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

Karin A. Kasza, Nicolette Borek, Kevin P. Conway, Maciej L. Goniewicz, Cassandra A. Stanton, Eva Sharma, Geoffrey T. Fong, David B. Abrams, Blair Coleman, Liane M. Schneller, Elizabeth Y. Lambert, Jennifer L. Pearson, Maansi Bansal-Travers, Iilun Murphy, Yu-Ching Cheng, Elisabeth A. Donaldson, Shari P. Feirman, Shannon Gravely, Tara Elton-Marshall, Dennis R. Trinidad, Daniel A. Gundersen, Raymond S. Niaura, K. Michael Cummings, Wilson M. Compton and Andrew J. Hyland
Additional contact information
Karin A. Kasza: Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
Nicolette Borek: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Kevin P. Conway: National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA
Maciej L. Goniewicz: Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
Cassandra A. Stanton: Westat, Rockville, MD 20850, USA
Eva Sharma: Westat, Rockville, MD 20850, USA
Geoffrey T. Fong: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
David B. Abrams: The Schroeder Institute for Tobacco Research and Policy Studies, Truth Initiative, Washington, DC 20001, USA
Blair Coleman: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Liane M. Schneller: Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
Elizabeth Y. Lambert: National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA
Jennifer L. Pearson: The Schroeder Institute for Tobacco Research and Policy Studies, Truth Initiative, Washington, DC 20001, USA
Maansi Bansal-Travers: Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
Iilun Murphy: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Yu-Ching Cheng: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Elisabeth A. Donaldson: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Shari P. Feirman: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Shannon Gravely: Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
Tara Elton-Marshall: Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, London, ON M5T 1R8, Canada
Dennis R. Trinidad: Department of Family Medicine and Public Health, University of California, La Jolla, CA 92093, USA
Daniel A. Gundersen: Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Rutgers, Somerset, NJ 08873, USA
Raymond S. Niaura: The Schroeder Institute for Tobacco Research and Policy Studies, Truth Initiative, Washington, DC 20001, USA
K. Michael Cummings: Department of Psychiatry & and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA
Wilson M. Compton: National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA
Andrew J. Hyland: Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA

IJERPH, 2018, vol. 15, issue 11, 1-14

Abstract: 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.

Keywords: tobacco; transition; population; longitudinal; epidemiology; cigarettes; cigars; hookah; smokeless tobacco; electronic nicotine delivery systems (ENDS) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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