ArticleThe American journal of drug and alcohol abuse2017
Patterns of youth tobacco and polytobacco usage: The shift to alternative tobacco products.
Article in The American journal of drug and alcohol abuse, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 49 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
49 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Hookah Use Among US Youth: A Systematic Review of the Literature From 2009 to 2017.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019Pooled it
- Systematic review of cigars, cigarillos, and little cigars among adolescents: Setting research agenda to inform tobacco control policy.Addictive behaviors · 2019Pooled it
- Use of Smokeless Tobacco Before Conception and Its Relationship With Maternal and Fetal Outcomes of Pregnancy in Thatta, Pakistan: Findings From Women First Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Trial
- Multiple Tobacco Product Use and Perceived Cognitive Function Among Young Adults in Kuwait: A Cross-Sectional Study.Tobacco use insights · 2026Article
- Heterogeneity in Nicotine, Tobacco, and Cannabis Use Among U.S. Adolescents and Adults Aged 12-34 Years.American journal of preventive medicine · 2025Article
- Prevalence and disparities in receiving medical advice to quit tobacco use in the US adult population.Frontiers in public health · 2024Article
- Article
- Longitudinal transitions in adolescent polytobacco use across waves 1-4 of the Population Assessment of Tobacco and Health study.Addiction (Abingdon, England) · 2023Article
- Sex and Sexual Identity Differences in Poly-tobacco Use and Psychological Distress in U.S. Adults: Results From the National Health Interview Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- Bidirectional associations between depressive symptoms and cigarette, e-cigarette, cannabis, and alcohol use: Cross-lagged panel analyses among young adults before and during COVID-19.Addictive behaviors · 2022Article
- The pattern of tobacco use and the associated socio-demographic factors among Transgenders living in Chennai city of Tamil Nadu, India.Journal of family medicine and primary care · 2022Article
- Psychosocial predictors of longitudinal changes in tobacco and cannabis use among young adults.Addictive behaviors · 2022Article
- Use of Tobacco and Nicotine Products among Young People in Denmark-Status in Single and Dual Use.International journal of environmental research and public health · 2022Article
- Characterizing tobacco and marijuana use among youth combustible tobacco users experiencing homelessness - considering product type, brand, flavor, frequency, and higher-risk use patterns and predictors.BMC public health · 2022Article
- Geographic isolation predicts tobacco product use among youth: A latent class analysis.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Comparison of nicotine dependence between single and multiple tobacco product users among South Korean adults.Tobacco induced diseases · 2022Article
- Cumulative disadvantage as a framework for understanding rural tobacco use disparities.Experimental and clinical psychopharmacology · 2021Review
- Profile and predictors of adolescent tobacco use in Ghana: evidence from the 2017 Global Youth Tobacco Survey (GYTS).Journal of preventive medicine and hygiene · 2021Article
- Prospective estimation of the age of initiation of hookah use among youth: Findings from the Population Assessment of Tobacco and Health (PATH) study waves 1-4 (2013-2017).Addictive behaviors · 2021Article
- Differences in Tobacco Product Use by Sexual Orientation and Violence Factors Among United States Youth.The Journal of pediatrics · 2021Article
Corrections and comments
- Erratum issuedCorrigendum.2018
Authors and funding
5 authors.
Funding
Abstract
backgroundDespite significant declines in youth cigarette smoking, overall tobacco usage remains over 20% as non-cigarette tobacco product usage is increasingly common and polytobacco use (using 1+ tobacco product) remains steady.
objectivesThe present study was designed to identify patterns of youth tobacco use and examine associations with sociodemographic characteristics and tobacco dependence.
methodsThe current analysis uses Latent Class Analysis (LCA) to examine the 6,958 tobacco users (n = 2,738 female) in the National Youth Tobacco Survey (2012 and 2013). We used as indicators past month use of tobacco products (cigarettes, cigars, smokeless tobacco, e-cigarettes, hookah, snus, pipes, bidis, and kreteks) and regressed resulting classes on sociodemographic characteristics and tobacco dependence.
resultsNine classes emerged: cigarette smokers (33.4% of sample, also included small probabilities for use of cigars and e-cigarettes), cigar smokers (16.8%, nearly exclusive), smokeless tobacco users (12.3%, also included small probabilities for cigarettes, cigars, snus), hookah smokers (11.8%), tobacco smokers/chewers (10.7%, variety of primarily traditional tobacco products), tobacco/hookah smokers (7.2%), tobacco/snus/e-cig users (3.3%), e-cigarette users (2.9%,), and polytobacco users (1.7%, high probabilities for all products). Compared to cigarette smokers, tobacco/hookah smokers and hookah smokers were more likely to report Hispanic ethnicity. Polytobacco users were more likely to report dependence (AOR:2.77, 95% CI:[1.49-5.18]), whereas e-cigarette users were less likely (AOR:0.49, 95% CI:[0.24-0.97]).
conclusionFindings are consistent with other research demonstrating shifts in adolescent tobacco product usage towards non-cigarette tobacco products. Continuous monitoring of these patterns is needed to help predict if this shift will ultimately result in improved public health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.