Prevalence and Correlates of Tobacco and Nicotine Containing Product Use in a Sample of United States Air Force Trainees
- 20 April 2015
- journal article
- Published by Oxford University Press (OUP) in Nicotine & Tobacco Research
- Vol. 18 (4), 416-423
- https://doi.org/10.1093/ntr/ntv090
Abstract
Introduction: Although there is increasing attention to the prevalence of new and emerging tobacco products in the civilian population, remarkably little is known about the current prevalence of these products in a military population. Methods: The current investigation was designed to determine the prevalence of tobacco and nicotine containing products (TNCP) and correlates of use across multiple cohorts of trainees undergoing Technical Training in the US Air Force between April 2013 and December 2014. Chi-square test, Cochran–Armitage test for linear trend, and logistic regression models were applied to test differences and linear trends across time for TNCP use as well as correlates of use in a cross-sectional sample of 13 685 Airmen (final analytic sample). Results: Over a quarter (26.9%) of Airmen reported regular use of a TNCP. The two most prevalent products were cigarettes (11.2%) and hookah (10.5%). Among correlates of use, Airmen that regularly use TNCPs were more likely to be male, younger, non-Hispanic white, and single with a high school degree or General Education Development. Hookah was the most endorsed for intentions to use, and along with e-cigarettes, had the lowest perception of harm. While prevalence of most products remained constant across entering cohorts, the prevalence of e-cigarettes showed significant linear increase. Conclusions: The prevalence of TNCP use is high across cohorts of Airmen. Remarkably high estimates of future intentions to use and low perceptions of harm for emerging products suggest that intervention efforts should be directed at multiple forms of TNCP use to address this important public health issue.This publication has 31 references indexed in Scilit:
- Peering through the mist: systematic review of what the chemistry of contaminants in electronic cigarettes tells us about health risksBMC Public Health, 2014
- A comprehensive examination of hookah smoking in college students: Use patterns and contexts, social norms and attitudes, harm perception, psychological correlates and co-occurring substance useAddictive Behaviors, 2013
- Adult Current Smoking: Differences in Definitions and Prevalence Estimates—NHIS and NSDUH, 2008Journal of Environmental and Public Health, 2012
- A National Survey of Cigarette Prices at Military Retail OutletsJAMA, 2011
- Impact of Differing Definitions of Dual Tobacco Use: Implications for Studying Dual Use and a Call for Operational DefinitionsNicotine & Tobacco Research, 2011
- Prevalence of and Associations with Waterpipe Tobacco Smoking among U.S. University StudentsAnnals of Behavioral Medicine, 2008
- Waterpipe Tobacco Smoking on a U.S. College Campus: Prevalence and CorrelatesJournal of Adolescent Health, 2008
- Waterpipe tobacco smoking: Knowledge, attitudes, beliefs, and behavior in two U.S. samplesNicotine & Tobacco Research, 2008
- Perceived risk of harm from cigarettes or smokeless tobacco among U.S. high school seniorsNicotine & Tobacco Research, 2007
- The theory of planned behaviorOrganizational Behavior and Human Decision Processes, 1991