Milken Institute School of Public Health Poster Presentations (Marvin Center & Video)
A New Lens on the Changes in Youth Tobacco Use: Zooming In on Single, Dual and Poly Tobacco Users
Poster Number
85
Document Type
Poster
Publication Date
3-2016
Abstract
Decline in tobacco use prevalence among US Middle and High School youth between 2012 and 2013 (National Youth Tobacco Survey, NYTS), stirred excitement and debate. Controversial findings among high school students centered on decreased cigarette smoking (from 14.0% to 12.7%), increased electronic cigarette use (from 2.8% to 4.5%), and increased use of more than one product (from 9.9% to 12.6%). Our previous research (Ali et al., 2015) demonstrated the importance of forming distinct risk profiles of single, dual, and poly tobacco use, defined as use of only one, any two, and any three or more products. The present study applied this methodology to illuminate changes between 2012 and 2013. 2012 (n=24,658) and 2013 NYTS (n=18,406) data were analyzed using mutually exclusive categories of single, dual, and poly tobacco use in the last 30 days. The same psychosocial factors and twelve tobacco products were analyzed with the addition of flavored cigarettes and cigars in 2013. Multinomial logistic regression facilitated risk profile comparison. In 2012 (n=5,030), the majority of tobacco using youth reported poly use (55.9%), followed by single (28.0%), and dual use (16.1%). 2013 saw the same trend of tobacco using youth (n=4,009) reporting high poly use (53.5%), followed by single (29.2%) and dual use (17.2%). 2012 and 2013 multivariate models showed higher levels of nicotine dependence among poly users compared to single (2012 RRR=3.19, p<0.001; 2013 2.92=, p<0.001) and dual users (2012 2.52=, p<0.001; 2013 1.62=, p<0.05). In 2012, compared to dual users, poly users were more likely to be male, Hispanic, nicotine dependent, influenced by peer cigarette offers, and less likely to be black, have quit intentions, and believe secondhand smoke causes a lot of harm. In 2013, gender, race, dependence, and peer influence held. Quit intention and harm perception findings were no longer significant. The concurrent use of multiple tobacco and nicotine delivery products is a relatively new phenomenon that necessitates a different lens for tobacco control and focused risk assessments to inform tailored interventions for distinct types of tobacco users.
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Open Access
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A New Lens on the Changes in Youth Tobacco Use: Zooming In on Single, Dual and Poly Tobacco Users
Decline in tobacco use prevalence among US Middle and High School youth between 2012 and 2013 (National Youth Tobacco Survey, NYTS), stirred excitement and debate. Controversial findings among high school students centered on decreased cigarette smoking (from 14.0% to 12.7%), increased electronic cigarette use (from 2.8% to 4.5%), and increased use of more than one product (from 9.9% to 12.6%). Our previous research (Ali et al., 2015) demonstrated the importance of forming distinct risk profiles of single, dual, and poly tobacco use, defined as use of only one, any two, and any three or more products. The present study applied this methodology to illuminate changes between 2012 and 2013. 2012 (n=24,658) and 2013 NYTS (n=18,406) data were analyzed using mutually exclusive categories of single, dual, and poly tobacco use in the last 30 days. The same psychosocial factors and twelve tobacco products were analyzed with the addition of flavored cigarettes and cigars in 2013. Multinomial logistic regression facilitated risk profile comparison. In 2012 (n=5,030), the majority of tobacco using youth reported poly use (55.9%), followed by single (28.0%), and dual use (16.1%). 2013 saw the same trend of tobacco using youth (n=4,009) reporting high poly use (53.5%), followed by single (29.2%) and dual use (17.2%). 2012 and 2013 multivariate models showed higher levels of nicotine dependence among poly users compared to single (2012 RRR=3.19, p<0.001; 2013 2.92=, p<0.001) and dual users (2012 2.52=, p<0.001; 2013 1.62=, p<0.05). In 2012, compared to dual users, poly users were more likely to be male, Hispanic, nicotine dependent, influenced by peer cigarette offers, and less likely to be black, have quit intentions, and believe secondhand smoke causes a lot of harm. In 2013, gender, race, dependence, and peer influence held. Quit intention and harm perception findings were no longer significant. The concurrent use of multiple tobacco and nicotine delivery products is a relatively new phenomenon that necessitates a different lens for tobacco control and focused risk assessments to inform tailored interventions for distinct types of tobacco users.
Comments
Presented at: GW Research Days 2016