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Association between use of flavoured tobacco products and quit behaviours: findings from a cross-sectional survey of US adult tobacco users.
Tob Control. 2016 11; 25(Suppl 2):ii73-ii80.TC

Abstract

BACKGROUND

Non-menthol characterising flavours (eg, fruit, candy) are banned in cigarettes, yet are still permitted in non-cigarette tobacco (NCT) products. This study examined associations between first use and current use of flavoured tobacco products, and current flavoured tobacco use and quit behaviours.

METHODS

A nationally representative, telephone-based survey completed in 2012 by 1443 US adult tobacco users asked about use of 9 tobacco products: cigarettes, e-cigarettes, cigars, cigarillos, little filtered cigars, pipes, hookah, smokeless tobacco and snus. Ever users reported first use of flavoured products, while current users also reported current flavoured product use. Current users reported quit attempts made in the past year. Data were weighted to reflect the US adult tobacco user population. Logistic regression models were used to examine associations between first/current flavour use and quit behaviours.

RESULTS

Over 70% of respondents reported first use of a flavoured tobacco product, while 54% reported current use of at least one flavoured product. Odds of current flavoured product use were greater among those who reported first use of a flavoured product (OR 14.82, 95% CI 9.96 to 22.06). First use of a flavoured product was associated with being a current tobacco user (OR 1.55, 95% CI 1.08 to 2.22). Compared to single product users, polytobacco users exhibited greater odds of reporting current use of flavoured products (OR 2.09, 95% CI 1.47 to 2.97). Forty-four percent of current tobacco users reported a past-year quit attempt. Adjusted analyses among current NCT users of at least one flavoured tobacco product showed reduced odds of reporting a quit attempt.

CONCLUSIONS

First use of a flavoured tobacco product was associated with current flavoured tobacco use and polytobacco use. Users of only flavoured NCT products exhibited reduced odds of reporting a quit attempt. Findings from this study reinforce the importance of flavoured product availability in the USA, which may have significant implications for efforts to reduce tobacco initiation and use at a population level. The relationship between characterising flavours and quit behaviours merits further exploration in longitudinal, population-based samples.

Authors+Show Affiliations

Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA.Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA.University of Illinois at Chicago, Chicago, Illinois, USA.Barker Bi-Coastal Health Consultants, Inc., Calabasas, California, USA.Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA.University of Illinois at Chicago, Chicago, Illinois, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

27708123

Citation

Smith, Danielle M., et al. "Association Between Use of Flavoured Tobacco Products and Quit Behaviours: Findings From a Cross-sectional Survey of US Adult Tobacco Users." Tobacco Control, vol. 25, no. Suppl 2, 2016, pp. ii73-ii80.
Smith DM, Bansal-Travers M, Huang J, et al. Association between use of flavoured tobacco products and quit behaviours: findings from a cross-sectional survey of US adult tobacco users. Tob Control. 2016;25(Suppl 2):ii73-ii80.
Smith, D. M., Bansal-Travers, M., Huang, J., Barker, D., Hyland, A. J., & Chaloupka, F. (2016). Association between use of flavoured tobacco products and quit behaviours: findings from a cross-sectional survey of US adult tobacco users. Tobacco Control, 25(Suppl 2), ii73-ii80. https://doi.org/10.1136/tobaccocontrol-2016-053313
Smith DM, et al. Association Between Use of Flavoured Tobacco Products and Quit Behaviours: Findings From a Cross-sectional Survey of US Adult Tobacco Users. Tob Control. 2016;25(Suppl 2):ii73-ii80. PubMed PMID: 27708123.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between use of flavoured tobacco products and quit behaviours: findings from a cross-sectional survey of US adult tobacco users. AU - Smith,Danielle M, AU - Bansal-Travers,Maansi, AU - Huang,Jidong, AU - Barker,Dianne, AU - Hyland,Andrew J, AU - Chaloupka,Frank, Y1 - 2016/10/05/ PY - 2016/07/13/received PY - 2016/09/07/accepted PY - 2016/10/7/pubmed PY - 2018/2/7/medline PY - 2016/10/7/entrez KW - Cessation KW - Non-cigarette tobacco products KW - Prevention KW - Public policy SP - ii73 EP - ii80 JF - Tobacco control JO - Tob Control VL - 25 IS - Suppl 2 N2 - BACKGROUND: Non-menthol characterising flavours (eg, fruit, candy) are banned in cigarettes, yet are still permitted in non-cigarette tobacco (NCT) products. This study examined associations between first use and current use of flavoured tobacco products, and current flavoured tobacco use and quit behaviours. METHODS: A nationally representative, telephone-based survey completed in 2012 by 1443 US adult tobacco users asked about use of 9 tobacco products: cigarettes, e-cigarettes, cigars, cigarillos, little filtered cigars, pipes, hookah, smokeless tobacco and snus. Ever users reported first use of flavoured products, while current users also reported current flavoured product use. Current users reported quit attempts made in the past year. Data were weighted to reflect the US adult tobacco user population. Logistic regression models were used to examine associations between first/current flavour use and quit behaviours. RESULTS: Over 70% of respondents reported first use of a flavoured tobacco product, while 54% reported current use of at least one flavoured product. Odds of current flavoured product use were greater among those who reported first use of a flavoured product (OR 14.82, 95% CI 9.96 to 22.06). First use of a flavoured product was associated with being a current tobacco user (OR 1.55, 95% CI 1.08 to 2.22). Compared to single product users, polytobacco users exhibited greater odds of reporting current use of flavoured products (OR 2.09, 95% CI 1.47 to 2.97). Forty-four percent of current tobacco users reported a past-year quit attempt. Adjusted analyses among current NCT users of at least one flavoured tobacco product showed reduced odds of reporting a quit attempt. CONCLUSIONS: First use of a flavoured tobacco product was associated with current flavoured tobacco use and polytobacco use. Users of only flavoured NCT products exhibited reduced odds of reporting a quit attempt. Findings from this study reinforce the importance of flavoured product availability in the USA, which may have significant implications for efforts to reduce tobacco initiation and use at a population level. The relationship between characterising flavours and quit behaviours merits further exploration in longitudinal, population-based samples. SN - 1468-3318 UR - https://www.unboundmedicine.com/medline/citation/27708123/Association_between_use_of_flavoured_tobacco_products_and_quit_behaviours:_findings_from_a_cross_sectional_survey_of_US_adult_tobacco_users_ L2 - https://tobaccocontrol.bmj.com/lookup/pmidlookup?view=long&pmid=27708123 DB - PRIME DP - Unbound Medicine ER -