Trends in Exclusive, Dual and Polytobacco Use among U.S. Adults, 2014–2019: Results from Two Nationally Representative Surveys

Delvon T. Mattingly, Luis Zavala-Arciniega, Jana L. Hirschtick, Rafael Meza, David T. Levy and Nancy L. Fleischer
Additional contact information
Delvon T. Mattingly: Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Luis Zavala-Arciniega: Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Jana L. Hirschtick: Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Rafael Meza: Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
David T. Levy: School of Medicine, Georgetown University, Washington, DC 20057, USA
Nancy L. Fleischer: Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA

IJERPH, 2021, vol. 18, issue 24, 1-12

Abstract: Although increases in the variety of tobacco products available to consumers have led to investigations of dual/polytobacco use patterns, few studies have documented trends in these patterns over time. We used data from the 2014/2015 and 2018/2019 Tobacco Use Supplement to the Current Population Survey (TUS-CPS) and the 2015–2019 National Health Interview Survey (NHIS) to estimate trends in the following use patterns: exclusive use of cigarettes, electronic nicotine delivery systems (ENDS), other combustibles (cigars/cigarillos/little filtered cigars and traditional pipes/hookah), and smokeless tobacco (four categories); dual use (two product groups) of each product group with cigarettes (three categories); polyuse with cigarettes (all four product groups; one category); and dual/polyuse without cigarettes (one category). We estimated trends in product use patterns overall and by age, sex, and race/ethnicity using two-sample tests for differences in linear proportions. From 2014/2015 to 2018/2019, exclusive ENDS use increased, whereas cigarettes and ENDS dual use decreased. Furthermore, polyuse with cigarettes decreased, whereas dual/polyuse without cigarettes increased, with trends varying by age, sex, and race/ethnicity. Our findings suggest that patterns of dual/polyuse with and without cigarettes have changed in recent years, indicating the need for further surveillance of concurrent tobacco product use patterns.

Keywords: cigarettes; electronic nicotine delivery systems; cigars; pipes; smokeless tobacco; dual use; polyuse; tobacco products; prevalence (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (4)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/24/13092/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/24/13092/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:24:p:13092-:d:700373

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().