Student Tobacco Use Behaviours: A Qualitative Study of Alternative Tobacco and Nicotine Product Use in Young Adulthood

Rural Environment. Education. Personality. (REEP) Proceedings of the 14th International Scientific Conference ◽

10.22616/reep.2021.14.043 ◽

2021 ◽

Author(s):

Aija Zobena ◽

Keyword(s):

Young Adults ◽

High School Students ◽

Focus Group ◽

Tobacco Use ◽

Electronic Cigarettes ◽

Nicotine Addiction ◽

Adolescents And Young Adults ◽

Tobacco Products ◽

Product Use ◽

Alternative Tobacco Products

Non-combustible alternative tobacco products such as tobacco-free nicotine pouches, heated tobacco, and electronic cigarettes (e-cigarettes) marketed as less harmful alternatives to cigarettes as smoking cessation aids are becoming increasingly popular among adolescents and young adults. This age group includes individuals still experimenting with and establishing tobacco use. The aim of the study is to investigate student tobacco use behaviours, particularly novel devices, and alternative products to understand how to decrease tobacco initiation and use among adolescents and young adults. In August 2020, two focus group discussions were organized to obtain information on young people's experience of alternative tobacco and nicotine product use. In each of them, high school students (aged over 18) and students took part. The participants of the focus group discussion were chosen by the “snowball” method. Cessation of smoking and replacing cigarettes with alternative tobacco and nicotine products reduce some of the harmful effects but are not harmless and nicotine addiction remains. By replacing cigarette smoking with the use of tobacco-free nicotine pouches, heated tobacco, or e-cigarettes, one form of nicotine use is being replaced by another. According to the study, young people have no understanding of nicotine addiction and the health risks of using alternative tobacco products. Today's adolescents and young adults often see consumption of tobacco and nicotine products as a mean to construct and project their unique identity.

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Young Adults’ Favorable Perceptions of Snus, Dissolvable Tobacco Products, and Electronic Cigarettes: Findings From a Focus Group Study

American Journal of Public Health ◽

10.2105/ajph.2011.300525 ◽

2012 ◽

Vol 102 (11) ◽

pp. 2088-2093 ◽

Cited By ~ 136

Author(s):

Kelvin Choi ◽

Lindsey Fabian ◽

Neli Mottey ◽

Amanda Corbett ◽

Jean Forster

Keyword(s):

Young Adults ◽

Focus Group ◽

Electronic Cigarettes ◽

Focus Group Study ◽

Tobacco Products

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Transitions in Tobacco Product Use by U.S. Adults between 2013–2014 and 2014–2015: Findings from the PATH Study Wave 1 and Wave 2

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15112515 ◽

2018 ◽

Vol 15 (11) ◽

pp. 2515 ◽

Cited By ~ 8

Author(s):

Karin Kasza ◽

Nicolette Borek ◽

Kevin Conway ◽

Maciej Goniewicz ◽

Cassandra Stanton ◽

...

Keyword(s):

Older Adults ◽

Young Adults ◽

Tobacco Use ◽

The United States ◽

Tobacco Product ◽

Abuse Liability ◽

Tobacco Products ◽

Product Use ◽

Current Tobacco ◽

Pipe Tobacco

In 2013–2014, nearly 28% of adults in the United States (U.S.) were current tobacco users with cigarettes the most common product used and with nearly 40% of tobacco users using two or more tobacco products. We describe overall change in prevalence of tobacco product use and within-person transitions in tobacco product use in the U.S. between 2013–2014 and 2014–2015 for young adults (18–24 years) and older adults (25+ years). Data from Wave 1 (W1, 2013–2014) and Wave 2 (W2, 2014–2015) of the Population Assessment of Tobacco and Health (PATH) Study were analyzed (N = 34,235). Tobacco product types were categorized into: (1) combustible (cigarettes, cigars, pipe tobacco, hookah), (2) noncombustible (smokeless tobacco, snus pouches, dissolvable tobacco), and (3) electronic nicotine delivery systems (ENDS). Transitions for individual combustible-product types, and for single- and multiple-product use, were also considered. Overall prevalence of current tobacco use decreased from 27.6% to 26.3%. Among W1 non-tobacco users, 88.7% of young adults and 95.8% of older adults were non-tobacco users at W2. Among W1 tobacco users, 71.7% of young adults transitioned, with 20.7% discontinuing use completely, and 45.9% of older adults transitioned, with 12.5% discontinuing use completely. Continuing with/transitioning toward combustible product(s), particularly cigarettes, was more common than continuing with/transitioning toward ENDS. Tobacco use behaviors were less stable among young adults than older adults, likely reflecting greater product experimentation among young adults. Relative stability of cigarette use compared to other tobacco products (except older adult noncombustible use) demonstrates high abuse liability for cigarettes.

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Age of tobacco use initiation and association with current use and nicotine dependence among US middle and high school students, 2014–2016

Tobacco Control ◽

10.1136/tobaccocontrol-2018-054593 ◽

2018 ◽

Vol 29 (1) ◽

pp. 49-54 ◽

Cited By ~ 9

Author(s):

Saida Sharapova ◽

Carolyn Reyes-Guzman ◽

Tushar Singh ◽

Elyse Phillips ◽

Kristy L Marynak ◽

...

Keyword(s):

High School Students ◽

Nicotine Dependence ◽

Tobacco Use ◽

Smokeless Tobacco ◽

Electronic Cigarettes ◽

Tobacco Prevention ◽

Cross Sectional Survey ◽

School Students ◽

Cigarette Tobacco ◽

Tobacco Products

IntroductionTobacco use mostly begins in adolescence and young adulthood. Earlier age of initiation of cigarette smoking is associated with greater nicotine dependence and sustained tobacco use. However, data are limited on the age of initiation of non-cigarette tobacco products, and the association between using these products and nicotine dependence and progression to established use.MethodsCombined 2014–2016 National Youth Tobacco Survey data, a nationally representative cross-sectional survey of US students in grades 6–12 yielded 19 580 respondents who reported ever using any of five tobacco products: electronic cigarettes, cigarettes, cigars, smokeless tobacco and hookah. Analyses assessed age of reported first use of each product among ever-users, overall and by sex and race/ethnicity. Current daily use, past 30-day use, feelings of craving tobacco and time to first tobacco use after waking were assessed by age of first use.ResultsAmong ever-users, weighted median age for first use was 12.6 years for cigarettes, 13.8 years for cigars, 13.4 years for smokeless tobacco, 14.1 years for hookah and 14.1 years for e-cigarettes. First trying these tobacco products at age ≤13 years was associated with greater current use of the respective product and nicotine dependence compared with initiating use at age >13 years.ConclusionsFirst tobacco use at age ≤13 years is associated with current daily and past 30-day use of non-cigarette tobacco products, and with the development of nicotine dependence among youth ever-users. Proven tobacco prevention interventions that reach early adolescents are important to reduce overall youth tobacco use.

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Sex and Polytobacco Use among Spanish and Turkish University Students

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16245038 ◽

2019 ◽

Vol 16 (24) ◽

pp. 5038 ◽

Cited By ~ 3

Author(s):

Sílvia Font-Mayolas ◽

Mark J. M. Sullman ◽

Maria-Eugenia Gras

Keyword(s):

Young Adults ◽

University Students ◽

Tobacco Use ◽

Electronic Cigarettes ◽

Common Reason ◽

Future Research ◽

Cigarette Use ◽

Tobacco Products ◽

Concurrent Use ◽

Turkish University Students

Polytobacco use has become increasingly popular among young adults, particularly males, and can be defined as the concurrent use of regular cigarettes and other tobacco products (e.g., e-cigarettes). The present study investigated the use of legal smoking products (cigarettes, waterpipe and electronic cigarettes) among young adults (n = 355) in Spain and Turkey. The survey measured demographics, lifetime and past month tobacco use, waterpipe and e-cigarette use, whether waterpipes and e-cigarettes contained nicotine and reasons for using these substances. The majority of the Turkish (men = 80% and women = 63.9%) and Spanish sample (men = 61.4% and women = 69.3%) were polytobacco users. The most common reason for using e-cigarettes was “to experiment, to see what is like” (Turkish sample: men 66.7% and women 57.1; Spanish sample: men 72.7% and women 93.8%). The most common reason to use regular cigarettes was “to relax and relieve tension” (Turkish sample: men 88.9% and women 77.6%; Spanish sample: men 78.1% and women 76%), while for waterpipe users, the most common reason was “to experiment, to see what it is like” (Turkish sample: men 93.3% and women 80%; Spanish sample: men 78.9% and women 93.8%). The implications for prevention and future research are discussed.

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Comparing belief in short-term versus long-term consequences of smoking and vaping as predictors of non-use in a 3-year nationally representative survey study of US youth

Tobacco Control ◽

10.1136/tobaccocontrol-2021-056886 ◽

2021 ◽

pp. tobaccocontrol-2021-056886

Author(s):

Emma Jesch ◽

Ava Irysa Kikut ◽

Robert Hornik

Keyword(s):

Young Adults ◽

Tobacco Use ◽

Electronic Cigarettes ◽

Smoking Behaviour ◽

Adolescents And Young Adults ◽

Short Term ◽

Long Term Consequences ◽

Nationally Representative

IntroductionEfforts to prevent youth tobacco use are critical to reducing smoking-related deaths in the USA. Anti-tobacco messaging often focuses on the severe long-term consequences of smoking (eg, fatal lung disease, cancer). It is unclear whether these long-term consequences are more likely to deter youth use than shorter term consequences (eg, headaches, friend disapproval).MethodsA nationally representative 3-year rolling survey of adolescents and young adults (ages 13–26 years) measured belief in potential consequences of two types of tobacco products: combustible cigarettes (n=11 847) and electronic cigarettes (n=4470) as well as intentions and current use. Independent coders classified 23 consequences as either short or long term. Logistic regression tested the associations between short-term (vs long-term) beliefs and current intentions, as well as non-smoking behaviour at 6-month follow-up.ResultsBelieving in both short-term and long-term consequences was associated with outcomes, but short-term beliefs were more highly associated with anti-smoking (OR=1.40, 95% CI (1.30 to 1.51)) and anti-vaping (OR=2.10, 95% CI (1.75 to 2.52)) intentions and better predicted non-smoking behaviour at follow-up, controlling for prior use (OR=1.75, 95% CI (1.33 to 2.31)).ConclusionsThese results support temporal discounting by adolescents and young adults and suggest health communication efforts aiming to reduce youth tobacco use should emphasise shorter term consequences.

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Adolescents’ and Young Adults’ Perceptions of Electronic Cigarettes for Smoking Cessation: A Focus Group Study

Nicotine & Tobacco Research ◽

10.1093/ntr/ntv020 ◽

2015 ◽

Vol 17 (10) ◽

pp. 1235-1241 ◽

Cited By ~ 40

Author(s):

Deepa R. Camenga ◽

Dana A. Cavallo ◽

Grace Kong ◽

Meghan E. Morean ◽

Christian M. Connell ◽

...

Keyword(s):

Smoking Cessation ◽

Young Adults ◽

Focus Group ◽

Electronic Cigarettes ◽

Adolescents And Young Adults ◽

Focus Group Study

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Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18031295 ◽

2021 ◽

Vol 18 (3) ◽

pp. 1295

Author(s):

Martin Samohyl ◽

Jana Babjakova ◽

Diana Vondrova ◽

Jana Jurkovicova ◽

Juraj Stofko ◽

...

Keyword(s):

High School ◽

Young Adults ◽

High School Students ◽

Preventive Care ◽

Parental Influence ◽

Adolescents And Young Adults ◽

Control Group ◽

School Students ◽

Factors Associated ◽

Older Adolescents

This study aimed to determine the factors associated with the avoidance of dental preventive care in high school students and their parents in the framework of The Youth and Parents Risk Factor Behavior Survey in Slovakia, the ongoing cross-sectional school-based survey of students and their parents or legal representatives. The data were collected using two separate standardized questionnaires: (i) the questionnaire for students (n = 515) and (ii) the questionnaire for parents (n = 681). The study group included 57 high school students (54.4% males) who did not visit the dentist for preventive care in the previous year. The control group included 458 students (35.8% males) who visited a dentist for preventive care at least once in the previous year. A significantly higher number of males (54.4%), older adolescents, and young adults (21.8%; 20.0%) were not visiting dental preventive care regularly. Incomplete family (56.1%), stressful situations at home (17.5%), and feeling unwell were the factors contributing to the avoidance of dental preventive care. More than 34.5% of adolescents and young adults were not visiting either dental preventive care or pediatric preventive care (adjusted odds ratio (AOR) = 5.14; 95% confidence interval (CI) = 2.40, 10.99). Children of divorced mothers and mothers with household income lower than EUR 900 had significantly higher dental care avoidance in bivariate analysis. A significantly higher percentage of fathers from the exposed group were not visiting dental preventive care regularly (47.8%, p < 0.05). The results of the study can be used as an educational intervention step focusing on the parental influence on adolescent and young adults’ behavior and as a challenge for the improvement of dental preventive care in older adolescents and young adults.

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Polytobacco use among a nationally-representative sample of black high school students

BMC Public Health ◽

10.1186/s12889-021-10228-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tamika D. Gilreath ◽

Derek T. Dangerfield ◽

Francisco A. Montiel Ishino ◽

Ashley V. Hill ◽

Renee M. Johnson

Keyword(s):

High School Students ◽

Tobacco Use ◽

Representative Sample ◽

Latent Class ◽

Electronic Cigarettes ◽

Black Adolescents ◽

Marijuana Use ◽

Cigarette Use ◽

Chewing Tobacco ◽

Targeted Interventions

Abstract Background Studies of the patterns of polytobacco use have increased. However, understanding the patterns of using multiple tobacco products among Black adolescents is minimal. This study identified the patterns of polytobacco use among U.S. Black adolescents. Methods Latent class analysis (LCA) was used to identify patterns of adolescent polytobacco use among a representative sample of Black youth from the 2017 Youth Risk Behavior Survey (n = 2782). Ever and recent (past 30 day) use of cigarettes, electronic cigarettes, cigars, and dip or chewing tobacco were used as latent class indicators. Multinomial regression was conducted to identify the association if smoking adjusting for sex, age, grade, and marijuana use. Results Most students were in the 9th grade (29%), e-cigarette users (21%) and were current marijuana users (25%). Three profiles of tobacco use were identified: Class 1: Non-smokers (81%), Class 2: E-cigarette Users (14%), and Class 3: Polytobacco Users (5%). Black adolescent Polytobacco users were the smallest class, but had the highest conditional probabilities of recent cigarette use, e-cigarette use, ever smoking cigars or chewing tobacco. Ever and current use of marijuana were associated with increased odds of being in the e-cigarette user versus non-smoker group, and current marijuana use was associated with increased odds of polytobacco use (aOR = 24.61, CI = 6.95–87.11). Conclusions Findings suggests the need for targeted interventions for reducing tobacco use and examining the unique effects of polytobacco use on Black adolescents. Findings confirm a significant association of marijuana use with tobacco use.

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