ArticlePloS one2019
Adolescents' first tobacco products: Associations with current multiple tobacco product use.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Measuring Stress, Socialization, and Smoking Behaviors Among Lesbian, Gay, Bisexual, Transgender, Queer, and Other Sexual and Gender Minority Adolescents (the Puff Break Research Study): Protocol for a Ecological Momentary Assessment Study.JMIR research protocols · 2025Article
- The Co-occurrence of Loneliness and Nicotine Use Among German Adolescents: A Cross-Sectional Analysis.Tobacco use insights · 2025Article
- How Do Adolescent Smoking Prevention Interventions Work in Different Contextual Settings? A Qualitative Comparative Study Between the UK and Colombia.International journal of behavioral medicine · 2024Article
- Demographic and Behavioral Differences Between Adolescents and Young Adults Who Use E-Cigarettes at Low and High Frequency.Substance use & addiction journal · 2024Article
- Longitudinal transitions in adolescent polytobacco use across waves 1-4 of the Population Assessment of Tobacco and Health study.Addiction (Abingdon, England) · 2023Article
- The first nicotine product tried is associated with current multiple nicotine product use and nicotine dependence among a nationally representative sample of U.S. youths.Preventive medicine · 2023Article
- Compliance With the US Food and Drug Administration's Guidelines for Health Warning Labels and Engagement in Little Cigar and Cigarillo Content: Computer Vision Analysis of Instagram Posts.JMIR infodemiology · 2023Article
- The Impact of Influencers on Cigar Promotions: A Content Analysis of Large Cigar and Swisher Sweets Videos on TikTok.International journal of environmental research and public health · 2022Article
- Prevalence and Social Contextual Factors of Smokeless Tobacco Use: Insights from Schools of Delhi, India.Asian Pacific journal of cancer prevention : APJCP · 2021Article
- First tobacco product tried among adolescents based on race/ethnicity and socioeconomic status.Addictive behaviors · 2021Article
- Waterpipe Use among Adolescents in Germany: Prevalence, Associated Consumer Characteristics, and Trends (German Health Interview and Examination Survey for Children and Adolescents, KiGGS).International journal of environmental research and public health · 2020Article
- "Look at Me, I Plan to Quit Smoking": Bayesian Hierarchical Analysis of Adolescent Smokers' Intention to Quit Smoking.Healthcare (Basel, Switzerland) · 2020Article
- Assessing Awareness, Ever Use of E-cigarettes and Effect of a Health Education Intervention among Adolescent School Students of Hyderabad.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
- The degree of nicotine dependence among users of different tobacco and nicotine products in Madinah City, Saudi Arabia.Journal of family & community medicineArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
Understanding which tobacco products adolescents use first can lead to insights for tobacco prevention interventions and policies. We used cross-sectional data from high school students who reported ever using a tobacco product from the 2017 North Carolina Youth Tobacco Survey (n = 1,053). In multivariable regressions, we examined how demographic and psychosocial factors were associated with adolescents' first product tried and how first product tried was associated with current tobacco use (i.e., no use, use of a single product, use of multiple products) and frequency of tobacco use. Cigarettes (34.8%) and e-cigarettes (33.7%) were the most frequently reported first products tried, followed by cigars (15.6%), smokeless tobacco (10.7%), waterpipe (4.0%), and other tobacco products (i.e., pipe tobacco or some other tobacco product) (1.2%). Demographic differences in adolescents' first product tried existed, with Black adolescents having higher odds of initiating tobacco use via cigars (aOR: 6.17, 95% CI: 3.75, 10.14). Adolescents who initiated tobacco use via cigars (aOR: 2.33, 95% CI: 1.31, 4.13) or smokeless tobacco (aOR: 2.45, 95% CI: 1.18, 5.04) had higher odds of being a multiple current tobacco product user, whereas adolescents who initiated tobacco use via e-cigarettes (aOR: 0.57, 95% CI: 0.34, 0.93) had lower odds of being a multiple current tobacco product user. Additionally, adolescents who initiated tobacco use via smokeless tobacco had higher odds of currently using at least one tobacco product frequently (aOR: 1.90, 95% CI: 1.04, 3.48), while adolescents who initiated tobacco use via e-cigarettes had lower odds of currently using at least one tobacco product frequently (aOR: 0.40, 95% CI: 0.23, 0.70). These findings suggest that most adolescents reported initiating tobacco use via cigarettes or e-cigarettes and that trying certain products first (e.g., cigars, smokeless tobacco) was associated with higher odds of multiple current tobacco product use.
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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.