scholarly journals Trends in Exclusive, Dual and Polytobacco Use among U.S. Adults, 2014–2019: Results from Two Nationally Representative Surveys

2021 ◽  
Vol 18 (24) ◽  
pp. 13092
Author(s):  
Delvon T. Mattingly ◽  
Luis Zavala-Arciniega ◽  
Jana L. Hirschtick ◽  
Rafael Meza ◽  
David T. Levy ◽  
...  
Keyword(s):  
National Health Interview Survey ◽  
Population Survey ◽  
Tobacco Product ◽  
Dual Use ◽  
Use Patterns ◽  
Product Use ◽  
Interview Survey ◽  
Race Ethnicity ◽  
Nationally Representative ◽  
Over Time

Although increases in the variety of tobacco products available to consumers have led to investigations of dual/polytobacco use patterns, few studies have documented trends in these patterns over time. We used data from the 2014/2015 and 2018/2019 Tobacco Use Supplement to the Current Population Survey (TUS-CPS) and the 2015–2019 National Health Interview Survey (NHIS) to estimate trends in the following use patterns: exclusive use of cigarettes, electronic nicotine delivery systems (ENDS), other combustibles (cigars/cigarillos/little filtered cigars and traditional pipes/hookah), and smokeless tobacco (four categories); dual use (two product groups) of each product group with cigarettes (three categories); polyuse with cigarettes (all four product groups; one category); and dual/polyuse without cigarettes (one category). We estimated trends in product use patterns overall and by age, sex, and race/ethnicity using two-sample tests for differences in linear proportions. From 2014/2015 to 2018/2019, exclusive ENDS use increased, whereas cigarettes and ENDS dual use decreased. Furthermore, polyuse with cigarettes decreased, whereas dual/polyuse without cigarettes increased, with trends varying by age, sex, and race/ethnicity. Our findings suggest that patterns of dual/polyuse with and without cigarettes have changed in recent years, indicating the need for further surveillance of concurrent tobacco product use patterns.

scholarly journals Mortality Risks Associated With Dual– and Poly–Tobacco-Product Use in the United States

2019 ◽  
Author(s):  
Kelvin Choi ◽  
Maki Inoue-Choi ◽  
Timothy S McNeel ◽  
Neal D Freedman
Keyword(s):  
United States ◽  
The United States ◽  
Tobacco Product ◽  
Cigarette Smokers ◽  
Tobacco Products ◽  
Mortality Risks ◽  
Use Patterns ◽  
Product Use ◽  
Nationally Representative ◽  
The Impact

Abstract Increasing numbers of adults in the United States use more than 1 tobacco product. Most use cigarettes in combination with other tobacco products. However, little is known about the all-cause and cancer-specific mortality risks of dual– and poly–tobacco-product use. We examined these associations by pooling nationally representative data from the 1991, 1992, 1998, 2000, 2005, and 2010 National Health Interview Surveys (n = 118,144). Mortality information was obtained through linkage to the National Death Index. Cigarette smokers who additionally used other tobacco products smoked as many if not more cigarettes per day than exclusive cigarette smokers. Furthermore, cigarette smokers who additionally used other tobacco products had mortality risks that were as high as and sometimes higher than those of exclusive cigarette smokers. As tobacco use patterns continue to change and diversify, investigators in future studies need to carefully assess the impact of noncigarette tobacco products on cigarette use and determine associated disease risks.

scholarly journals Polytobacco use among young adult smokers: prospective association with cigarette consumption

2018 ◽  
Vol 29 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Angela Petersen ◽  
Mark G Myers ◽  
Lyric Tully ◽  
Kristin Brikmanis ◽  
Neal Doran
Keyword(s):  
Cigarette Smoking ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Tobacco Product ◽  
Negative Binomial Regression Model ◽  
Use Patterns ◽  
Product Use ◽  
Smoking Quantity ◽  
Prospective Association ◽  
Over Time

Background. The risks of polytobacco use among young adults are unclear because we know relatively little about the consistency of multiproduct patterns over time and how these patterns impact cigarette smoking. The purpose of this study was to examine changes in multiple tobacco product use over time and associations with cigarette smoking quantity.Methods. Participants (n=335; 55% male) were 18–24 years old non-daily cigarette smokers living in California. Polytobacco use patterns were assessed quarterly for 2 years.Results. Transition analyses showed that while the number of products that had been used recently was volatile, the most common pattern was stability between timepoints. A longitudinal negative binomial regression model indicated that those who used more non-cigarette products also reported greater cigarette quantity. The strength of this relationship increased over time.Conclusions. Findings suggest that individuals who use more tobacco products are at greater risk for increased cigarette smoking and maintaining a multiple product use pattern.

scholarly journals Exclusive, Dual, and Polytobacco Use Among US Adults by Sociodemographic Factors: Results From 3 Nationally Representative Surveys

2020 ◽  
pp. 089011712096406
Author(s):  
Jana L. Hirschtick ◽  
Delvon T. Mattingly ◽  
Beomyoung Cho ◽  
Luis Zavala Arciniega ◽  
David T. Levy ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Secondary Analysis ◽  
Population Level ◽  
Sociodemographic Factors ◽  
Tobacco Product ◽  
Use Patterns ◽  
Product Use ◽  
Ethnic Subgroups ◽  
Nationally Representative

Purpose: To provide tobacco product use patterns for US adults by sociodemographic group. Design: A secondary analysis of Tobacco Use Supplement to the Current Population Survey (2014-15), National Health Interview Survey (2015), and Population Assessment of Tobacco and Health (2015-16). Setting: United States. Sample: Three nationally representative samples of adults (N = 28,070-155,067). Measures: All possible combinations of cigarette, Electronic Nicotine Delivery Systems (ENDS), other combustible product, and smokeless tobacco use, defined as current use every day or some days. Analysis: Weighted population prevalence and proportion among tobacco users of exclusive, dual, and polyuse patterns by sex, race/ethnicity, education, income, and age. Results: Exclusive cigarette use was the most prevalent pattern (10.9-12.8% of US population). Dual and polyuse were less prevalent at the population level (2.6-5.2% and 0.3-1.3%, respectively) but represented 16.7-25.5% of product use among tobacco users. Cigarette plus ENDS use was similar by sex, but men were more likely to be dual users of cigarettes plus other combustibles or smokeless tobacco. Among race/ethnic subgroups, non-Hispanic (NH) Whites were most likely to use cigarettes plus ENDS, while NH Blacks were most likely to use cigarettes plus other combustibles. Dual and polyuse were generally less common among adults with higher education, income, and age. Conclusion: Differences in product use patterns by sociodemographic group likely represent different risk profiles with important implications for resulting health disparities.

scholarly journals Cell-Phone Use and Self-Reported Hypertension: National Health Interview Survey 2008

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Sivaranjani Suresh ◽  
Charumathi Sabanayagam ◽  
Sita Kalidindi ◽  
Anoop Shankar
Keyword(s):  
National Health ◽  
National Health Interview Survey ◽  
Cell Phone ◽  
Inverse Association ◽  
Cell Phone Use ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey ◽  
Race Ethnicity ◽  
Nationally Representative

Background. Cell-phone usage has increased dramatically over the last decade, along with a rising public concern over the health effects of using this device. The association between cell-phone usage and hypertension has not been examined before.Methods. We analysed data from 21,135 adults aged ≥18 years who participated in the 2008 National Health Interview Survey. Based on reported cell-phone use, participants were categorized as cell-phone nonusers, predominantly landline users, dual users of cell phone and landline, and predominantly cell-phone users. The main outcome of interest was self-reported physician-diagnosed hypertension (n=6,793).Results. 43.5% of the participants were cell-phone nonusers, while 13.8% were predominantly cell-phone users. We found that cell-phone use was inversely associated with hypertension, independent of age, sex, race/ethnicity, smoking, alcohol consumption, education, body mass index (BMI), and physical activity. Compared to cell-phone nonusers, the multivariable odds ratio (95% confidence interval) of hypertension was 0.86 (0.75–0.98,Ptrend  =  .005) among predominantly cell-phone users. This inverse association between cell-phone use and hypertension was stronger in women, those aged <60 years, whites, and those with BMI <25 kg/m2.Conclusion. We found that cell-phone usage was protectively associated with self-reported hypertension in a nationally representative sample of US adults.

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.

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