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Tobacco-product use by adults and youths in the United States in 2013 and 2014

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Kasza, Karin A., Ambrose, Bridget K., Conway, Kevin P., Borek, Nicolette, Taylor, Kristie, Goniewicz, Maciej L., Cummings, K. Michael, Sharma, Eva +14 more·2017·New England Journal of Medicine
DOI 10.1056/nejmsa1607538PMC PMC5317035
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Abstract

BACKGROUND: Noncigarette tobacco products are evolving rapidly, with increasing popularity in the United States. METHODS: We present prevalence estimates for 12 types of tobacco products, using data from 45,971 adult and youth participants (≥12 years of age) from Wave 1 (September 2013 through December 2014) of the Population Assessment of Tobacco and Health (PATH) Study, a large, nationally representative, longitudinal study of tobacco use and health in the United States. Participants were asked about their use of cigarettes, e-cigarettes, traditional cigars, cigarillos, filtered cigars, pipe tobacco, hookah, snus pouches, other smokeless tobacco, dissolvable tobacco, bidis, and kreteks. Estimates of the prevalence of use for each product were determined according to use category (e.g., current use or use in the previous 30 days) and demographic subgroup, and the prevalence of multiple-product use was explored. RESULTS: More than a quarter (27.6%) of adults were current users of at least one type of tobacco product in 2013 and 2014, although the prevalence varied depending on use category. A total of 8.9% of youths had used a tobacco product in the previous 30 days; 1.6% of youths were daily users. Approximately 40% of tobacco users, adults and youths alike, used multiple tobacco products; cigarettes plus e-cigarettes was the most common combination. Young adults (18 to 24 years of age), male adults and youths, members of racial minorities, and members of sexual minorities generally had higher use of tobacco than their counterparts. CONCLUSIONS: During this study, 28% of U.S. adults were current users of tobacco, and 9% of youths had used tobacco in the previous 30 days. Use of multiple products was common among tobacco users. These findings will serve as baseline data to examine between-person differences and within-person changes over time in the use of tobacco products. (Funded by the National Institute on Drug Abuse and the Food and Drug Administration.).

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Research works printed but not linked: 27

  1. [2]Carter BD Freedman ND Jacobs EJ Smoking and mortality — beyond established causes N Engl J Med 2015 372 2170 26017836
  2. [3]Colditz GA Smoke alarm — tobacco control remains paramount N Engl J Med 2015 372 665 6 25671261
  3. [4]Agaku IT King BA Husten CG Tobacco product use among adults — United States, 2012–2013 MMWR Morb Mortal Wkly Rep 2014 63 542 7 24964880 PMC5779380
  4. [6]Giovino GA Epidemiology of tobacco use in the United States Oncogene 2002 21 7326 40 12379876
  5. [7]Lee JG Griffin GK Melvin CL Tobacco use among sexual minorities in the USA, 1987 to May 2007: a systematic review Tob Control 2009 18 275 82 19208668
  6. [8]Rath JM Villanti AC Rubenstein RA Vallone DM Tobacco use by sexual identity among young adults in the United States Nicotine Tob Res 2013 15 1822 31 23680918
  7. [9]Callahan-Lyon P Electronic cigarettes: human health effects Tob Control 2014 23 Suppl 2 ii36 ii40 24732161 PMC3995250
  8. [10]Abrams DB Promise and peril of e-cigarettes: can disruptive technology make cigarettes obsolete? JAMA 2014 311 135 6 24399548
  9. [11]Cobb NK Byron MJ Abrams DB Shields PG Novel nicotine delivery systems and public health: the rise of the “e-cigarette Am J Public Health 2010 100 2340 2 21068414 PMC2978165
  10. [12]Corey CG King BA Coleman BN Little filtered cigar, cigarillo, and premium cigar smoking among adults — United States, 2012–2013 MMWR Morb Mortal Wkly Rep 2014 63 650 4 25078654 PMC4584787
  11. [13]Delnevo CD Wackowski OA Giovenco DP Manderski MT Hrywna M Ling PM Examining market trends in the United States smokeless tobacco use: 2005–2011 Tob Control 2014 23 107 12 23117999 PMC3604094
  12. [14]King BA Patel R Nguyen KH Dube SR Trends in awareness and use of electronic cigarettes among US adults, 2010–2013 Nicotine Tob Res 2015 17 219 27 25239961 PMC4512831
  13. [15]Lee YO Hebert CJ Nonnemaker JM Kim AE Multiple tobacco product use among adults in the United States: cigarettes, cigars, electronic cigarettes, hookah, smokeless tobacco, and snus Prev Med 2014 62 14 9 24440684
  14. [16]Backinger CL Fagan P O’Connell ME Use of other tobacco products among U.S. adult cigarette smokers: prevalence, trends and correlates Addict Behav 2008 33 472 89 18053653 PMC2277213
  15. [17]Bombard JM Pederson LL Nelson DE Malarcher AM Are smokers only using cigarettes? Exploring current poly-tobacco use among an adult population Addict Behav 2007 32 2411 9 17490825
  16. [18]Fix BV O’Connor RJ Vogl L Patterns and correlates of polytobacco use in the United States over a decade: NSDUH 2002–2011 Addict Behav 2014 39 768 81 24457900 PMC3984759
  17. [19]Kasza KA Bansal-Travers M O’Connor RJ Cigarette smokers’ use of unconventional tobacco products and associations with quitting activity: findings from the ITC-4 U.S. cohort Nicotine Tob Res 2014 16 672 81 24376276 PMC4015089
  18. [21]Ashley DL Backinger CL The Food and Drug Administration’s regulation of tobacco: the Center for Tobacco Products’ Office of Science Am J Prev Med 2012 43 Suppl 3 S255 S263 23079225
  19. [22]Giovino GA Biener L Hartman AM Monitoring the tobacco use epidemic. I. Overview: optimizing measurement to facilitate change Prev Med 2009 48 Suppl S4 S10 18809429
  20. [23]Delnevo CD Bauer UE Monitoring the tobacco use epidemic III: The host: data sources and methodological challenges Prev Med 2009 48 Suppl S16 S23 18851990
  21. [24]National Survey on Drug Use and Health (NSDUH) Rockville, MD Substance Abuse and Mental Health Services Administration (https://nsduhweb.rti.org/respweb/homepage.cfm) 27748105
  22. [30]Kozlowski LT Dollar KM Giovino GA Cigar/cigarillo surveillance: limitations of the U.S. Department of Agriculture system Am J Prev Med 2008 34 424 6 18407010
  23. [33]McCarthy PJ Pseudoreplication: further evaluation and applications of the balanced half-sample technique Vital Health Stat 2 1969 2 1 24 5306564
  24. [35]Cohn A Cobb CO Niaura RS Richard-son A The other combustible products: prevalence and correlates of little cigar/cigarillo use among cigarette smokers Nicotine Tob Res 2015 17 1473 81 25634932
  25. [36]Kaufman AR Mays D Koblitz AR Portnoy DB Judgments, awareness, and the use of snus among adults in the United States Nicotine Tob Res 2014 16 1404 8 25098672 PMC4168296
  26. [37]Richardson A Rath J Ganz O Xiao H Vallone D Primary and dual users of little cigars/cigarillos and large cigars: demographic and tobacco use profiles Nicotine Tob Res 2013 15 1729 36 23645607
  27. [39]Biglan M Gilpin EA Rohrbach LA Pierce JP Is there a simple correction factor for comparing adolescent tobacco-use estimates from school- and home-based surveys? Nicotine Tob Res 2004 6 427 37 15203776

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Authors
Kasza, K. A., Ambrose, B. K., Conway, K. P., Borek, N., Taylor, K., Goniewicz, M. L., Cummings, K. M., Sharma, E., Pearson, J. L., Green, V. R., Kaufman, A. R., Bansal-Travers, M., Travers, M. J., Kwan, J., Tworek, C., Cheng, Y.-C., Yang, L., Pharris-Ciurej, N., van Bemmel, D. M., Backinger, C. L., Compton, W. M., & Hyland, A. J.
Affiliations
  • Roswell Park Comprehensive Cancer Center (US)
  • Truth Initiative (US)
ORCID
Venue
New England Journal of Medicine
Publisher
Massachusetts Medical Society
Published
2017-01-26
Volume
376
Issue
4
Pages
342-353
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
DOI
10.1056/nejmsa1607538
PMC
PMC5317035
OpenAlex
W2583017757
Cited by
609
References
2
Citations by year
2026: 13 · 2025: 16 · 2024: 29 · 2023: 42 · 2022: 51 · 2021: 80 · 2020: 90 · 2019: 119 · 2018: 124 · 2017: 42 · 2016: 1 · 2014: 1
FWCI
72.92
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Health and Human Services (HHSN271201100027 C)
  • Pfizer
  • Massachusetts Medical Society
  • National Institutes of Health (Contract No. HHSN271201100027C, HHSN271201100027C)
  • Centers for Disease Control and Prevention
  • National Institute on Drug Abuse (HHSN271201100027C)
  • National Cancer Institute (P30CA138313)
  • Center for Tobacco Products (HHSN271201100027C)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords
tobacco use, electronic cigarettes, cigars, cigarillos, hookah, snus, smokeless tobacco, bidis, kreteks, youth tobacco use, prevalence, demographic disparities, sexual minorities, racial minorities, young adults, cigarettes
MeSH terms
Adolescent, Adult, Aged, Child, Female, Humans, Male, Middle Aged, Smoking, United States, Prevalence, Young Adult, Tobacco Products, Electronic Nicotine Delivery Systems

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