Suggestions for Practice Regarding Novel Tobacco Product Use Patterns

2021 ◽  
pp. 83-87
Author(s):  
Takahiro Tabuchi
Keyword(s):  
Tobacco Product ◽  
Use Patterns ◽  
Product Use

scholarly journals A Comparison of Tobacco Product Prevalence by Different Frequency of Use Thresholds Across Three US Surveys 

2021 ◽  
Author(s):  
Luz María Sánchez-Romero ◽  
Christopher J. Cadham ◽  
Jana L. Hirschtick ◽  
Delvon T. Mattingly ◽  
Beomyoung Cho ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Tobacco Product ◽  
Adult Age ◽  
Product Group ◽  
Use Patterns ◽  
Product Use ◽  
Frequency Of Use ◽  
Smokeless Tobacco Use ◽  
Frequency Threshold

Abstract Background: With the increasing changes in tobacco use patterns, “current use” definition and the survey used may have important implications for monitoring population use trends. Methods: Using three US surveys (2014/15 TUS-CPS, NHIS and PATH), we compared the adult (age 18+) prevalence of four product groups (cigarettes, other combustibles, smokeless tobacco, and e-cigarettes) based on three past 30-day frequency of use thresholds: 1+, 10+, and 25+ days. We also examined mutually exclusive single, dual, and polytobacco users as a percentage of total users for each product group. Results: Regardless of threshold or product, the prevalence was higher in PATH followed by NHIS and TUS-CPS, in some cases by large percentages. The differences in cigarette and smokeless tobacco use prevalence in going from the 1+ to 10+ days and to the 25+ days threshold were minimal. Applying different frequency thresholds had the largest impact on other combustibles prevalence, with a 60% reduction with the 10+ days threshold and a 80% reduction with the 25+ days threshold, compared to the 1+ days threshold, followed by e-cigarettes with 40% and 60% reductions, respectively. The proportion of dual and polytobacco users decreased considerably when using the 10+ vs. the 1+ days threshold and polytobacco use was almost non-existent with the 25+ days threshold. Conclusion: The estimated prevalence of each tobacco product use depends largely on the survey and frequency of use threshold adopted. The choice of survey and frequency threshold merits serious consideration when monitoring patterns of tobacco use.

JUUL electronic cigarette use patterns, other tobacco product use, and reasons for use among ever users: Results from a convenience sample

2019 ◽  
Vol 95 ◽  
pp. 178-183 ◽  
Author(s):  
Eleanor L.S. Leavens ◽  
Elise M. Stevens ◽  
Emma I. Brett ◽  
Emily T. Hébert ◽  
Andrea C. Villanti ◽  
...  
Keyword(s):  
Tobacco Product ◽  
Electronic Cigarette ◽  
Cigarette Use ◽  
Convenience Sample ◽  
Use Patterns ◽  
Product Use ◽  
Reasons For Use

scholarly journals Characterization of Volatile Organic Compound Metabolites in Cigarette Smokers, Electronic Nicotine Device Users, Dual Users, and Nonusers of Tobacco

2019 ◽  
Vol 22 (2) ◽  
pp. 264-272 ◽  
Author(s):  
Rachel J Keith ◽  
Jessica L Fetterman ◽  
Olusola A Orimoloye ◽  
Zeina Dardari ◽  
Pawel K Lorkiewicz ◽  
...  
Keyword(s):  
Cardiovascular Effects ◽  
Cross Sectional Study ◽  
Tobacco Product ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Potential Health ◽  
Cigarette Smokers ◽  
Use Patterns ◽  
Product Use ◽  
Volatile Organic

Abstract Introduction Limited research exists about the possible cardiovascular effects of electronic nicotine delivery systems (ENDS). We therefore sought to compare exposure to known or potentially cardiotoxic volatile organic compounds (VOCs) in ENDS users, smokers, and dual users. Methods A total of 371 individuals from the Cardiovascular Injury due to Tobacco Use study, a cross-sectional study of healthy participants aged 21–45 years, were categorized as nonusers of tobacco (n = 87), sole ENDS users (n = 17), cigarette smokers (n = 237), and dual users (n = 30) based on 30-day self-reported tobacco product use patterns. Participants provided urine samples for VOC and nicotine metabolite measurement. We assessed associations between tobacco product use and VOC metabolite measures using multivariable-adjusted linear regression models. Results Mean (SD) age of the population was 32 (±6.8) years, 55% men. Mean urinary cotinine level in nonusers of tobacco was 2.6 ng/mg creatinine, whereas cotinine levels were similar across all tobacco product use categories (851.6–910.9 ng/mg creatinine). In multivariable-adjusted models, sole ENDS users had higher levels of metabolites of acrolein, acrylamide, acrylonitrile, and xylene compared with nonusers of tobacco, but lower levels of most VOC metabolites compared with cigarette smokers or dual users. In direct comparison of cigarettes smokers and dual users, we found lower levels of metabolites of styrene and xylene in dual users. Conclusion Although sole ENDS use may be associated with lower VOC exposure compared to cigarette smoking, further study is required to determine the potential health effects of the higher levels of certain reactive aldehydes, including acrolein, in ENDS users compared with nonusers of tobacco. Implications ENDS use in conjunction with other tobacco products may not significantly reduce exposure to VOC, but sole use does generally reduce some VOC exposure and warrants more in-depth studies.

scholarly journals Trends in Tobacco Product Use Patterns Among U.S. Youth, 1999–2014

2017 ◽  
Vol 20 (6) ◽  
pp. 690-697 ◽  
Author(s):  
Sherine El-Toukhy ◽  
Melanie Sabado ◽  
Kelvin Choi
Keyword(s):  
Tobacco Product ◽  
Use Patterns ◽  
Product Use

scholarly journals Progression of Poly-tobacco Product Use Patterns in Adolescents

2016 ◽  
Vol 51 (4) ◽  
pp. 513-517 ◽  
Author(s):  
Jimi Huh ◽  
Adam M. Leventhal
Keyword(s):  
Tobacco Product ◽  
Use Patterns ◽  
Product Use

scholarly journals Trends in Exclusive, Dual and Polytobacco Use among U.S. Adults, 2014–2019: Results from Two Nationally Representative Surveys

2021 ◽  
Vol 18 (24) ◽  
pp. 13092
Author(s):  
Delvon T. Mattingly ◽  
Luis Zavala-Arciniega ◽  
Jana L. Hirschtick ◽  
Rafael Meza ◽  
David T. Levy ◽  
...  
Keyword(s):  
National Health Interview Survey ◽  
Population Survey ◽  
Tobacco Product ◽  
Dual Use ◽  
Use Patterns ◽  
Product Use ◽  
Interview Survey ◽  
Race Ethnicity ◽  
Nationally Representative ◽  
Over Time

Although increases in the variety of tobacco products available to consumers have led to investigations of dual/polytobacco use patterns, few studies have documented trends in these patterns over time. We used data from the 2014/2015 and 2018/2019 Tobacco Use Supplement to the Current Population Survey (TUS-CPS) and the 2015–2019 National Health Interview Survey (NHIS) to estimate trends in the following use patterns: exclusive use of cigarettes, electronic nicotine delivery systems (ENDS), other combustibles (cigars/cigarillos/little filtered cigars and traditional pipes/hookah), and smokeless tobacco (four categories); dual use (two product groups) of each product group with cigarettes (three categories); polyuse with cigarettes (all four product groups; one category); and dual/polyuse without cigarettes (one category). We estimated trends in product use patterns overall and by age, sex, and race/ethnicity using two-sample tests for differences in linear proportions. From 2014/2015 to 2018/2019, exclusive ENDS use increased, whereas cigarettes and ENDS dual use decreased. Furthermore, polyuse with cigarettes decreased, whereas dual/polyuse without cigarettes increased, with trends varying by age, sex, and race/ethnicity. Our findings suggest that patterns of dual/polyuse with and without cigarettes have changed in recent years, indicating the need for further surveillance of concurrent tobacco product use patterns.

Youth Vaping and Tobacco Use in Context in the United States: Results From the 2018 National Youth Tobacco Survey

2020 ◽  
Author(s):  
Allison M Glasser ◽  
Amanda L Johnson ◽  
Raymond S Niaura ◽  
David B Abrams ◽  
Jennifer L Pearson
Keyword(s):  
Public Health ◽  
Tobacco Use ◽  
The United States ◽  
Tobacco Product ◽  
Decision Makers ◽  
Public Health Decision ◽  
Use Patterns ◽  
Product Use ◽  
Health Decision ◽  
Low Prevalence

Abstract Introduction According to the National Youth Tobacco Survey (NYTS), youth e-cigarette use (vaping) rose between 2017 and 2018. Frequency of vaping and concurrent past 30-day (p30d) use of e-cigarettes and tobacco products have not been reported. Methods We analyzed the 2018 NYTS (N = 20 189) for vaping among all students (middle and high school; 6–12th grades; 9–19 years old) by frequency of vaping, exclusive vaping, p30d poly-product use (vaping and use of one or more tobacco product), and any past tobacco product use. Results In 2018, 81.4% of students had not used any tobacco or vapor product in the p30d, and 86.2% had not vaped in the p30d. Among all students, of the 13.8% vaped in the p30d, just over half vaped on ≤5 days (7.0%), and roughly a quarter each vaped on 6–19 days (3.2%) and on 20+ days (3.6%). Almost three quarters of p30d vapers (9.9%) reported past or concurrent tobacco use and the remainder (3.9%) were tobacco naïve. 2.8% of students were tobacco naïve and vaped on ≤5 days; 0.7% were tobacco-naïve and vaped on 6–19 days, and 0.4% were tobacco-naïve and vaped on 20+ days. Conclusions Vaping increased among US youth in 2018 over 2017. The increases are characterized by patterns of low p30d vaping frequency and high poly-product use, and a low prevalence of vaping among more frequent but tobacco naïve vapers. Implications Results underscore the importance of including the full context of use patterns. The majority of vapers (60.0%–88.9% by use frequency) were concurrent p30d or ever tobacco users. About 4% of students were tobacco naïve and vaped in the p30d, but few (0.4%) vaped regularly on 20 or more days. Reporting youth vaping data with frequency and tobacco product co-use will give public health decision-makers the best possible information to protect public health.

scholarly journals Mortality Risks Associated With Dual– and Poly–Tobacco-Product Use in the United States

2019 ◽  
Author(s):  
Kelvin Choi ◽  
Maki Inoue-Choi ◽  
Timothy S McNeel ◽  
Neal D Freedman
Keyword(s):  
United States ◽  
The United States ◽  
Tobacco Product ◽  
Cigarette Smokers ◽  
Tobacco Products ◽  
Mortality Risks ◽  
Use Patterns ◽  
Product Use ◽  
Nationally Representative ◽  
The Impact

Abstract Increasing numbers of adults in the United States use more than 1 tobacco product. Most use cigarettes in combination with other tobacco products. However, little is known about the all-cause and cancer-specific mortality risks of dual– and poly–tobacco-product use. We examined these associations by pooling nationally representative data from the 1991, 1992, 1998, 2000, 2005, and 2010 National Health Interview Surveys (n = 118,144). Mortality information was obtained through linkage to the National Death Index. Cigarette smokers who additionally used other tobacco products smoked as many if not more cigarettes per day than exclusive cigarette smokers. Furthermore, cigarette smokers who additionally used other tobacco products had mortality risks that were as high as and sometimes higher than those of exclusive cigarette smokers. As tobacco use patterns continue to change and diversify, investigators in future studies need to carefully assess the impact of noncigarette tobacco products on cigarette use and determine associated disease risks.

scholarly journals Data Visualization Tools of Tobacco Product Use Patterns, Transitions and Sex Differences in the PATH Youth Data

2020 ◽  
Vol 22 (10) ◽  
pp. 1901-1908 ◽  
Author(s):  
Ralitza Gueorguieva ◽  
Eugenia Buta ◽  
Patricia Simon ◽  
Suchitra Krishnan-Sarin ◽  
Stephanie S O’Malley
Keyword(s):  
Sex Differences ◽  
Data Visualization ◽  
Tobacco Use ◽  
Tobacco Product ◽  
Heat Maps ◽  
Use Patterns ◽  
Product Use ◽  
Patterns Of Use ◽  
Set Intersection ◽  
Visualization Tools

Abstract Introduction Evaluations of multiple tobacco product use and temporal changes in patterns of use are complicated by a large number of combinations and transitions. Visualization tools could easily identify most common patterns and transitions. Methods Set intersection bar plots describe ever use of five tobacco products among 12–17 years old youth in wave 1 of the Population Assessment of Tobacco and Health (PATH) study (N = 11 497). Heat maps visualize unweighted frequencies of transitions from ever use at wave 1 (2013–2014) to past 12-month use at wave 2 (2014–2015). Weighted calibrated heat maps assess differences in relative frequencies of transitions by pattern at wave 1 and identify differences in transitions by sex. Results The most common tobacco product ever use patterns in wave 1 were of cigarettes only, e-cigarettes only or hookah only, followed by ever use of both cigarettes and e-cigarettes. Initiation of use between waves was uncommon. The most frequent transition among those who reported use at wave 2 but not at wave 1 (N = 971) was to e-cigarette use (N = 301). However, among e-cigarette-only ever users at wave 1 (N = 260), about half did not report any product use at wave 2. Use of three or more products remained stable. Adolescent girls compared to boys appeared more likely to report hookah use at both waves. Conclusion Set intersection bar plots and heat maps are useful for visualizing tobacco product use patterns and transitions, especially for multiple products. Both techniques could identify common problematic tobacco use patterns across and within populations. Implications Given the growing complexity of the youth tobacco use landscape, approaches to efficiently communicate patterns of multiple tobacco product use should be used more often. This study introduces set intersection bar plots and modified versions of heat maps to the tobacco product literature and illustrates their use in the PATH youth sample. These techniques are useful for visualizing absolute and relative frequencies of multiple possible patterns and transitions. They also suggest targets for subsequent statistical inference such as sex differences in hookah use. The methods can be applied more generally for data visualization wherever large number of combinations occurs.

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.

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