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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

1
Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
2
Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
3
National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA
4
Westat, Rockville, MD 20850, USA
5
School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
6
Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
7
Ontario Institute for Cancer Research, Toronto, ON M5G 0A3, Canada
8
The Schroeder Institute for Tobacco Research and Policy Studies, Truth Initiative, Washington, DC 20001, USA
9
Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, London, ON M5T 1R8, Canada
10
Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5S 1A1, Canada
11
Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 3K7, Canada
12
Ontario Tobacco Research Unit, Toronto, ON M5S 2S1, Canada
13
Department of Family Medicine and Public Health, University of California, La Jolla, CA 92093, USA
14
Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Rutgers, Somerset, NJ 08873, USA
15
Survey and Data Management Core, Dana-Farber Cancer Institute, Boston, MA 02215, USA
16
Department of Psychiatry & and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(11), 2515; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15112515
Received: 1 October 2018 / Revised: 1 November 2018 / Accepted: 6 November 2018 / Published: 9 November 2018
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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. View Full-Text
Keywords: tobacco; transition; population; longitudinal; epidemiology; cigarettes; cigars; hookah; smokeless tobacco; electronic nicotine delivery systems (ENDS) tobacco; transition; population; longitudinal; epidemiology; cigarettes; cigars; hookah; smokeless tobacco; electronic nicotine delivery systems (ENDS)
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MDPI and ACS Style

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.; Lambert, E.Y.; Pearson, J.L.; Bansal-Travers, M.; Murphy, I.; Cheng, Y.-C.; Donaldson, E.A.; Feirman, S.P.; Gravely, S.; Elton-Marshall, T.; Trinidad, D.R.; Gundersen, D.A.; Niaura, R.S.; Cummings, K.M.; Compton, W.M.; Hyland, A.J. 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://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15112515

AMA Style

Kasza KA, Borek N, Conway KP, Goniewicz ML, Stanton CA, Sharma E, Fong GT, Abrams DB, Coleman B, Schneller LM, Lambert EY, Pearson JL, Bansal-Travers M, Murphy I, Cheng Y-C, Donaldson EA, Feirman SP, Gravely S, Elton-Marshall T, Trinidad DR, Gundersen DA, Niaura RS, Cummings KM, Compton WM, Hyland AJ. 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://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15112515

Chicago/Turabian Style

Kasza, Karin A.; Borek, Nicolette; Conway, Kevin P.; Goniewicz, Maciej L.; Stanton, Cassandra A.; Sharma, Eva; Fong, Geoffrey T.; Abrams, David B.; Coleman, Blair; Schneller, Liane M.; Lambert, Elizabeth Y.; Pearson, Jennifer L.; Bansal-Travers, Maansi; Murphy, Iilun; Cheng, Yu-Ching; Donaldson, Elisabeth A.; Feirman, Shari P.; Gravely, Shannon; Elton-Marshall, Tara; Trinidad, Dennis R.; Gundersen, Daniel A.; Niaura, Raymond S.; Cummings, K. M.; Compton, Wilson M.; Hyland, Andrew J. 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" Int. J. Environ. Res. Public Health 15, no. 11: 2515. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph15112515

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