Correlates of Transitions in Tobacco Product Use by U.S. Adult Tobacco Users between 2013–2014 and 2014–2015: Findings from the PATH Study Wave 1 and Wave 2

Karin A. Kasza, Blair Coleman, Eva Sharma, Kevin P. Conway, K. Michael Cummings, Maciej L. Goniewicz, Raymond S. Niaura, Elizabeth Y. Lambert, Liane M. Schneller, Shari P. Feirman, Elisabeth A. Donaldson, Yu-Ching Cheng, Iilun Murphy, Jennifer L. Pearson, Dennis R. Trinidad, Maansi Bansal-Travers, Tara Elton-Marshall, Daniel A. Gundersen, Cassandra A. Stanton, David B. Abrams, Geoffrey T. Fong, Nicolette Borek, 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
Blair Coleman: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Eva Sharma: Westat, Rockville, MD 20850, USA
Kevin P. Conway: National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA
K. Michael Cummings: Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA
Maciej L. Goniewicz: Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
Raymond S. Niaura: The Schroeder Institute for Tobacco Research and Policy Studies, Truth Initiative, Washington, DC 20001, USA
Elizabeth Y. Lambert: National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA
Liane M. Schneller: Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
Shari P. Feirman: 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
Yu-Ching Cheng: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Iilun Murphy: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA
Jennifer L. Pearson: The Schroeder Institute for Tobacco Research and Policy Studies, Truth Initiative, Washington, DC 20001, USA
Dennis R. Trinidad: Department of Family Medicine and Public Health, University of California, La Jolla, CA 92093, USA
Maansi Bansal-Travers: Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA
Tara Elton-Marshall: Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, London, ON M5T 1R8, Canada
Daniel A. Gundersen: Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Rutgers, Somerset, NJ 08873, USA
Cassandra A. Stanton: Westat, Rockville, MD 20850, USA
David B. Abrams: The Schroeder Institute for Tobacco Research and Policy Studies, Truth Initiative, Washington, DC 20001, USA
Geoffrey T. Fong: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
Nicolette Borek: Office of Science, Center for Tobacco Products, U.S. Food and Drug Administration, Silver Spring, MD 20993, 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, 1-0

Abstract: More than half of adult tobacco users in the United States (U.S.) transitioned in tobacco product use between 2013–2014 and 2014–2015. We examine how characteristics of adult tobacco users in the U.S. relate to transitions in tobacco product use. Population Assessment of Tobacco and Health (PATH) Study data were analyzed from 12,862 adult current tobacco users who participated in Wave 1 (W1, 2013–2014) and Wave 2 (W2, 2014–2015). Three types of transitions were examined—(1) adding tobacco product(s); (2) switching to non-cigarette tobacco product(s); and (3) discontinuing all tobacco use—among those currently using: (1) any tobacco product; (2) cigarettes only (i.e., exclusive cigarette); and (3) cigarettes plus another tobacco product(s) (i.e., poly-cigarette). Multinomial logistic regression analyses determined relative risk of type of transition versus no transition as a function of demographic and tobacco use characteristics. Transitions in tobacco product use among adult tobacco users were common overall, but varied among different demographic groups, including by age, sex, sexual orientation, race/ethnicity, educational attainment, and poverty level. Further, cigarette smokers with higher dependence scores were more likely to add product(s) and less likely to discontinue tobacco use compared to those with low dependence scores. That high nicotine dependence is a barrier to discontinuing tobacco use adds evidence to support policy to lower nicotine content of cigarettes and to evaluate new products for their potential to reduce cigarette use.

Keywords: tobacco; transition; population; longitudinal; epidemiology; cigarettes; electronic nicotine delivery systems (ENDS); correlate; demographic; dependence (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 (1)

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