Youth Tobacco Product Use in the United States
Open Access
- 1 March 2015
- journal article
- research article
- Published by American Academy of Pediatrics (AAP)
- Vol. 135 (3), 409-415
- https://doi.org/10.1542/peds.2014-3202
Abstract
BACKGROUND: Noncigarette tobacco products are increasingly popular among youth, especially cigarette smokers. Understanding multiple tobacco product use is necessary to assess the effects of tobacco products on population health. This study examines multiple tobacco product use and associated risk factors among US youth. METHODS: Estimates of current use were calculated for cigarettes, cigars, smokeless tobacco, hookah, e-cigarettes, pipes, bidis, kreteks, snus, and dissolvable tobacco by using data from the 2012 National Youth Tobacco Survey (n = 24 658), a nationally representative sample of US middle and high school students. Associations between use patterns and demographic characteristics were examined by using multinomial logistic regression. RESULTS: Among youth, 14.7% currently use 1 or more tobacco products. Of these, 2.8% use cigarettes exclusively, and 4% use 1 noncigarette product exclusively; 2.7% use cigarettes with another product (dual use), and 4.3% use 3 or more products (polytobacco use). Twice as many youth use e-cigarettes alone than dual use with cigarettes. Among smokers, polytobacco use was significantly associated with male gender (adjusted relative risk ratio [aRRR] = 3.71), by using flavored products (aRRR = 6.09), nicotine dependence (aRRR = 1.91), tobacco marketing receptivity (aRRR = 2.52), and perceived prevalence of peer use of tobacco products (aRRR = 3.61, 5.73). CONCLUSIONS: More than twice as many youth in the United States currently use 2 or more tobacco products than cigarettes alone. Continued monitoring of tobacco use patterns is warranted, especially for e-cigarettes. Youth rates of multiple product use involving combustible products underscore needs for research assessing potential harms associated with these patterns.Keywords
This publication has 28 references indexed in Scilit:
- Use of Conventional and Novel Smokeless Tobacco Products Among US AdolescentsPEDIATRICS, 2013
- A Multiple Indicators and Multiple Causes Model of Alternative Tobacco UseAmerican Journal of Health Behavior, 2013
- Hookah steam stones: smoking vapour expands from electronic cigarettes to waterpipesTobacco Control, 2012
- Use of Emerging Tobacco Products in the United StatesJournal of Environmental and Public Health, 2012
- Waterpipe Tobacco Smoking and Cigarette Smoking: A Direct Comparison of Toxicant Exposure and Subjective EffectsNicotine & Tobacco Research, 2010
- How are lifetime polytobacco users different than current cigarette-only users? Results from a Canadian young adult populationAddictive Behaviors, 2009
- The dynamic effects of nicotine on the developing brainPharmacology & Therapeutics, 2009
- Monitoring polytobacco use among adolescents: Do cigarette smokers use other forms of tobacco?Nicotine & Tobacco Research, 2008
- Use of other tobacco products among U.S. adult cigarette smokers: Prevalence, trends and correlatesAddictive Behaviors, 2008
- Changing Smokeless Tobacco ProductsAmerican Journal of Preventive Medicine, 2007