scholarly journals Adolescent tobacco coupon receipt, vulnerability characteristics and subsequent tobacco use: analysis of PATH Study, Waves 1 and 2

2018 ◽  
Vol 27 (e1) ◽  
pp. e50-e56 ◽  
Author(s):  
Shyanika W Rose ◽  
Allison M Glasser ◽  
Yitong Zhou ◽  
Tess Boley Cruz ◽  
Amy M Cohn ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Urban Areas ◽  
Tobacco Product ◽  
Direct Mail ◽  
Vulnerability Factors ◽  
Vulnerable Youth ◽  
Coupon Redemption ◽  
Youth At Risk ◽  
Age Verification ◽  
Sample Age

ObjectivesWe examine adolescent receipt of tobacco coupons and subsequent tobacco use.MethodsData were from the Population Assessment of Tobacco and Health (PATH) Study (2013–2015). We identified correlates of coupon receipt at Wave 1 (youth sample age 12–17 ; n = 13 651) including demographics, additional vulnerability factors that may place youth at risk of tobacco use and correlates of coupon receipt by channel. We examined associations of Wave 1 coupon receipt with Wave 2 tobacco use using weighted multivariable models.ResultsOverall, 7.6% of US youth received tobacco coupons in the 6 months before Wave 1. Coupon recipients were more likely to be women, living outside urban areas, living with a tobacco user, current and former (vs never) tobacco users, having high internalising mental health symptoms and having a favourite tobacco advertisement. Coupons were received primarily through direct mail (56%), product packs (28%) and online (25%). Never tobacco users at Wave 1 who received coupons were more likely to be ever users at Wave 2 (adjusted OR (aOR)=1.42; 95% CI 1.06 to 1.91). Coupon recipients were more likely to use a new tobacco product between waves (aOR=1.67; 95% CI 1.18 to 2.36) and report past 30-day tobacco use at Wave 2 (aOR=1.81; 95% CI 1.31 to 2.49).ConclusionsOne in 13 US youth (7.6%) received coupons. Vulnerable youth had the greatest odds of coupon receipt. Coupon recipients had greater odds of tobacco use among never users, trying a new tobacco product and current use. Coupon bans, limits on youth coupon exposure, stronger age verification, pack inserts or restricting coupon redemption may help reduce tobacco use among adolescents, particularly for those at greatest risk.

scholarly journals Tobacco Use Trajectories in Young Adults: Analyses of Predictors Across Systems Levels

2020 ◽  
Vol 22 (11) ◽  
pp. 2075-2084
Author(s):  
Carla J Berg ◽  
Regine Haardörfer ◽  
Angela Lanier ◽  
Donyale Childs ◽  
Bruce Foster ◽  
...  
Keyword(s):  
College Students ◽  
Substance Use ◽  
Young Adult ◽  
Tobacco Use ◽  
Urban Areas ◽  
Marijuana Use ◽  
Tobacco Product ◽  
Multinomial Regression ◽  
Adult College Students ◽  
College Type

Abstract Introduction Research is needed to examine trajectories of tobacco use beyond cigarette smoking, particularly during emerging middle young adulthood, and to identify distinct multilevel influences of use trajectories. Aims and Methods We examined (1) tobacco use trajectories over a 2-year period among 2592 young adult college students in a longitudinal cohort study and (2) predictors of these trajectories using variables from a socioecological framework, including intrapersonal-level factors (eg, sociodemographics, psychosocial factors [eg, adverse childhood experiences, depressive symptoms, and attention-deficit hyperactivity disorder symptoms], early-onset substance use), interpersonal factors (eg, social support, parental substance use), and community-level factors (eg, college type, rural vs. urban). Results About 64.5% were female and 65.0% were white. From age 18 to 26, 27%–31% of participants reported past 30-day use of any tobacco product. We identified four trajectory classes: Abstainers/Dabblers who never or infrequently used (89.2%); Adult users who began using frequently around age 20 and continued thereafter (5.9%); College Smokers who began using before 19 but ceased use around 25 (2.5%); and Teenage users who used during their teenage years but ceased use by 22 (1.9%). Multinomial regression showed that, compared to Abstainers/Dabblers, significant predictors (p < .05) of being (1) Adult users included being male, earlier onset marijuana use, attending public universities or technical colleges (vs. private universities), and living in urban areas; (2) College users included being male, earlier onset marijuana use, and parental alcohol or marijuana use; and (3) Teenage users included only earlier onset marijuana use. Conclusion Distinct prevention and intervention efforts may be needed to address the trajectories identified. Implications Among young adult college students, the largest proportion of tobacco users demonstrate the risk of continued and/or progression of tobacco use beyond college. In addition, specific factors, particularly sex, earlier onset marijuana use, parental use of alcohol and marijuana, and contextual factors such as college setting (type of school, rural vs. urban) may influence tobacco use outcomes. As such, prevention and cessation intervention strategies are needed to address multilevel influences.

scholarly journals Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US

2021 ◽  
Vol 18 (22) ◽  
pp. 11864
Author(s):  
Mariaelena Gonzalez ◽  
Ashley Sanders-Jackson
Keyword(s):  
Rural Communities ◽  
Tobacco Use ◽  
Rural Areas ◽  
Urban Areas ◽  
Binary Logistic Regression ◽  
Tobacco Product ◽  
Structural Level ◽  
Opioid Use ◽  
The Us ◽  
Interview Survey

Introduction: Medical prescriptions for opioids are higher in rural areas of the US as compared to urban areas. Tobacco use may also play a role in this process. This analysis examines the association between differing types of tobacco use and medical opioid use. Methods: We analyze the relationship between tobacco product use and medical opioid use among the US general population living in rural (non-metropolitan) areas using the publicly available sample adult file 2019 National Health Interview Survey (NHIS) (n = 5028). Tobacco use was classified into the following categories: only using cigarettes, only using e-cigarettes/vapes, only using cigars, only using smokeless tobacco, or using two or more of the following products. We used a binary logistic regression, controlling for individual differences. Results: Individuals who reported using only traditional cigarettes (and no other tobacco product, OR = 1.62, 95% CI: 1.31, 2.01), or who reported being a poly-tobacco users (OR = 2.13, 95% CI: 1.40, 3.22) had higher odds of medical opioid use in the last twelve months. Conclusion: Results suggest a link between tobacco use, particularly cigarette use and poly-tobacco use, and medical opioid use in rural communities. Clinical and structural level interventions need to be implemented in rural communities to reduce comorbid tobacco and opioid use.

scholarly journals Urban Vulnerability Assessment for Pandemic Surveillance—The COVID-19 Case in Bogotá, Colombia

2021 ◽  
Vol 13 (6) ◽  
pp. 3402
Author(s):  
Jeisson Prieto ◽  
Rafael Malagón ◽  
Jonatan Gomez ◽  
Elizabeth León
Keyword(s):  
Vulnerability Assessment ◽  
Disease Transmission ◽  
Urban Areas ◽  
A Priori ◽  
Vulnerability Index ◽  
Past Century ◽  
Vulnerability Factors ◽  
Early Assessment ◽  
Global Citizens ◽  
Urban Vulnerability

A pandemic devastates the lives of global citizens and causes significant economic, social, and political disruption. Evidence suggests that the likelihood of pandemics has increased over the past century because of increased global travel and integration, urbanization, and changes in land use with a profound affectation of society–nature metabolism. Further, evidence concerning the urban character of the pandemic has underlined the role of cities in disease transmission. An early assessment of the severity of infection and transmissibility can help quantify the pandemic potential and prioritize surveillance to control highly vulnerable urban areas in pandemics. In this paper, an Urban Vulnerability Assessment (UVA) methodology is proposed. UVA investigates various vulnerability factors related to pandemics to assess the vulnerability in urban areas. A vulnerability index is constructed by the aggregation of multiple vulnerability factors computed on each urban area (i.e., urban density, poverty index, informal labor, transmission routes). This methodology is useful in a-priori evaluation and development of policies and programs aimed at reducing disaster risk (DRR) at different scales (i.e., addressing urban vulnerability at national, regional, and provincial scales), under diverse scenarios of resources scarcity (i.e., short and long-term actions), and for different audiences (i.e., the general public, policy-makers, international organizations). The applicability of UVA is shown by the identification of high vulnerable areas based on publicly available data where surveillance should be prioritized in the COVID-19 pandemic in Bogotá, Colombia.

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.

scholarly journals Magnitude of exposure and perception of second hand smoking among rural population in Trichy, Tamil Nadu

2017 ◽  
Vol 4 (8) ◽  
pp. 2946
Author(s):  
Hemalatha K. ◽  
Varunkumar R. ◽  
Vandana S. J.
Keyword(s):  
Tobacco Use ◽  
Environmental Tobacco Smoke ◽  
Tobacco Smoke ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Tobacco Product ◽  
P Value ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Protection Measures

Background: India is one of the countries where tobacco use is highly prevalent. Tobacco use in the form of smoking is related to occurrence of multiple health related problems in smokers and also general population.Methods: A community based cross sectional study was conducted among 360 adults residing in a rural area of Tiruchirappalli. Cluster sampling was used to select the study participants. A pretested semi-structured questionnaire was used to obtain information on tobacco use, exposure to environmental tobacco smoke (ETS), knowledge on its health effects and protection measures. Data was entered and analyzed using Epi info 7.2. The results were presented in the form of mean and percentage. Chi-square was used to find the association between the parameters and ETS. A p value of less than 0.05 was taken as significant.Results: Mean age of the study group was 38.5±10.8 years. Proportion of males and females was 53.9% and 46.1% respectively. Two hundred and fifty five (70.8%) were non-smokers and 29.2% have ever smoked some form of tobacco product. Thirty seven percent of the non-smokers were exposed to Environmental Tobacco Smoke in the past 15 days and exposure was higher among males (46.7%) than females (31.3%) (χ2 value=6.3; p=0.014). Public place was the most common place of exposure (25.5%) to ETS. Significantly higher proportion of smokers had correct knowledge on ill effects of ETS than smokers (χ2 value=12.3; p= 0.0004).Conclusions: Exposure to environmental tobacco smoke was significantly high in the study population. Either strict enforcement of laws or banning cigarette sale completely would help reducing the exposure to cigarette smoke which is an important risk factor for multiple non communicable diseases.

scholarly journals Rural tobacco use across the United States: How rural and urban areas differ, broken down by census regions and divisions

2016 ◽  
Vol 39 ◽  
pp. 153-159 ◽  
Author(s):  
Megan E. Roberts ◽  
Nathan J. Doogan ◽  
Allison N. Kurti ◽  
Ryan Redner ◽  
Diann E. Gaalema ◽  
...  
Keyword(s):  
United States ◽  
Tobacco Use ◽  
Urban Areas ◽  
The United States ◽  
Rural And Urban Areas ◽  
Rural And Urban

Tobacco Product Access Scenarios Influence Hypothetical Use Behaviors

2021 ◽  
Vol 7 (3) ◽  
pp. 184-202
Author(s):  
Augustus M. White ◽  
Deborah J. Ossip ◽  
L. Morgan Snell ◽  
Dongmei Li ◽  
Cosima Hoetger ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Tobacco Product ◽  
Retail Stores ◽  
Online Experiment ◽  
Tobacco Products ◽  
Visual Analog Scales ◽  
Seemingly Unrelated Regressions

Objective: In this paper, we characterize how potential policies restricting access to tobacco products may impact use behaviors among adult, past 30-day, smokers and e-cigarette users. Methods: We conducted an online experiment with 820 smokers, e-cigarette users, and dual users (April 27-June 8, 2020). We randomized participants to one of 4 hypothetical access scenarios: (1) tobacco retail stores open + pharmacies open (TOPO); (2) tobacco stores open but favorite brand unavailable + pharmacies open (TOPO-NFB); (3) tobacco stores closed + pharmacies open (TCPO); and (4) tobacco stores closed + pharmacies closed (TCPC). Outcomes (measured on 0-100 visual analog scales) included the likelihood of quitting, reducing, switching brands or products, and finding another source of tobacco products. Seemingly unrelated regressions tested for associations between access scenarios and prospective tobacco use behaviors. Results: Participants in the TCPO and TOPO-NFB scenarios were more likely to reduce use, switch brands/products, and find another source (ps < .001) than those in the TOPO scenario. Dual and flavored product users were more likely to switch products (ps < .01). Conclusions: When tobacco retailers are closed, tobacco users may be more likely to quit and/or reduce use compared to when retailers are open. However, access restrictions could prompt users to switch tobacco brands/products or sources.

Tobacco-Free Environment: An Imperative for the Health of Children and Adolescents

PEDIATRICS ◽  
1994 ◽  
Vol 93 (5) ◽  
pp. 866-868
Author(s):  
Keyword(s):  
Children And Adolescents ◽  
Tobacco Use ◽  
Behavioral Problems ◽  
Health Hazard ◽  
Well Being ◽  
Fetal Outcome ◽  
Medical Problems ◽  
Increased Risk ◽  
Youth At Risk ◽  
Free Environment

1. Tobacco is a major health hazard to children and adolescents. 2. Maternal use of tobacco has significant adverse effects on pregnancy and fetal outcome. 3. Exposure to ETS has major effects on the health and psychosocial well-being of children. 4. Tobacco use by children is associated with chronic and recurrent medical problems as well as with increased risk for significant morbidity and mortality. Furthermore, tobacco use may be a marker for youth at risk for other behavioral problems. 5. Nicotine is an addicting substance and may serve as a gateway drug for the subsequent use of illicit substances. 6. Tobacco advertising is appealing to young people and may have a powerful effect in influencing them to begin tobacco experimentation. 7. A tobacco-free environment is an imperative for the health of children and adolescents.

Psychographic Profiling of Adult Tobacco Users and Implications for Mediated Message Tailoring

2020 ◽  
pp. 089011712096719
Author(s):  
Danielle A. Duarte ◽  
Kelvin Choi
Keyword(s):  
Tobacco Use ◽  
Low Income ◽  
Structural Equation ◽  
Mail Survey ◽  
Tobacco Product ◽  
Equation Model ◽  
Cross Sectional ◽  
Media Campaigns ◽  
Message Tailoring ◽  
Product Use

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.

scholarly journals Perception and Current Use of E-cigarettes Among Youth in China

2018 ◽  
Vol 21 (10) ◽  
pp. 1401-1407 ◽  
Author(s):  
Lin Xiao ◽  
Mark Parascandola ◽  
Congxiao Wang ◽  
Yuan Jiang
Keyword(s):  
Middle School ◽  
Middle School Students ◽  
Tobacco Use ◽  
Tobacco Product ◽  
Cigarette Use ◽  
School Students ◽  
Factors Associated ◽  
Nationally Representative ◽  
Never Smokers ◽  
The Relationship

Abstract Introduction This study provides nationally representative estimates of electronic cigarette (e-cigarette) use among youth in China and explores the factors associated with awareness and use of e-cigarettes and the relationship between e-cigarette and conventional tobacco use. Methods This study examined data from the Global Youth Tobacco Survey, which was completed by 155 117 middle school students (51.8% boys and 48.2% girls) in China, and employed a multistage stratified cluster sampling design. For data analysis, SAS 9.3 complex survey procedures were used, and logistic regression was used to explore factors associated with e-cigarette use and the relationship between e-cigarette and conventional tobacco use. Results About 45.0% of middle school students had heard of e-cigarettes, but only 1.2% reported using e-cigarettes in the last 30 days. Among never-smokers, e-cigarette users were more likely to intend to use a tobacco product in the next 12 months than nonusers (adjusted odds ratio [OR] = 6.970, 95% confidence interval [CI] = 4.474% to 10.857%), and more likely to say that they would enjoy smoking a cigarette (adjusted OR = 14.633, 95% CI = 11.328% to 18.902%). E-cigarette use was associated with previous experimentation with cigarette smoking (OR = 3.2), having noticed tobacco advertising in the past 30 days (OR = 2.7), having close friends who smoke (OR = 1.4), and thinking tobacco helps people feel more comfortable in social situations (OR = 3.3) and makes young people look more attractive (OR = 1.3). Conclusions E-cigarette use among youth in China remains low but awareness is high. E-cigarette use was associated with increased intentions to use tobacco. Enhanced prevention efforts are needed targeting e-cigarette use among youth. Implications This study is the first nationally representative survey of e-cigarette use among youth in China. It found that among middle school students, prevalence of e-cigarette use is 1.2% and prevalence of e-cigarette awareness is 45.0%. Chinese youths use e-cigarettes as a tobacco product rather than an aid to quitting. Among never-smokers, e-cigarette users were more likely to have intentions to use a tobacco product in the next 12 months, more likely to use a tobacco product offered by their best friends and enjoy smoking a cigarette than nonusers.

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