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
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Measures
2.2.1. Types of Tobacco Products
2.2.2. Use of Tobacco Products
2.2.3. Tobacco Product User Groups
2.3. Statistical Analysis
3. Results
3.1. Prevalence of Tobacco User Groups at Wave 1 and Wave 2
3.2. Within-Person Transitions in Tobacco Product Use Status between Wave 1 and Wave 2
3.2.1. No Tobacco Users at Wave 1 (Accounting for 62.4% of the Young Adult Population (Table S1) and 74.0% of the Older Adult Population (Table S2))
3.2.2. Combustible Only Users at Wave 1 (Accounting for 24.4% of the Young Adult Population (Table S1) and 17.5% of the Older Adult Population (Table S2))
3.2.3. Noncombustible Only Users at Wave 1 (Accounting for 1.2% of the Young Adult Population (Table S1) and 1.6% of the Older Adult Population (Table S2))
3.2.4. Electronic Nicotine Delivery Systems Only Users at Wave 1 (Accounting for 1.1% of the Young Adult Population (Table S1) and 0.9% of the Older Adult Population (Table S2))
3.2.5. Combustible + Noncombustible Users at Wave 1 (Accounting for 2.6% of the Young Adult Population (Table S1) and 1.2% of the Older Adult Population (Table S2))
3.2.6. Combustible + Electronic Nicotine Delivery Systems Users at Wave 1 (Accounting for 6.2% of the Young Adult Population (Table S1) and 3.6% of the Older Adult Population (Table S2))
3.2.7. Combustible + Noncombustible + Electronic Nicotine Delivery Systems Users at Wave 1 (Accounting for 1.3% of the Young Adult Population (Table S1) and 0.3% of the Older Adult Population (Table S2))
3.3. Within-Person Transitions among User Groups Based on Six Tobacco Product Categories
3.3.1. Cigarettes Only Users at Wave 1 (Accounting for 6.7% of the Young Adult Population (Table S3) and 10.4% of the Older Adult Population (Table S4))
3.3.2. Cigarettes Plus Users at Wave 1 (Accounting for 12.7% of the Young Adult Population (Table S3) and 6.8% of the Older Adult Population (Table S4))
3.3.3. Overall
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
Disclaimer
References
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User Group | Tobacco Product(s) Used | Young Adults (18–24 Years) W1 N = 9109 W2 N = 8174 | Older Adults (25+ Years) W1 N = 23,194 W2 N = 20,183 | ||
---|---|---|---|---|---|
W1% (SE) | W2% (SE) | W1% (SE) | W2% (SE) | ||
Any current tobacco | Current use of any tobacco product | 37.6% (0.885) | 35.4% * (0.759) | 26.0% (0.320) | 25.0% * (0.312) |
No current tobacco | No current use of any tobacco product | 62.4% (0.885) | 64.6% * (0.759) | 74.0% (0.320) | 75.0% * (0.312) |
Never tobacco | Never use of any tobacco product | 32.9% (1.078) | 30.1% * (1.032) | 25.6% (0.546) | 25.1% * (0.563) |
Three broad tobacco product categories 1: Single-product use | |||||
Any single-product | Current use of only 1 of the 3 broad tobacco product categories | 26.9% (0.691) | 22.6% * (0.589) | 20.2% (0.285) | 19.7% * (0.304) |
Combustible only | Current use of combustible and no current use of either of the other 2 broad product categories | 24.4% (0.667) | 18.5% * (0.518) | 17.5% (0.265) | 16.8% * (0.273) |
Noncombustible only | Current use of noncombustible and no current use of either of the other 2 broad product categories | 1.2% (0.120) | 1.3% (0.132) | 1.6% (0.073) | 1.6% (0.093) |
ENDS only | Current use of ENDS and no current use of either of the other 2 broad product categories | 1.1% (0.108) | 2.7% * (0.207) | 0.9% (0.055) | 1.3% * (0.079) |
Three broad tobacco product categories 1: Multiple-product use | |||||
Any multiple-product | Current use of any 2 or 3 of the 3 broad tobacco product categories | 10.2% (0.368) | 12.3% * (0.410) | 5.1% (0.123) | 5.1% (0.139) |
Combustible + Noncombustible | Current use of combustible + current use of Noncombustible and no current use of ENDS | 2.6% (0.174) | 1.8% * (0.164) | 1.2% (0.063) | 0.8% * (0.050) |
Combustible + ENDS | Current use of combustible + current use of ENDS and no current use of Noncombustible | 6.2% (0.307) | 9.1% * (0.377) | 3.6% (0.104) | 3.9% * (0.126) |
Noncombustible + ENDS | Current use of Noncombustible + current use of ENDS and no current use of Combustible | # | 0.2% (0.044) | # | 0.0% (0.011) |
Combustible + Noncombustible + ENDS | Current use of combustible + current use of Noncombustible + current use of ENDS | 1.3% (0.104) | 1.2% (0.088) | 0.3% (0.031) | 0.3% (0.034) |
Six tobacco product categories 2: Single-product use | |||||
Any single-product | Current use of only 1 of the 6 tobacco product categories | 18.7% (0.497) | 17.4% * (0.513) | 16.7% (0.266) | 17.5% * (0.297) |
Cigarettes only | Current use of cigarettes and no current use of any of the other 5 product categories | 6.7% (0.289) | 7.0% (0.328) | 10.4% (0.232) | 12.2% * (0.241) |
Cigars only | Current use of any cigar and no current use of any of the other 5 product categories | 2.9% (0.179) | 2.3% * (0.196) | 2.3% (0.085) | 1.9% * (0.111) |
Hookah only | Current use of hookah and no current use of any of the other 5 product categories | 6.4% (0.300) | 3.7% * (0.311) | 0.6% (0.051) | 0.3% * (0.043) |
Pipe tobacco only | Current use of pipe tobacco and no current use of any of the other 5 product categories | # | # | 0.1% (0.020) | 0.1% * (0.016) |
ENDS only | Current use of ENDS and no current use of any of the other 5 product categories | 1.1% (0.108) | 2.7% * (0.207) | 0.9% (0.055) | 1.3% * (0.079) |
Noncombustible only | Current use of any noncombustible tobacco and no current use of any of the other 5 product categories | 1.2% (0.120) | 1.3% (0.132) | 1.6% (0.073) | 1.6% (0.093) |
Six tobacco product categories 2: Dual-product use | |||||
Cigarettes + ENDS only | Current use of cigarettes and current use of ENDS and no current use of any of the other 4 tobacco product categories | 1.4% (0.117) | 2.3% * (0.194) | 2.2% (0.073) | 2.6% * (0.097) |
Six tobacco product categories 2: Multiple-product use | |||||
Any multiple-product | Current use of any 2 or more of the 6 tobacco product categories | 18.3% (0.563) | 17.2% * (0.467) | 8.1% (0.135) | 7.2% * (0.144) |
Cigarettes plus | Current use of cigarettes + current use of one or more of the other 5 product categories | 12.7% (0.472) | 10.8% * (0.352) | 6.8% (0.119) | 6.3% * (0.145) |
Cigars plus | Current use of cigars + current use of one or more of the other 5 product categories | 11.1% (0.387) | 7.4% * (0.280) | 4.3% (0.107) | 3.3% * (0.094) |
Hookah plus | Current use of hookah + current use of one or more of the other 5 product categories | 11.7% (0.494) | 9.% * (0.399) | 1.5% (0.073) | 1.0% * (0.060) |
Pipe tobacco plus | Current use of pipe tobacco + current use of one or more of the other 5 product categories | 2.1% (0.166) | 1.4% * (0.148) | 0.8% (0.052) | 0.6% * (0.042) |
ENDS plus | Current use of ENDS + current use of one or more of the other 5 product categories | 7.7% (0.325) | 10.5% * (0.402) | 4.0% (0.108) | 4.2% (0.131) |
Noncombustible plus | Current use of noncombustible + current use of one or more of the other 5 product categories | 4.0% (0.203) | 3.2% * (0.167) | 1.5% (0.068) | 1.2% * (0.052) |
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Kasza, K.A.; Borek, N.; Conway, K.P.; Goniewicz, M.L.; Stanton, C.A.; Sharma, E.; Fong, G.T.; Abrams, D.B.; Coleman, B.; Schneller, L.M.; et al. 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. Int. J. Environ. Res. Public Health 2018, 15, 2515. https://doi.org/10.3390/ijerph15112515
Kasza KA, Borek N, Conway KP, Goniewicz ML, Stanton CA, Sharma E, Fong GT, Abrams DB, Coleman B, Schneller LM, et al. 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. 2018; 15(11):2515. https://doi.org/10.3390/ijerph15112515
Chicago/Turabian StyleKasza, Karin A., Nicolette Borek, Kevin P. Conway, Maciej L. Goniewicz, Cassandra A. Stanton, Eva Sharma, Geoffrey T. Fong, David B. Abrams, Blair Coleman, Liane M. Schneller, and et al. 2018. "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 15, no. 11: 2515. https://doi.org/10.3390/ijerph15112515