Adolescents' first tobacco products: Associations with current multiple tobacco product use
Understanding which tobacco products adolescents use first can lead to insights for tobacco prevention interventions and policies. We used cross-sectional data from high school students who reported ever using a tobacco product from the 2017 North Carolina Youth Tobacco Survey (n = 1,053). In multiv...
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| Veröffentlicht in: | PloS one 2019-05, Vol.14 (5), p.e0217244-e0217244 |
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| creator | Kowitt, Sarah D Goldstein, Adam O Sutfin, Erin L Osman, Amira Meernik, Clare Heck, Courtney Ranney, Leah M |
| description | Understanding which tobacco products adolescents use first can lead to insights for tobacco prevention interventions and policies. We used cross-sectional data from high school students who reported ever using a tobacco product from the 2017 North Carolina Youth Tobacco Survey (n = 1,053). In multivariable regressions, we examined how demographic and psychosocial factors were associated with adolescents' first product tried and how first product tried was associated with current tobacco use (i.e., no use, use of a single product, use of multiple products) and frequency of tobacco use. Cigarettes (34.8%) and e-cigarettes (33.7%) were the most frequently reported first products tried, followed by cigars (15.6%), smokeless tobacco (10.7%), waterpipe (4.0%), and other tobacco products (i.e., pipe tobacco or some other tobacco product) (1.2%). Demographic differences in adolescents' first product tried existed, with Black adolescents having higher odds of initiating tobacco use via cigars (aOR: 6.17, 95% CI: 3.75, 10.14). Adolescents who initiated tobacco use via cigars (aOR: 2.33, 95% CI: 1.31, 4.13) or smokeless tobacco (aOR: 2.45, 95% CI: 1.18, 5.04) had higher odds of being a multiple current tobacco product user, whereas adolescents who initiated tobacco use via e-cigarettes (aOR: 0.57, 95% CI: 0.34, 0.93) had lower odds of being a multiple current tobacco product user. Additionally, adolescents who initiated tobacco use via smokeless tobacco had higher odds of currently using at least one tobacco product frequently (aOR: 1.90, 95% CI: 1.04, 3.48), while adolescents who initiated tobacco use via e-cigarettes had lower odds of currently using at least one tobacco product frequently (aOR: 0.40, 95% CI: 0.23, 0.70). These findings suggest that most adolescents reported initiating tobacco use via cigarettes or e-cigarettes and that trying certain products first (e.g., cigars, smokeless tobacco) was associated with higher odds of multiple current tobacco product use. |
| doi_str_mv | 10.1371/journal.pone.0217244 |
| format | Article |
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We used cross-sectional data from high school students who reported ever using a tobacco product from the 2017 North Carolina Youth Tobacco Survey (n = 1,053). In multivariable regressions, we examined how demographic and psychosocial factors were associated with adolescents' first product tried and how first product tried was associated with current tobacco use (i.e., no use, use of a single product, use of multiple products) and frequency of tobacco use. Cigarettes (34.8%) and e-cigarettes (33.7%) were the most frequently reported first products tried, followed by cigars (15.6%), smokeless tobacco (10.7%), waterpipe (4.0%), and other tobacco products (i.e., pipe tobacco or some other tobacco product) (1.2%). Demographic differences in adolescents' first product tried existed, with Black adolescents having higher odds of initiating tobacco use via cigars (aOR: 6.17, 95% CI: 3.75, 10.14). Adolescents who initiated tobacco use via cigars (aOR: 2.33, 95% CI: 1.31, 4.13) or smokeless tobacco (aOR: 2.45, 95% CI: 1.18, 5.04) had higher odds of being a multiple current tobacco product user, whereas adolescents who initiated tobacco use via e-cigarettes (aOR: 0.57, 95% CI: 0.34, 0.93) had lower odds of being a multiple current tobacco product user. Additionally, adolescents who initiated tobacco use via smokeless tobacco had higher odds of currently using at least one tobacco product frequently (aOR: 1.90, 95% CI: 1.04, 3.48), while adolescents who initiated tobacco use via e-cigarettes had lower odds of currently using at least one tobacco product frequently (aOR: 0.40, 95% CI: 0.23, 0.70). These findings suggest that most adolescents reported initiating tobacco use via cigarettes or e-cigarettes and that trying certain products first (e.g., cigars, smokeless tobacco) was associated with higher odds of multiple current tobacco product use.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0217244</identifier><identifier>PMID: 31120972</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adolescents ; Biology and Life Sciences ; Cigarettes ; Computer and Information Sciences ; Cross-Sectional Studies ; Demographics ; Demography ; Electronic cigarettes ; Electronic Nicotine Delivery Systems - statistics & numerical data ; Female ; Health aspects ; High schools ; Humans ; Juvenile drug abuse ; Logistic Models ; Male ; Medicine ; Medicine and Health Sciences ; Minors ; Multivariate Analysis ; Nicotine ; North Carolina - epidemiology ; Odds Ratio ; People and Places ; Prevention ; Psychology, Adolescent ; Secondary school students ; Secondary schools ; Smoking ; Smoking - epidemiology ; Smoking - psychology ; Smoking Prevention - statistics & numerical data ; Social Sciences ; Socioeconomic factors ; Students - psychology ; Surveys and Questionnaires ; Teenagers ; Tobacco ; Tobacco products ; Tobacco Products - statistics & numerical data ; Tobacco Use - epidemiology ; Tobacco Use - prevention & control ; Tobacco Use - psychology ; Tobacco, Waterpipe - statistics & numerical data ; Young adults ; Youth ; Youth smoking</subject><ispartof>PloS one, 2019-05, Vol.14 (5), p.e0217244-e0217244</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Kowitt et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Kowitt et al 2019 Kowitt et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-3a2130a6e6627d0053d9da29fdf62120f038e2919ffa729c90d690edb63382843</citedby><cites>FETCH-LOGICAL-c692t-3a2130a6e6627d0053d9da29fdf62120f038e2919ffa729c90d690edb63382843</cites><orcidid>0000-0001-5216-3897</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532893/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532893/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31120972$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Cummings, Michael</contributor><creatorcontrib>Kowitt, Sarah D</creatorcontrib><creatorcontrib>Goldstein, Adam O</creatorcontrib><creatorcontrib>Sutfin, Erin L</creatorcontrib><creatorcontrib>Osman, Amira</creatorcontrib><creatorcontrib>Meernik, Clare</creatorcontrib><creatorcontrib>Heck, Courtney</creatorcontrib><creatorcontrib>Ranney, Leah M</creatorcontrib><title>Adolescents' first tobacco products: Associations with current multiple tobacco product use</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Understanding which tobacco products adolescents use first can lead to insights for tobacco prevention interventions and policies. We used cross-sectional data from high school students who reported ever using a tobacco product from the 2017 North Carolina Youth Tobacco Survey (n = 1,053). In multivariable regressions, we examined how demographic and psychosocial factors were associated with adolescents' first product tried and how first product tried was associated with current tobacco use (i.e., no use, use of a single product, use of multiple products) and frequency of tobacco use. Cigarettes (34.8%) and e-cigarettes (33.7%) were the most frequently reported first products tried, followed by cigars (15.6%), smokeless tobacco (10.7%), waterpipe (4.0%), and other tobacco products (i.e., pipe tobacco or some other tobacco product) (1.2%). Demographic differences in adolescents' first product tried existed, with Black adolescents having higher odds of initiating tobacco use via cigars (aOR: 6.17, 95% CI: 3.75, 10.14). Adolescents who initiated tobacco use via cigars (aOR: 2.33, 95% CI: 1.31, 4.13) or smokeless tobacco (aOR: 2.45, 95% CI: 1.18, 5.04) had higher odds of being a multiple current tobacco product user, whereas adolescents who initiated tobacco use via e-cigarettes (aOR: 0.57, 95% CI: 0.34, 0.93) had lower odds of being a multiple current tobacco product user. Additionally, adolescents who initiated tobacco use via smokeless tobacco had higher odds of currently using at least one tobacco product frequently (aOR: 1.90, 95% CI: 1.04, 3.48), while adolescents who initiated tobacco use via e-cigarettes had lower odds of currently using at least one tobacco product frequently (aOR: 0.40, 95% CI: 0.23, 0.70). These findings suggest that most adolescents reported initiating tobacco use via cigarettes or e-cigarettes and that trying certain products first (e.g., cigars, smokeless tobacco) was associated with higher odds of multiple current tobacco product use.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Biology and Life Sciences</subject><subject>Cigarettes</subject><subject>Computer and Information Sciences</subject><subject>Cross-Sectional Studies</subject><subject>Demographics</subject><subject>Demography</subject><subject>Electronic cigarettes</subject><subject>Electronic Nicotine Delivery Systems - statistics & numerical data</subject><subject>Female</subject><subject>Health aspects</subject><subject>High schools</subject><subject>Humans</subject><subject>Juvenile drug abuse</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Minors</subject><subject>Multivariate Analysis</subject><subject>Nicotine</subject><subject>North Carolina - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kowitt, Sarah D</au><au>Goldstein, Adam O</au><au>Sutfin, Erin L</au><au>Osman, Amira</au><au>Meernik, Clare</au><au>Heck, Courtney</au><au>Ranney, Leah M</au><au>Cummings, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adolescents' first tobacco products: Associations with current multiple tobacco product use</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-05-23</date><risdate>2019</risdate><volume>14</volume><issue>5</issue><spage>e0217244</spage><epage>e0217244</epage><pages>e0217244-e0217244</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Understanding which tobacco products adolescents use first can lead to insights for tobacco prevention interventions and policies. We used cross-sectional data from high school students who reported ever using a tobacco product from the 2017 North Carolina Youth Tobacco Survey (n = 1,053). In multivariable regressions, we examined how demographic and psychosocial factors were associated with adolescents' first product tried and how first product tried was associated with current tobacco use (i.e., no use, use of a single product, use of multiple products) and frequency of tobacco use. Cigarettes (34.8%) and e-cigarettes (33.7%) were the most frequently reported first products tried, followed by cigars (15.6%), smokeless tobacco (10.7%), waterpipe (4.0%), and other tobacco products (i.e., pipe tobacco or some other tobacco product) (1.2%). Demographic differences in adolescents' first product tried existed, with Black adolescents having higher odds of initiating tobacco use via cigars (aOR: 6.17, 95% CI: 3.75, 10.14). Adolescents who initiated tobacco use via cigars (aOR: 2.33, 95% CI: 1.31, 4.13) or smokeless tobacco (aOR: 2.45, 95% CI: 1.18, 5.04) had higher odds of being a multiple current tobacco product user, whereas adolescents who initiated tobacco use via e-cigarettes (aOR: 0.57, 95% CI: 0.34, 0.93) had lower odds of being a multiple current tobacco product user. Additionally, adolescents who initiated tobacco use via smokeless tobacco had higher odds of currently using at least one tobacco product frequently (aOR: 1.90, 95% CI: 1.04, 3.48), while adolescents who initiated tobacco use via e-cigarettes had lower odds of currently using at least one tobacco product frequently (aOR: 0.40, 95% CI: 0.23, 0.70). These findings suggest that most adolescents reported initiating tobacco use via cigarettes or e-cigarettes and that trying certain products first (e.g., cigars, smokeless tobacco) was associated with higher odds of multiple current tobacco product use.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31120972</pmid><doi>10.1371/journal.pone.0217244</doi><tpages>e0217244</tpages><orcidid>https://orcid.org/0000-0001-5216-3897</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_plos_journals_2229633700 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adolescents Biology and Life Sciences Cigarettes Computer and Information Sciences Cross-Sectional Studies Demographics Demography Electronic cigarettes Electronic Nicotine Delivery Systems - statistics & numerical data Female Health aspects High schools Humans Juvenile drug abuse Logistic Models Male Medicine Medicine and Health Sciences Minors Multivariate Analysis Nicotine North Carolina - epidemiology Odds Ratio People and Places Prevention Psychology, Adolescent Secondary school students Secondary schools Smoking Smoking - epidemiology Smoking - psychology Smoking Prevention - statistics & numerical data Social Sciences Socioeconomic factors Students - psychology Surveys and Questionnaires Teenagers Tobacco Tobacco products Tobacco Products - statistics & numerical data Tobacco Use - epidemiology Tobacco Use - prevention & control Tobacco Use - psychology Tobacco, Waterpipe - statistics & numerical data Young adults Youth Youth smoking |
| title | Adolescents' first tobacco products: Associations with current multiple tobacco product use |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T16%3A45%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Adolescents'%20first%20tobacco%20products:%20Associations%20with%20current%20multiple%20tobacco%20product%20use&rft.jtitle=PloS%20one&rft.au=Kowitt,%20Sarah%20D&rft.date=2019-05-23&rft.volume=14&rft.issue=5&rft.spage=e0217244&rft.epage=e0217244&rft.pages=e0217244-e0217244&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0217244&rft_dat=%3Cgale_plos_%3EA586423532%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2229633700&rft_id=info:pmid/31120972&rft_galeid=A586423532&rft_doaj_id=oai_doaj_org_article_92fb5cc55e50456e9875ea2bed43b65c&rfr_iscdi=true |