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Int. J. Environ. Res. Public Health 2015, 12(11), 14477-14489; doi:10.3390/ijerph121114477

Poly-Tobacco Use among High School Students

1
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
2
North Carolina Department of Health and Human Services, Tobacco Prevention and Control Branch, Raleigh, NC 27609, USA
3
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
4
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
5
Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 31 August 2015 / Revised: 23 October 2015 / Accepted: 6 November 2015 / Published: 13 November 2015
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Abstract

Although cigarette use by adolescents is declining, emerging tobacco products are becoming increasingly popular and youth may use more than one type of tobacco product. The purposes of this study were: (1) to assess patterns of poly-tobacco use among a representative sample of high school students and (2) to determine how beliefs correlate with poly-tobacco use. Data came from the 2013 North Carolina Youth Tobacco Survey (n = 4092). SAS logistic regression survey procedures were used to account for the complex survey design and sampling weights. Among all high school students in NC in 2013, 29.7% reported current any tobacco use, with 19.1% reporting current poly-tobacco use, and 10.6% reporting current use of only one product. Among poly-tobacco users, 59.3% reported that one of the products they currently used was cigarettes. Positive tobacco product beliefs were found to be significantly associated with poly-tobacco use. Communication campaigns, policy efforts, and future research are needed for prevention, regulation, and control of poly-tobacco use among adolescents, which represents a significant public health problem. View Full-Text
Keywords: tobacco products; non-cigarette tobacco products; adolescents; health beliefs; tobacco policy tobacco products; non-cigarette tobacco products; adolescents; health beliefs; tobacco policy
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Kowitt, S.D.; Patel, T.; Ranney, L.M.; Huang, L.-L.; Sutfin, E.L.; Goldstein, A.O. Poly-Tobacco Use among High School Students. Int. J. Environ. Res. Public Health 2015, 12, 14477-14489.

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