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

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.

scholarly journals Heat-not-burn Tobacco Products and the Increased Risk for Poly-tobacco Use

2021 ◽  
Vol 45 (1) ◽  
pp. 195-204
Author(s):  
Pallav Pokhrel ◽  
Thaddeus A. Herzog ◽  
Crissy T. Kawamoto ◽  
Pebbles Fagan
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Tobacco Use ◽  
Tobacco Product ◽  
Dual Use ◽  
Cigarette Smokers ◽  
Product Use ◽  
Increased Risk ◽  
Current Cigarette

Objectives: In this study, we tested the use of ecigarette, cigarette, and dual use of both as predictors of heat-not-burn (HNB) tobacco product use onset among young adults, and examined common predictors of smoking cessation as predictors of HNB product use. Methods: We collected data from 2229 young adults [mean age = 21.1 (SD = 2.1); 55% women] in Hawaii, at 2 time-points 6 months apart. Results: Current cigarette-only use was the strongest concurrent predictor of HNB product use, followed by dual use, and ecigarette-only use. Among HNB product never users at Wave 1, dual and ecigarette-only use at Wave 1 significantly predicted HNB product use onset at Wave 2. Among cigarette smokers who had never used an HNB product at Wave 1, current use of ecigarette for help with smoking cessation predicted increased odds of HNB product use at 6-month follow-up. Conclusions: Although promoted as a safer alternative for exclusive cigarette smokers, HNB products may increase the risk of dual or poly-tobacco product use among young adults, including current exclusive e-cigarette users. Surveillance of HNB product use as a modified risk tobacco product may need to consider the effects of HNB products on poly-tobacco use among young people.

scholarly journals Cigarette Smoking and Smokeless Tobacco Use among Male South Asian Migrants in the United Arab Emirates: a cross-sectional study

2020 ◽  
Author(s):  
Raghib Ali ◽  
Tom Loney ◽  
Mohammed Al-Houqani ◽  
Iain Blair ◽  
Faisal Aziz ◽  
...  
Keyword(s):  
Public Health ◽  
Alcohol Use ◽  
Cigarette Smoking ◽  
United Arab Emirates ◽  
Tobacco Use ◽  
South Asian ◽  
Smokeless Tobacco ◽  
Current Cigarette Smoking ◽  
Current Cigarette ◽  
Smokeless Tobacco Use

Abstract Background The prevalence of tobacco use among South Asian migrants in the United Arab Emirates (UAE) has not been evaluated. We examined the prevalence of cigarette smoking and smokeless tobacco use along with their associated factors among male South Asian migrants in the UAE.Methods A representative sample of South Asian adult migrant males was recruited in Al Ain, UAE in 2012. The sample included Indian (n=433), Pakistani (n=383) and Bangladeshi (n=559) nationalities. Prevalence and measures of association using bi-variable and multi-variable logistic regression models were used to identify correlates of tobacco use.ResultsA total of 1.375 South Asian migrant males participated in the study (response rate 76%) with a mean age of 34 years (SD ± 10). The prevalence of current cigarette smoking was 21%, 23% and 37% among participants from India, Pakistan and Bangladesh, respectively. The prevalence of current smokeless tobacco use was 6%, 12%, and 16% for Indian, Pakistani, and Bangladeshi participants, respectively. Bangladeshi nationality, hypertension, and alcohol use were significant correlates of current cigarette smoking. Increase in age, less than college level education, alcohol use and Pakistani or Bangladeshi nationality were significant correlates of exposure to smokeless tobacco.Conclusions The high prevalence of cigarette smoking and smokeless tobacco use in South Asian migrants, highlights the public health burden of tobacco use in migrant populations in the UAE. Public health measures are needed to address tobacco use in migrant population.

scholarly journals Tobacco use and betel quid chewing among adults in Myanmar- estimates and social determinants from demographic and health survey, 2015–16

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chandrashekhar T. Sreeramareddy ◽  
Saint Nway Aye ◽  
Sunil Pazhayanur Venkateswaran
Keyword(s):  
Tobacco Use ◽  
Health Survey ◽  
Smokeless Tobacco ◽  
Tobacco Smoking ◽  
Demographic Factors ◽  
Betel Quid ◽  
Dual Use ◽  
Betel Quid Chewing ◽  
Smokeless Tobacco Use ◽  
Socio Demographic Factors

Abstract Background National-level prevalence of tobacco use and betel quid chewing, and associated socio-demographic factors were estimated using first-ever, Myanmar Demographic Health Survey, 2015–16. Methods Questions about tobacco smoking, smokeless tobacco use, and betel quid chewing were used to create outcome variables such as tobacco smoking, smokeless tobacco use, and ‘dual use’ (tobacco use and betel quid chewing). Sex-stratified weighted prevalence rates, distribution by socio-demographic factors were presented. Association of demographic factors with tobacco and/or betel quid chewing was assessed by multinomial logistic regression. Results Among men, prevalence (%) of tobacco use and betel quid chewing was 40.9 (95% CI 38.1, 42.1) and 58.9 (95% CI 56.3, 61.6) respectively. Among women tobacco use was 3.7 (95% CI 2.0, 4.3) and betel quid chewing 18.2 (95% CI 16.4, 20.0). Among men prevalence of either tobacco or betel quid and ‘dual use’ was 50.4 (95% CI 48.5, 52.3) and 25.0 (95% CI 23.1, 26.8) respectively, whereas among women the corresponding rates were 17.9 (95% CI 16.2, 19.6) and 2.0 (95% CI 1.6, 2.9). Smokeless tobacco use was low (< 5%) in both sexes. Tobacco use and/or betel quid chewing was associated with age, wealth, marital status, and occupation in both sexes. However, the effect sizes were much larger among women for wealth groups. People of older age and lower wealth had a higher odds of being a tobacco user and/or betel quid chewer. Conclusions In Myanmar, prevalence of both tobacco use and betel quid chewing was high particularly among men. Tobacco control interventions should be strictly implemented and ‘dual use’ of both tobacco and betel quid should also be urgently addressed.

scholarly journals Socioeconomic Gradients in Different Types of Tobacco Use in India: Evidence from Global Adult Tobacco Survey 2009-10

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Ankur Singh ◽  
Monika Arora ◽  
Dallas R. English ◽  
Manu R. Mathur
Keyword(s):  
Cigarette Smoking ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Secondary Analysis ◽  
Positive Association ◽  
Socioeconomic Differences ◽  
Dual Use ◽  
Explanatory Variables ◽  
Logistic Regressions ◽  
Smokeless Tobacco Use

Socioeconomic differences in tobacco use have been reported, but there is a lack of evidence on how they vary according to types of tobacco use. This study explored socioeconomic differences associated with cigarette, bidi, smokeless tobacco (SLT), and dual use (smoking and smokeless tobacco use) in India and tested whether these differences vary by gender and residential area. Secondary analysis of Global Adult Tobacco Survey (GATS) 2009-10 (n=69,296) was conducted. The primary outcomes were self-reported cigarette, bidi smoking, SLT, and dual use. The main explanatory variables were wealth, education, and occupation. Associations were assessed using multinomial logistic regressions. 69,030 adults participated in the study. Positive association was observed between wealth and prevalence of cigarette smoking while inverse associations were observed for bidi smoking, SLT, and dual use after adjustment for potential confounders. Inverse associations with education were observed for all four types after adjusting for confounders. Significant interactions were observed for gender and area in the association between cigarette, bidi, and smokeless tobacco use with wealth and education. The probability of cigarette smoking was higher for wealthier individuals while the probability of bidi smoking, smokeless tobacco use, and dual use was higher for those with lesser wealth and education.

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