Types of Dual and Poly-Tobacco Users in the US Military
Open Access
- 15 July 2016
- journal article
- research article
- Published by Oxford University Press (OUP) in American Journal of Epidemiology
- Vol. 184 (3), 211-218
- https://doi.org/10.1093/aje/kwv321
Abstract
The present investigation was designed to determine the prevalence and types of dual and poly-use of tobacco products in the US Air Force, as well as characteristics and factors associated with these types. We conducted a cross-sectional assessment of tobacco-product use among 13,873 Air Force trainees from 2013 to 2014. The assessment included prevalence of the use of 10 different tobacco products and demographic and environmental factors, such as risk perceptions of tobacco use, peer use, and tobacco-company influences. Latent class analysis was carried out to determine types of poly-tobacco users. Tobacco-product use was reported by 27.1% of participants, and of those, over half reported using more than 1 tobacco product. Latent class analysis indicated 5 classes of poly-tobacco use. Factors associated with poly-tobacco (vs. mono-tobacco) use included lower confidence to remain tobacco-free, low harm perceptions, and receiving tobacco products free at bars or social events. Rates of dual and poly-tobacco use are high among trainees, and while these groups are similar to mono users in some ways, there are a number of differences that need to be considered when developing targeted interventions to address use of multiple tobacco products.Keywords
Funding Information
- National Institute on Drug Abuse (R01 CA141567, R01 DA036510, R01 DA036510-S1)
This publication has 42 references indexed in Scilit:
- Adult Current Smoking: Differences in Definitions and Prevalence Estimates—NHIS and NSDUH, 2008Journal of Environmental and Public Health, 2012
- Menthol cigarettes and smoking cessation behaviour: a review of tobacco industry documentsTobacco Control, 2011
- Impact of Differing Definitions of Dual Tobacco Use: Implications for Studying Dual Use and a Call for Operational DefinitionsNicotine & Tobacco Research, 2011
- The Role of Menthol in Cigarettes as a Reinforcer of Smoking BehaviorNicotine & Tobacco Research, 2010
- Do Smokers of Menthol Cigarettes Find It Harder to Quit Smoking?Nicotine & Tobacco Research, 2010
- Patterns of dual use of cigarettes and smokeless tobacco among US males: findings from national surveysTobacco Control, 2009
- “Everywhere the Soldier Will Be”: Wartime Tobacco Promotion in the US MilitaryAmerican Journal of Public Health, 2009
- 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