Mediational Pathways of Tobacco Use Among Adult Daily Smokers with Psychiatric Symptoms in the Population Assessment of Tobacco and Health (PATH) Survey

IntroductionInsomnia and tobacco use are frequent and important problems in alcohol-dependent patients. However, the relationship between sleep problems and cigarette smoking was not thoroughly investigated in this population.AimThe purpose of the study was to investigate the relationship between tobacco smoking and severity of insomnia in alcohol-dependent patients in treatment. We also aimed at assessing other predictors of insomnia in this population.MethodsThe study group comprised 384 alcohol-dependent patients. Standardized tools were used to assess: tobacco dependence (Fagerström Test for Nicotine Dependence [FTND]), sleep problems (Athens Insomnia Scale [AIS]), severity of alcohol dependence (Michigan Alcohol Screening Test [MAST]) and drinking quantities before entering treatment (Timeline Follow Back [TFLB]). Other comorbid psychiatric symptoms were assessed using Brief Symptom Inventory (BSI) and Barratt's Impulsiveness Scale (BIS-11).ResultsThe study group included 79.1% of current smokers, 62% of participants reported insomnia (AIS). The mean FTND score was 6.05 ± 2.18. The multivariate regression analysis revealed that the severity of tobacco dependence was significantly associated with the severity of insomnia (FTND, beta = 0.140, P = 0.013). Other factors associated with insomnia that remained significant in multivariate model were severity of psychopathological symptoms (BSI, beta = 0.422, P < 0.0005) and intensity of drinking (TLFB, beta = 0.123, P = 0.034).ConclusionTobacco use may predict severity of insomnia in alcohol-dependent patients. This finding may have important clinical implications and influence strategies applied in treatment of alcohol use disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Harm perceptions and tobacco use initiation among youth in Wave 1 and 2 of the Population Assessment of Tobacco and Health (PATH) Study

Preventive Medicine ◽

10.1016/j.ypmed.2019.03.017 ◽

2019 ◽

Vol 123 ◽

pp. 185-191 ◽

Cited By ~ 6

Author(s):

David R. Strong ◽

Eric Leas ◽

Tara Elton-Marshall ◽

Olivia A. Wackowski ◽

Mark Travers ◽

...

Keyword(s):

Tobacco Use ◽

Population Assessment

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Sexual and Gender Minority U.S. Youth Tobacco Use: Population Assessment of Tobacco and Health (PATH) Study Wave 3, 2015–2016

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2019.03.021 ◽

2019 ◽

Vol 57 (2) ◽

pp. 256-261 ◽

Cited By ~ 5

Author(s):

Sarah E. Johnson ◽

Erin Keely O'Brien ◽

Blair Coleman ◽

Greta K. Tessman ◽

Leah Hoffman ◽

...

Keyword(s):

Tobacco Use ◽

Population Assessment ◽

Gender Minority ◽

Sexual And Gender Minority ◽

And Gender

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Parents Are Unaware of Their Youths' Tobacco Use: Results from the Population Assessment of Tobacco and Health Study

Journal of School Health ◽

10.1111/josh.12906 ◽

2020 ◽

Vol 90 (7) ◽

pp. 564-571

Author(s):

Jessica L. King ◽

Julie W. Merten ◽

Nicole E. Nicksic

Keyword(s):

Tobacco Use ◽

Health Study ◽

Population Assessment

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Transitions to smokeless tobacco use among adult cigarette smokers in the Population Assessment of Tobacco and Health (PATH) Study, Waves 3–5 (2015–2019)

Tobacco Control ◽

10.1136/tobaccocontrol-2021-056907 ◽

2021 ◽

pp. tobaccocontrol-2021-056907

Author(s):

Rebecca A Jackson ◽

Chunfeng Ren ◽

Blair Coleman ◽

Hannah R Day ◽

Cindy M Chang ◽

...

Keyword(s):

Tobacco Use ◽

Smokeless Tobacco ◽

Health Study ◽

Dual Use ◽

Cigarette Smokers ◽

Population Assessment ◽

Current Cigarette ◽

Smokeless Tobacco Use ◽

Using Data

ObjectiveExamine patterns of dual use of cigarettes and smokeless tobacco and complete switching over time among adult current cigarette smokers using data from the Population Assessment of Tobacco and Health Study Wave 3 (2015–2016), Wave 4 (2016–2018) and Wave 5 (2018–2019).MethodsWe examined four tobacco use states among 6834 exclusive smokers and 372 dual users at Wave 3 with two waves of follow-up data: exclusive cigarette use, exclusive smokeless tobacco use, dual use and use of neither product.ResultsAmong exclusive smokers at Wave 3, only 1.6% (95% CI: 1.3% to 2.1%) transitioned to dual use at Wave 4, and 0.1% (95% CI: 0.07% to 0.2%) switched to exclusive smokeless tobacco use. Among exclusive smokers who switched to dual use, 53.1% (95% CI: 40.9% to 64.9%) returned to exclusive cigarette smoking, 34.3% (95% CI: 23.8% to 46.6%) maintained dual use and 12.6% (95% CI: 7.0% to 21.7%) did not smoke cigarettes after an additional wave of follow-up. Dual users at Wave 3 were likely to maintain their dual use status at Wave 4, 51.2% (95% CI: 46.1% to 56.3%) and Wave 5, 47.9% (95% CI: 40.1% to 55.8%).ConclusionsVery few cigarette smokers transition to smokeless tobacco use, and among those who do, dual use is more common than exclusive smokeless tobacco use. Further, the majority of exclusive cigarette smokers who transition to dual use at Wave 4 continue smoking cigarettes at Wave 5, either as dual users or as exclusive smokers.

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Tobacco use and the interplay of internalizing, externalizing and substance use problems: A latent class analysis of data from the Population Assessment of Tobacco and Health Study

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2019.107686 ◽

2019 ◽

Vol 205 ◽

pp. 107686

Author(s):

Ollie Ganz ◽

Rajiv N. Rimal ◽

Amanda L. Johnson ◽

Amy M. Cohn ◽

Kimberly Horn ◽

...

Keyword(s):

Substance Use ◽

Latent Class Analysis ◽

Tobacco Use ◽

Latent Class ◽

Health Study ◽

Class Analysis ◽

Population Assessment ◽

Substance Use Problems

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Adult Use of and Transitions From Nicotine and Non-nicotine-Containing E-cigarettes: Data From the Population Assessment of Tobacco and Health (PATH) Study, 2013–2016

Nicotine & Tobacco Research ◽

10.1093/ntr/ntz215 ◽

2019 ◽

Vol 22 (7) ◽

pp. 1225-1229

Author(s):

Anh Nguyen Zarndt ◽

Elisabeth A Donaldson ◽

Jennifer K Bernat ◽

James A Henrie ◽

David B Portnoy

Keyword(s):

Tobacco Use ◽

Demographic Characteristics ◽

Cigarette Use ◽

Population Assessment ◽

Product Use ◽

Patterns Of Use ◽

Sustained Use ◽

Use Pattern

Abstract Introduction Studies largely focus on nicotine-containing e-cigarettes (NiCE) though non-nicotine-containing e-cigarettes (NoCE) exist; NoCE prevalence and patterns of use are largely unknown. This study examines self-reported prevalence and patterns of NiCE/NoCE use. Methods We analyzed adult (18+ years) data from the Population Assessment of Tobacco and Health (PATH) study from Wave 1 (2013–2014, n = 32,320), Wave 2 (2014–2015, n = 28,632), and Wave 3 (2015–2016, n = 28,148). We test associations between Wave 1 self-reported current NoCE/NiCE use status and demographic characteristics and assess the proportion of self-reported current NoCE/NiCE users at Wave 1 or Wave 2 who continue to use NoCE or NiCE, switch to NiCE or NoCE, discontinue e-cigarette use, switch to use other nicotine products (ONP), or add ONP use 1 year later (i.e., at Wave 2 or 3). Results Maintaining the same self-reported NiCE/NoCE and ONP use status 1 year later was the most common use pattern between waves. However, 15.65% of exclusive NoCE users in Wave 2 transitioned to NoCE plus nicotine product use in Wave 3. Also, some exclusive NoCE users transitioned to exclusive NiCE use (17.77% Waves 1–2; 11.55% Waves 2–3). Discussion Some exclusive NoCE users transitioned to NiCE or added nicotine product use, suggesting there may be other factors (e.g., familiarity with using an aerosolizing device) in addition to the presence of nicotine in influencing initiation or sustained use of nicotine products. Implications Studies largely focus on nicotine-containing e-cigarettes (NiCE) though non-nicotine-containing e-cigarettes (NoCE) exist; this study adds to the literature by describing demographic characteristics and tobacco use of adult self-reported NoCE users. In addition, the study examines transitions in self-reported NoCE/NiCE use, revealing that some exclusive NoCE users transition to other nicotine product use 1 year later.

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