data from the 2012 National Youth Tobacco Survey (n = 24 658), a nationally representative sample of US middle and high school students. Associations between use patterns and demographic characteristics were examined by using multinomial logistic regression.

RESULTS

Among youth, 14.7% currently use 1 or more tobacco products. Of these, 2.8% use cigarettes exclusively, and 4% use 1 noncigarette product exclusively; 2.7% use cigarettes with another product (dual use), and 4.3% use 3 or more products (polytobacco use). Twice as many youth use e-cigarettes alone than dual use with cigarettes. Among smokers, polytobacco use was significantly associated with male gender (adjusted relative risk ratio [aRRR] = 3.71), by using flavored products (aRRR = 6.09), nicotine dependence (aRRR = 1.91), tobacco marketing receptivity (aRRR = 2.52), and perceived prevalence of peer use of tobacco products (aRRR = 3.61, 5.73).

CONCLUSIONS

More than twice as many youth in the United States currently use 2 or more tobacco products than cigarettes alone. Continued monitoring of tobacco use patterns is warranted, especially for e-cigarettes. Youth rates of multiple product use involving combustible products underscore needs for research assessing potential harms associated with these patterns.

Authors+Show Affiliations

RTI International, Public Health Research Division, Research Triangle Park, North Carolina younlee@rti.org.RTI International, Public Health Research Division, Research Triangle Park, North Carolina.RTI International, Public Health Research Division, Research Triangle Park, North Carolina.RTI International, Public Health Research Division, Research Triangle Park, North Carolina.

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25647680

Citation

Lee, Youn Ok, et al. "Youth Tobacco Product Use in the United States." Pediatrics, vol. 135, no. 3, 2015, pp. 409-15.
Lee YO, Hebert CJ, Nonnemaker JM, et al. Youth tobacco product use in the United States. Pediatrics. 2015;135(3):409-15.
Lee, Y. O., Hebert, C. J., Nonnemaker, J. M., & Kim, A. E. (2015). Youth tobacco product use in the United States. Pediatrics, 135(3), 409-15. https://doi.org/10.1542/peds.2014-3202
Lee YO, et al. Youth Tobacco Product Use in the United States. Pediatrics. 2015;135(3):409-15. PubMed PMID: 25647680.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Youth tobacco product use in the United States. AU - Lee,Youn Ok, AU - Hebert,Christine J, AU - Nonnemaker,James M, AU - Kim,Annice E, Y1 - 2015/02/02/ PY - 2015/2/4/entrez PY - 2015/2/4/pubmed PY - 2015/4/29/medline KW - bidis KW - cigarette smoking KW - cigars KW - dissolvable tobacco KW - electronic cigarettes KW - hookah KW - kreteks KW - pipes KW - smokeless tobacco KW - snus SP - 409 EP - 15 JF - Pediatrics JO - Pediatrics VL - 135 IS - 3 N2 - BACKGROUND: Noncigarette tobacco products are increasingly popular among youth, especially cigarette smokers. Understanding multiple tobacco product use is necessary to assess the effects of tobacco products on population health. This study examines multiple tobacco product use and associated risk factors among US youth. METHODS: Estimates of current use were calculated for cigarettes, cigars, smokeless tobacco, hookah, e-cigarettes, pipes, bidis, kreteks, snus, and dissolvable tobacco by using data from the 2012 National Youth Tobacco Survey (n = 24 658), a nationally representative sample of US middle and high school students. Associations between use patterns and demographic characteristics were examined by using multinomial logistic regression. RESULTS: Among youth, 14.7% currently use 1 or more tobacco products. Of these, 2.8% use cigarettes exclusively, and 4% use 1 noncigarette product exclusively; 2.7% use cigarettes with another product (dual use), and 4.3% use 3 or more products (polytobacco use). Twice as many youth use e-cigarettes alone than dual use with cigarettes. Among smokers, polytobacco use was significantly associated with male gender (adjusted relative risk ratio [aRRR] = 3.71), by using flavored products (aRRR = 6.09), nicotine dependence (aRRR = 1.91), tobacco marketing receptivity (aRRR = 2.52), and perceived prevalence of peer use of tobacco products (aRRR = 3.61, 5.73). CONCLUSIONS: More than twice as many youth in the United States currently use 2 or more tobacco products than cigarettes alone. Continued monitoring of tobacco use patterns is warranted, especially for e-cigarettes. Youth rates of multiple product use involving combustible products underscore needs for research assessing potential harms associated with these patterns. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/25647680/Youth_tobacco_product_use_in_the_United_States_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=25647680 DB - PRIME DP - Unbound Medicine ER -