Cross-Sectional Associations of Multiple Tobacco Product Use with Depressive and Anxiety Symptoms among Young Adult E-Cigarette Users

Purpose: To investigate variations of psychographic profiles in adult tobacco users to inform message tailoring. Design: A cross-sectional design used data from the Simmons 2015 National Consumer Study. Setting: Data were voluntarily provided by US families through a mail survey on media, products, and services, brands, and attitudes. Subjects: US adult tobacco users (N = 4,609). Measures: Participants answered questions about general opinion/attitudes and provided demographic and tobacco use information. Analysis: A factor analysis was conducted to determine the “best” latent psychographic factor structure based on model fit, factor loadings, and interpretability. A structural equation model was then applied to assess the associations between demographics, tobacco product use, and latent psychographic factors. Results: We identified 9 latent psychographic factors: (1) helplessness, (2) happiness, (3) achievements, (4) religion, (5) interest in art and culture, (6) conscience, (7) conformity, (8) family indulgence, and (9) creativity. Endorsement of these factors varied by demographics and tobacco product use. E.g. low income tobacco users showed stronger endorsement for “helplessness” (Adjusted Standardized Regression Coefficient [ASRC]: 0.42; 95% CI: 0.33, 0.51) and “religion” (ASRC: 0.24; 95% CI: 0.14, 0.33). Less educated tobacco users showed stronger endorsement for “conformity” (ASRC: 0.16; 95% CI: 0.07, 0.24). Young adults had significant positive associations for “achievements” (ASRC: 0.57; 95% CI: 0.48, 0.67). Conclusion: Psychographic profiles of tobacco users vary by demographics and product use. Tailored anti-tobacco media campaigns to specific disparity groups matching their psychographic profiles may improve message effectiveness and reduce tobacco use disparities.

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

Nicotine & Tobacco Research ◽

10.1093/ntr/ntz021 ◽

2019 ◽

Vol 22 (2) ◽

pp. 264-272 ◽

Cited By ~ 11

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.

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Multiple tobacco product use among young adult bar patrons in New Mexico

Preventive Medicine ◽

10.1016/j.ypmed.2015.11.024 ◽

2016 ◽

Vol 83 ◽

pp. 16-21 ◽

Cited By ~ 5

Author(s):

Sara Kalkhoran ◽

James L. Padilla ◽

Torsten B. Neilands ◽

Pamela M. Ling

Keyword(s):

New Mexico ◽

Young Adult ◽

Tobacco Product ◽

Product Use

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Combustible cigarettes, heated tobacco products, combined product use, and periodontal disease: A cross-sectional JASTIS study

PLoS ONE ◽

10.1371/journal.pone.0248989 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0248989

Author(s):

Takashi Yoshioka ◽

Takahiro Tabuchi

Keyword(s):

Periodontal Disease ◽

Primary Outcome ◽

Periodontal Diseases ◽

Cross Sectional Study ◽

Tobacco Product ◽

Internet Survey ◽

Cross Sectional ◽

Product Use ◽

Using Data ◽

Prevalence Ratios

Background Combustible cigarettes have detrimental effects on periodontal disease. However, little evidence is available regarding new heated tobacco product (HTP) use and combined product use (both combustible cigarettes and HTPs). This study aimed to examine the association of combustible cigarettes, HTPs, and combined product use with periodontal disease simultaneously. Materials and methods This cross-sectional study was conducted using data from the 2019 arm of the longitudinal Japan “Society and New Tobacco” Internet Survey. Combustible cigarette users, HTP users, combined product users, never-users, and former users’ data were separately obtained. In the present study, the primary outcome was self-reported periodontal disease. We estimated adjusted prevalence ratios (PRs) and confidence intervals (CIs) using multivariable modified Poisson regression analysis after adjusting for 12 confounders. Results Of the 10,439 JASTIS respondents, the numbers of users of combustible cigarettes only, HTPs only, and both products were 1,304, 437, and 1,049, respectively. Compared with never-users, HTP use was significantly associated with the prevalence of self-reported periodontal diseases (PR 1.43, 95% CI 1.03–1.62). Moreover, former users, combustible cigarette users, and combined product users also showed significant associations (PR 1.56, 95% CI 1.35–1.80; PR 1.29, 95% CI 1.03–1.62; and PR 1.55, 95% CI 1.20–1.99, respectively). Conclusions Users of HTPs, combustible cigarettes, and combined products as well as former users were all significantly associated with a higher prevalence of periodontal diseases compared to never-users.

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A comparison of methods to measure daily cigarillo consumption among adolescents and young adults

Tobacco Control ◽

10.1136/tobaccocontrol-2018-054745 ◽

2019 ◽

pp. tobaccocontrol-2018-054745 ◽

Cited By ~ 1

Author(s):

Elizabeth Antognoli ◽

Karen J Ishler ◽

Erika Trapl ◽

Susan A Flocke

Keyword(s):

Tobacco Product ◽

Daily Consumption ◽

Cross Sectional ◽

The Past ◽

Product Use ◽

Product Consumption ◽

Conventional Measure ◽

Control Research ◽

Improving Accuracy ◽

High Level

ObjectiveCigarillo use is widespread among young people. Accurate assessment of cigarillo consumption is necessary to inform and evaluate tobacco research, but is complicated by product sharing and irregular use. This study compares a conventional approach with a detailed approach for measuring cigarillo consumption.MethodsData are drawn from a cross-sectional, web-based survey of 1089 young (aged 15–28 years) cigarillo smokers. The conventional measure of cigarillo consumption employs two common tobacco use items—the number of days a product was smoked in the past month and the average number of products smoked per day. The detailed measure uses a time line follow-back procedure to assess product use on each of the past 7 days, both in a group and alone. Paired t-tests compare daily cigarillo use estimates from the two methods overall, and are stratified by sample characteristics and behaviours; associations with multiple factors are examined simultaneously using linear regression.ResultsCompared with the conventional measure, the detailed measure yields significantly higher daily consumption estimates for moderate and high-level users and for non-daily tobacco users, and significantly lower estimates for those who always share products and daily tobacco users. Differences remain after controlling for demographics and product use behaviours. There are no differences by gender, age, race or multiple product use.ConclusionsThe two measurement methods yield significantly different consumption estimates based on sharing behaviour, regularity of use and use level. Improving accuracy in the measurement of tobacco product consumption is important and timely for tobacco control research and policy.

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Flavour types used by youth and adult tobacco users in wave 2 of the Population Assessment of Tobacco and Health (PATH) Study 2014–2015

Tobacco Control ◽

10.1136/tobaccocontrol-2018-054852 ◽

2019 ◽

pp. tobaccocontrol-2018-054852 ◽

Cited By ~ 2

Author(s):

Shyanika W Rose ◽

Amanda L Johnson ◽

Allison M Glasser ◽

Andrea C Villanti ◽

Bridget K Ambrose ◽

...

Keyword(s):

Young Adult ◽

Age Groups ◽

Tobacco Product ◽

Health Study ◽

Age Group ◽

Population Assessment ◽

Product Use ◽

Type 3

BackgroundMost youth and young adult (YA) tobacco users use flavoured products; however, little is known about specific flavours used.MethodsWe report flavour types among US tobacco users from the Population Assessment of Tobacco and Health Study, wave 2, 2014–2015. At wave 2, we examined (1) flavour use and type at past 30-day use; (2) new flavoured tobacco product use and type; (3) product-specific flavour patterns across youth (ages 12–17) (n=920), YA (18–24) (n=3726) and adult (25+) (n=10 346) past 30-day and new tobacco users and (4) concordance between self-coded and expert-coded brand flavour type among all adults (18+).ResultsPrevalence of flavoured tobacco product use was highest among youth, followed by YA and adult 25+ any tobacco users. Within each age group, flavoured use was greatest among hookah, e-cigarette and snus users. Overall, menthol/mint, fruit and candy/sweet were the most prevalent flavour types at first and past 30-day use across age groups. For past 30-day use, all flavour types except menthol/mint exhibited an inverse age gradient, with more prevalent use among youth and YAs, followed by adults 25+. Prevalence of menthol/mint use was high (over 50% youth, YAs; 76% adults 25+) and exhibited a positive age gradient overall, though the reverse for cigarettes. Brand-categorised and self-reported flavour use measures among adults 18+ were moderately to substantially concordant across most products.ConclusionsCommon flavours like menthol/mint, fruit and candy/sweet enhance appeal to young tobacco users. Information on flavour types used by product and age can inform tobacco flavour regulations to addess flavour appeal especially among youth.

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Other Tobacco Product Use Among Sexual Minority Young Adult Bar Patrons

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2017.03.006 ◽

2017 ◽

Vol 53 (3) ◽

pp. 327-334 ◽

Cited By ~ 5

Author(s):

Amanda Fallin-Bennett ◽

Nadra E. Lisha ◽

Pamela M. Ling

Keyword(s):

Young Adult ◽

Sexual Minority ◽

Tobacco Product ◽

Product Use

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Alcohol Consumption Practice and Associated Risk Factors among University of Limpopo Students

10.5772/intechopen.96349 ◽

2021 ◽

Author(s):

Mbelege Rosina Nkwana ◽

Gift Makaleng ◽

Mafoloa Suzan Monyeki ◽

Hlengani James Siweya ◽

Kotsedi Daniel Monyeki

Keyword(s):

Risk Factors ◽

Alcohol Consumption ◽

Alcohol Use ◽

Interpersonal Relationships ◽

Tobacco Product ◽

Cross Sectional ◽

Product Use ◽

Rehabilitation Centers ◽

Validated Questionnaire ◽

Associated Risk Factors

In South Africa, substance rehabilitation centers found alcohol as the primary substance abuse in eight out of the nine provinces. This study aimed to investigate the prevalence of alcohol use and associated risk factors among University of Limpopo students with mean age of 21.5 years. This was a cross-sectional study and constituted a total of 500 female students and 417 male students from the University of Limpopo. Logistic regression was used to calculate the association between alcohol consumption and its predictors. Information about their alcohol consumption, the type of alcohol and the practice related to alcohol consumption was collected using a validated questionnaire. Tobacco and marijuana product use were significantly (P < 0.05) associated with alcohol use among University of Limpopo students for unadjusted (OR ranges 4.31 95%CI 2.71 6.87 to 4.92 95%CI 3.16 7.70) and after adjusting for age gender and amount of money deposited into the student account by the bursary scheme (OR ranges from 4.14 95%CI 2.59 6.62 to 4.50 95%CI 2.87 7.06). Tobacco product use, marijuana use and enhancing interpersonal relationships are major risk factors associated to current alcohol use. Future studies are required to investigate the development of lifestyle and cardiovascular disease over time among University of Limpopo students.

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Prevalence and Characteristics of Ever Regular Use of Non-combustible Nicotine for One-year or More: A Population Survey in England

10.21203/rs.3.rs-446598/v1 ◽

2021 ◽

Author(s):

Sharon Cox ◽

Jamie Brown ◽

Loren Kock ◽

Lion Shahab

Keyword(s):

Smoking Status ◽

Tobacco Product ◽

Cross Sectional Survey ◽

Hazardous Alcohol Use ◽

Cross Sectional ◽

Product Use ◽

Hazardous Alcohol ◽

Never Smokers ◽

One Year

Abstract Introduction: Up-to-date monitoring of non-combustible nicotine products (NNP) is important to assess their impact. To date, there is little evidence on the association between long-term regular use (defined here as one-year or more) of NNP and current smoking status. Aims/methods: The purpose of this study was to examine the prevalence, and sociodemographic, alcohol and smoking status correlates, of ever regular use of NNP in England in 2020.A cross sectional survey of adults in England between February and June 2020. Results: 8,486 adults were surveyed, 94.9% (8,055) were complete cases. The weighted prevalence of ever regular NNP use was 5.4% (n=436; 95%CI 5.0-6.0), of which 82% (n=360; 95%CI 78.7-85.8) was single, and 18% (n=79; 95%CI 14.8-22) multiple product use. Amongst ever regular NNP users, the prevalence of ever regular nicotine replacement therapies (NRT), e-cigarette and heated tobacco product use was 64.7% (95% CI 60.1-69), 43.4% (95%CI 38.8-48) and 2.5% (95% CI 1.4-4.5), respectively. In regression analysis, ever regular NNP use was independently associated with smoking status, being significantly higher among current (22.3%; Adjusted OR (aOR) 34.9, 95%CI 24.0-50.8) and ex-smokers (12.7%, aOR 19.8, 95%CI 11.1-14.4) than among never smokers (0.6%). More advantaged occupational grade (aOR, 1.27 95% CI 1.02-1.57) and at least hazardous alcohol use (aOR, 1.38 95%CI 1.06-1.78) were independently associated with greater prevalence of ever regular NNP use.Conclusions: Ever regularly using NNP was highest among smokers and ex-smokers and rare among never smokers. Among people who have ever regularly used NNP, NRT is the most popular.

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Tobacco Marketing Receptivity and Other Tobacco Product Use Among Young Adult Bar Patrons

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2016.08.008 ◽

2016 ◽

Vol 59 (6) ◽

pp. 642-647 ◽

Cited By ~ 8

Author(s):

Johannes Thrul ◽

Nadra E. Lisha ◽

Pamela M. Ling

Keyword(s):

Young Adult ◽

Tobacco Product ◽

Tobacco Marketing ◽

Product Use

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