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Non-cigarette combustible tobacco use and its associations with subsequent cessation of smoking among daily cigarette smokers: findings from the International Tobacco Control Four Country Smoking and Vaping Surveys (2016-20).
Addiction. 2023 01; 118(1):140-148.A

Abstract

AIMS

To examine whether polyuse of cigarettes and other smoked products (polysmoking) is predictive of quit attempts and quit success.

DESIGN

A prospective multi-country cohort design.

SETTING

Australia, Canada, England and the United States.

PARTICIPANTS

A total of 3983 adult daily cigarette smokers were surveyed in 2016 (wave 1 of data collection) and were re-contacted in 2018 (wave 2) (i.e. waves 1-2 cohort) in the International Tobacco Control Four Country Smoking and Vaping (ITC 4CV) surveys; and 3736 smokers were surveyed in 2018 and re-contacted in 2020 (wave 3) (i.e. waves 2-3 cohort).

MEASUREMENTS

Participants were asked about their cigarette smoking and use of cigars, cigarillos, pipes and waterpipes. Outcomes were quit attempts between two survey waves and success, defined as having quit smoking all the combustible tobacco at the subsequent survey for 1 month or more.

FINDINGS

Levels of polysmoking were 12.7% in the waves 1-2 cohort and 10.5% for the waves 2-3 cohort. Compared with cigarette-only smokers, polysmokers were more likely to attempt to quit between waves 1 and 2 [54.9 versus 42.7%, adjusted odds ratio (aOR) = 1.37, 95% confidence interval (CI) = 1.08-1.74, P < 0.01], but not between waves 2 and 3 (43.8 versus 40.1%, aOR = 0.94, 95% CI = 0.72-1.22). Polysmoking predicted reduced likelihood of success in both cohorts among attempters and the overall samples. Between waves 2 and 3 there were significantly more transitions to non-daily smoking among the polysmokers (12.4 versus 5.3%, χ[2] = 40.4, P < 0.001).

CONCLUSIONS

There is a consistent association between polysmoking (use of cigarettes together with other smoked products) and reduced quit success for combustible tobacco, but it is probably due to increased likelihood of transitioning to non-daily use rather than complete cessation.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Li L
Melbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne Parkville Campus, Parkville, VIC, Australia.
Borland R
Melbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne Parkville Campus, Parkville, VIC, Australia.
Cummings KM
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA. Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Hyland A
Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Le Grande M
Melbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne Parkville Campus, Parkville, VIC, Australia.
Fong GT
Department of Psychology, University of Waterloo, Waterloo, ON, Canada. School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada. Ontario Institute for Cancer Research, Toronto, ON, Canada.
McNeill A
National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Shaping Public hEalth poliCies To Reduce ineqUalities and harm (SPECTRUM), London, UK.

MeSH

AdultHumansUnited StatesVapingSmokersTobaccoProspective StudiesSmoking CessationTobacco ProductsCigarette SmokingElectronic Nicotine Delivery Systems

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

35938219

Citation

Li, Lin, et al. "Non-cigarette Combustible Tobacco Use and Its Associations With Subsequent Cessation of Smoking Among Daily Cigarette Smokers: Findings From the International Tobacco Control Four Country Smoking and Vaping Surveys (2016-20)." Addiction (Abingdon, England), vol. 118, no. 1, 2023, pp. 140-148.
Li L, Borland R, Cummings KM, et al. Non-cigarette combustible tobacco use and its associations with subsequent cessation of smoking among daily cigarette smokers: findings from the International Tobacco Control Four Country Smoking and Vaping Surveys (2016-20). Addiction. 2023;118(1):140-148.
Li, L., Borland, R., Cummings, K. M., Hyland, A., Le Grande, M., Fong, G. T., & McNeill, A. (2023). Non-cigarette combustible tobacco use and its associations with subsequent cessation of smoking among daily cigarette smokers: findings from the International Tobacco Control Four Country Smoking and Vaping Surveys (2016-20). Addiction (Abingdon, England), 118(1), 140-148. https://doi.org/10.1111/add.16023
Li L, et al. Non-cigarette Combustible Tobacco Use and Its Associations With Subsequent Cessation of Smoking Among Daily Cigarette Smokers: Findings From the International Tobacco Control Four Country Smoking and Vaping Surveys (2016-20). Addiction. 2023;118(1):140-148. PubMed PMID: 35938219.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-cigarette combustible tobacco use and its associations with subsequent cessation of smoking among daily cigarette smokers: findings from the International Tobacco Control Four Country Smoking and Vaping Surveys (2016-20). AU - Li,Lin, AU - Borland,Ron, AU - Cummings,K Michael, AU - Hyland,Andrew, AU - Le Grande,Michael, AU - Fong,Geoffrey T, AU - McNeill,Ann, Y1 - 2022/08/16/ PY - 2021/11/30/received PY - 2022/07/26/accepted PY - 2022/8/9/pubmed PY - 2022/12/6/medline PY - 2022/8/8/entrez KW - Combustible tobacco KW - longitudinal study KW - nicotine dependence KW - polysmoking KW - smoking cessation KW - survey SP - 140 EP - 148 JF - Addiction (Abingdon, England) JO - Addiction VL - 118 IS - 1 N2 - AIMS: To examine whether polyuse of cigarettes and other smoked products (polysmoking) is predictive of quit attempts and quit success. DESIGN: A prospective multi-country cohort design. SETTING: Australia, Canada, England and the United States. PARTICIPANTS: A total of 3983 adult daily cigarette smokers were surveyed in 2016 (wave 1 of data collection) and were re-contacted in 2018 (wave 2) (i.e. waves 1-2 cohort) in the International Tobacco Control Four Country Smoking and Vaping (ITC 4CV) surveys; and 3736 smokers were surveyed in 2018 and re-contacted in 2020 (wave 3) (i.e. waves 2-3 cohort). MEASUREMENTS: Participants were asked about their cigarette smoking and use of cigars, cigarillos, pipes and waterpipes. Outcomes were quit attempts between two survey waves and success, defined as having quit smoking all the combustible tobacco at the subsequent survey for 1 month or more. FINDINGS: Levels of polysmoking were 12.7% in the waves 1-2 cohort and 10.5% for the waves 2-3 cohort. Compared with cigarette-only smokers, polysmokers were more likely to attempt to quit between waves 1 and 2 [54.9 versus 42.7%, adjusted odds ratio (aOR) = 1.37, 95% confidence interval (CI) = 1.08-1.74, P < 0.01], but not between waves 2 and 3 (43.8 versus 40.1%, aOR = 0.94, 95% CI = 0.72-1.22). Polysmoking predicted reduced likelihood of success in both cohorts among attempters and the overall samples. Between waves 2 and 3 there were significantly more transitions to non-daily smoking among the polysmokers (12.4 versus 5.3%, χ[2] = 40.4, P < 0.001). CONCLUSIONS: There is a consistent association between polysmoking (use of cigarettes together with other smoked products) and reduced quit success for combustible tobacco, but it is probably due to increased likelihood of transitioning to non-daily use rather than complete cessation. SN - 1360-0443 UR - https://www.unboundmedicine.com/medline/citation/35938219/Non_cigarette_combustible_tobacco_use_and_its_associations_with_subsequent_cessation_of_smoking_among_daily_cigarette_smokers:_findings_from_the_International_Tobacco_Control_Four_Country_Smoking_and_Vaping_Surveys__2016_20__ DB - PRIME DP - Unbound Medicine ER -

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