Transitions in Tobacco Product Use by U.S. Adults between 2013–2014 and 2014–2015: Findings from the PATH Study Wave 1 and Wave 2

International Journal of Environmental Research and Public Health

WilsonM. Compton¹  DanielA. Gundersen²  DennisR. Trinidad³  KarinA. Kasza⁴  Maansi Bansal-Travers⁴  LianeM. Schneller⁴  MaciejL. Goniewicz⁴  K.Michael Cummings⁵  Shannon Gravely⁶  Tara Elton-Marshall⁷  KevinP. Conway⁸  AndrewJ. Hyland⁸  ElizabethY. Lambert⁸  ShariP. Feirman⁹  ElisabethA. Donaldson⁹  Nicolette Borek⁹  Blair Coleman⁹  Yu-Ching Cheng⁹  Iilun Murphy⁹  GeoffreyT. Fong^1,10  RaymondS. Niaura^1,11  JenniferL. Pearson^1,11  DavidB. Abrams^1,11  CassandraA. Stanton^1,12  Eva Sharma^1,12 

[1] and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA;Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Rutgers, Somerset, NJ 08873, USA;Department of Family Medicine and Public Health, University of California, La Jolla, CA 92093, USA;Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA;;Department of Psychiatry &Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada;Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, London, ON M5T 1R8, Canada;National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA;Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA;School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada;The Schroeder Institute for Tobacco Research and Policy Studies, Truth Initiative, Washington, DC 20001, USA;Westat, Rockville, MD 20850, USA;

关键词: tobacco;    transition;    population;    longitudinal;    epidemiology;    cigarettes;    cigars;    hookah;    smokeless tobacco;    electronic nicotine delivery systems (ENDS);   

DOI  :  10.3390/ijerph15112515

来源: DOAJ

【 摘 要 】

In 2013⁻2014, nearly 28% of adults in the United States (U.S.) were current tobacco users with cigarettes the most common product used and with nearly 40% of tobacco users using two or more tobacco products. We describe overall change in prevalence of tobacco product use and within-person transitions in tobacco product use in the U.S. between 2013⁻2014 and 2014⁻2015 for young adults (18⁻24 years) and older adults (25+ years). Data from Wave 1 (W1, 2013⁻2014) and Wave 2 (W2, 2014⁻2015) of the Population Assessment of Tobacco and Health (PATH) Study were analyzed (N = 34,235). Tobacco product types were categorized into: (1) combustible (cigarettes, cigars, pipe tobacco, hookah), (2) noncombustible (smokeless tobacco, snus pouches, dissolvable tobacco), and (3) electronic nicotine delivery systems (ENDS). Transitions for individual combustible-product types, and for single- and multiple-product use, were also considered. Overall prevalence of current tobacco use decreased from 27.6% to 26.3%. Among W1 non-tobacco users, 88.7% of young adults and 95.8% of older adults were non-tobacco users at W2. Among W1 tobacco users, 71.7% of young adults transitioned, with 20.7% discontinuing use completely, and 45.9% of older adults transitioned, with 12.5% discontinuing use completely. Continuing with/transitioning toward combustible product(s), particularly cigarettes, was more common than continuing with/transitioning toward ENDS. Tobacco use behaviors were less stable among young adults than older adults, likely reflecting greater product experimentation among young adults. Relative stability of cigarette use compared to other tobacco products (except older adult noncombustible use) demonstrates high abuse liability for cigarettes.

【 授权许可】

Unknown