Evidence map›Paper›PMID 33047619›Full record

ArticleAmerican journal of health promotion : AJHP2021

Exclusive, Dual, and Polytobacco Use Among US Adults by Sociodemographic Factors: Results From 3 Nationally Representative Surveys.

Jana L Hirschtick, Delvon T Mattingly, Beomyoung Cho, Luis Zavala Arciniega, David T Levy, Luz Maria Sanchez-Romero, Jihyoun Jeon, Stephanie R Land, Ritesh Mistry, Rafael Meza and 1 more

Abstract read
In one paragraph

Article in American journal of health promotion : AJHP, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Differential Responses to Cigarette Package Labeling Alternatives Among Adults Who Smoke: Results From a Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Identifying Latent Classes of Dual Cigarette/ENDS Users Based on Motivations for ENDS Use: Product Substitution Versus Complementary Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Trends and Sociodemographic Differences in Tobacco/Nicotine Transitions Among U.S. Adolescents and Young Adults Using e-cigarettes, 2014-2023.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Urinary anatalline and nicotelline cut-points to distinguish between exclusive and dual use of tobacco products.Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Racial/ethnic discrimination and tobacco and cannabis use outcomes among US adults.Journal of substance use and addiction treatment · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jana L HirschtickDepartment of Epidemiology, 1259University of Michigan School of Public Health, Ann Arbor, MI, USA.ORCID 0000-0001-6532-1372
Delvon T MattinglyDepartment of Epidemiology, 1259University of Michigan School of Public Health, Ann Arbor, MI, USA.
Beomyoung ChoDepartment of Epidemiology, 1259University of Michigan School of Public Health, Ann Arbor, MI, USA.
Luis Zavala ArciniegaDepartment of Epidemiology, 1259University of Michigan School of Public Health, Ann Arbor, MI, USA.
David T LevyDepartment of Oncology, Lombardi Comprehensive Cancer Center, 8368Georgetown University Medical Center, Washington, DC, USA.
Luz Maria Sanchez-RomeroDepartment of Oncology, Lombardi Comprehensive Cancer Center, 8368Georgetown University Medical Center, Washington, DC, USA.
Jihyoun JeonDepartment of Epidemiology, 1259University of Michigan School of Public Health, Ann Arbor, MI, USA.
Stephanie R LandTobacco Control Research Branch, National Cancer Institute, Bethesda, MD, USA.
Ritesh MistryDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Rafael MezaDepartment of Epidemiology, 1259University of Michigan School of Public Health, Ann Arbor, MI, USA.
Nancy L FleischerDepartment of Epidemiology, 1259University of Michigan School of Public Health, Ann Arbor, MI, USA.

Funding

Research Project 3: Modeling the Impact of Tobacco Control Policies on Polytobacco Use and Associated Health DisparitiesU54CA229974 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Mendez Emilien · 2018 to 2026
$39.2M
NCI NIH HHS U54 CA229974
6 · The paper itself

Abstract

purposeTo provide tobacco product use patterns for US adults by sociodemographic group.

designA secondary analysis of Tobacco Use Supplement to the Current Population Survey (2014-15), National Health Interview Survey (2015), and Population Assessment of Tobacco and Health (2015-16).

settingUnited States. SAMPLE: Three nationally representative samples of adults (N = 28,070-155,067). MEASURES: All possible combinations of cigarette, Electronic Nicotine Delivery Systems (ENDS), other combustible product, and smokeless tobacco use, defined as current use every day or some days. ANALYSIS: Weighted population prevalence and proportion among tobacco users of exclusive, dual, and polyuse patterns by sex, race/ethnicity, education, income, and age.

resultsExclusive cigarette use was the most prevalent pattern (10.9-12.8% of US population). Dual and polyuse were less prevalent at the population level (2.6-5.2% and 0.3-1.3%, respectively) but represented 16.7-25.5% of product use among tobacco users. Cigarette plus ENDS use was similar by sex, but men were more likely to be dual users of cigarettes plus other combustibles or smokeless tobacco. Among race/ethnic subgroups, non-Hispanic (NH) Whites were most likely to use cigarettes plus ENDS, while NH Blacks were most likely to use cigarettes plus other combustibles. Dual and polyuse were generally less common among adults with higher education, income, and age.

conclusionDifferences in product use patterns by sociodemographic group likely represent different risk profiles with important implications for resulting health disparities.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsTobacco, SmokelessAdultHumansMaleSurveys and QuestionnairesTobacco UseUnited Statesdual usehealth disparitiesinequitiesmultiple tobacco productspatterns of tobacco usepolytobacco

Identifiers

PMID33047619
PMCPMC8256439

What OpenQuestion holds

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Registered trials

None linked

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.