A Risk-Continuum Categorization of Product Use Among US Youth Tobacco Users

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
Sherine El-Toukhy, Kelvin Choi

Abstract

To examine prevalence and correlates of five mutually exclusive tobacco-use patterns among US youth tobacco users. A nationally representative sample of tobacco users (N = 3202, 9-17 years) was classified into five product-use patterns. Weighted multinominal and multivariate logistic regression models were used to examine prevalence of product-use patterns by gender, race and ethnicity, and grade level; and associations between product-use patterns and perceived accessibility of tobacco products, exposure and receptivity to pro-tobacco marketing, social benefits of smoking, and tobacco-associated risks. Dual use (ie, use of two product categories) was the most prevalent pattern (30.5%), followed by non-cigarette combustible only (26.7%), polytobacco (ie, use of three product categories; 17.5%), cigarette only (14.9%), and noncombustible only (10.4%) use. Product-use patterns differed by gender, race, and ethnicity. Compared to cigarette only users, dual and polytobacco users were more likely to be exposed to and be receptive to pro-tobacco marketing, and were less likely to acknowledge tobacco-use related risks (Ps < .05). Curbing tobacco use warrants research on users of more than one tobacco-product categories according to th...Continue Reading

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Citations

Oct 7, 2016·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Johannes ThrulPamela M Ling
Jun 6, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Sherine El-ToukhyKelvin Choi
Jun 23, 2018·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Lauren R PacekF Joseph McClernon
Mar 31, 2019·Central European Journal of Public Health·Melinda PénzesRóbert Urbán
Apr 13, 2018·International Journal of Environmental Research and Public Health·Youn Ok LeeLauren Porter
Jul 28, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Baoyun XiaLanqing Wang
Oct 14, 2020·American Journal of Health Promotion : AJHP·Jana L HirschtickNancy L Fleischer
Jul 16, 2017·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Kelvin ChoiDorothy Hatsukami
Jan 14, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Beomyoung ChoNancy L Fleischer
Apr 12, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Katherine A EastDavid Hammond
May 7, 2021·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Anuja MajmundarMary Ann Pentz

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