ArticleAddictive behaviors2019
Risk factors for multiple tobacco product use among high school youth.
Article in Addictive behaviors, 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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Who cites it
14 citing papers in PubMed, 22 citations in OpenAlex.
- Tobacco and nicotine product use patterns and trends among United States youth and young adults (2021-2024).Preventive medicine reports · 2026Article
- Perceptions of Prevention and Cessation Ads among US Youth Who Use Multiple Tobacco Products: A Qualitative Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- Perceived risks, reasons for use, and barriers to cessation among youth who use multiple tobacco products.PloS one · 2025Article
- Patterns of tobacco use and related factors among adolescents in South Africa: Insight from the Global Youth Tobacco Survey.Tobacco induced diseases · 2025Article
- Motivations for Tobacco, Cannabis, and Their Co-Use Among U.S. Young Adults Who Engage in Same-Day Co-Use.Substance use & misuse · 2025Article
- How "Light" Is "Light Smoking"? On the Cognitive Power of Nicotine Dependence.Behavioral sciences (Basel, Switzerland) · 2024Article
- Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study.JMIR pediatrics and parenting · 2024Article
- Behavioral Precursors of Nicotine Product Use Trajectories Among Youth.American journal of preventive medicine · 2024Article
- Social Ecological Influences on Nicotine/Tobacco Use Among Gender-Varying and Gender-Stable Adolescents and Adults in the USA.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Perceptions of Harm and Addictiveness for Nicotine Products, THC e-Cigarettes, and e-Cigarettes with Other Ingredients Among Adolescents, Young Adults, and Adults.Substance use & misuse · 2024Article
- Prevalence and correlates of past 30-day dual-vaping of nicotine and cannabis among adolescents in five New England states.Drug and alcohol dependence · 2024Article
- Correlates of adolescent sole-, dual- and poly-use of cannabis, vaped nicotine, and combusted tobacco.Addictive behaviors · 2023Article
- Current Tobacco Use Trends and Harm Perceptions Among High School Students by Asthma Status and Sex, 2012-2018.The Journal of school health · 2022Article
- Protective Factors Against Vaping and Other Tobacco Use.Pediatrics · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
purposeTo examine how youth multiple tobacco product (MTP) users differ relative to non-users and to single-product users on risk factors at multiple levels of influence.
methodsWe analyzed data on high school students from the North Carolina Youth Tobacco Survey, 2015 (n = 2922). Single- and MTP use were defined as use of one, or two or more tobacco products in the past month, respectively. Multinomial regressions estimated the association between risk factors and MTP use compared to single-product use and non-use of tobacco. Risk factors included intra-personal (e.g., harm perceptions), and interpersonal (e.g., household, peer tobacco use, secondhand smoke or vapor, and advertising) factors.
resultsOf students, 12% and 13% were single product and MTP users, respectively. Many differences emerged between MTP users and non-tobacco users, with MTP users showing lower harm perceptions, higher perceived social benefits of smoking, significantly higher relative risk of having friends who use tobacco (RRR = 4.79, 95% CI 3.42, 6.70), of exposure to secondhand e-cigarette vapor (RRR = 1.35, 95% CI 1.23, 1.48), and of being receptive to tobacco marketing (RRR = 4.01, 95% CI 2.87, 5.61). Fewer differences emerged between MTP and single product users with MTP users having significantly higher relative risk of having friends who use tobacco (RRR = 2.31 95% CI 1.73, 3.07), of exposure to secondhand vapor (RRR = 1.10, 95% CI 1.02, 1.18), and of being receptive to tobacco marketing (RRR = 1.71, 95% CI 1.17, 2.50).
conclusionsEfforts that target multiple tobacco product use should increase youth tobacco-related harm perceptions, and protect youth from social, peer, and industry influences.
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