TY - JOUR
T1 - Correlates of tobacco product initiation among youth and young adults between waves 1–4 of the population assessment of tobacco and Health (PATH) study (2013–2018)
AU - Cooper, Maria
AU - Day, Hannah R.
AU - Ren, Chunfeng
AU - Oniyide, Olusola
AU - Corey, Catherine G.
AU - Ambrose, Bridget K.
AU - Michael Cummings, K.
AU - Sargent, James
AU - Niaura, Ray
AU - Pierce, John P.
AU - Kaufman, Annette
AU - Choi, Kelvin
AU - Goniewicz, Maciej L.
AU - Stanton, Cassandra A.
AU - Villanti, Andrea
AU - Kasza, Karin
AU - Bansal-Travers, Maansi
AU - Silveira, Marushka L.
AU - Kimmel, Heather L.
AU - Hull, Lynn C.
AU - Koblitz, Amber
AU - Poonai, Karl
AU - Paredes, Antonio
AU - Taylor, Kristie
AU - Borek, Nicolette
AU - Hyland, Andrew J.
N1 - Funding Information:
This manuscript is supported with Federal funds from the National Institute on Drug Abuse, National Institutes of Health, and the Center for Tobacco Products, Food and Drug Administration, Department of Health and Human Services, under contract to Westat (Contract Nos. HHSN271201100027C and HHSN271201600001C).
Funding Information:
K. Michael Cummings provides expert testimony on the health effects of smoking and tobacco industry tactics in lawsuits filed against the tobacco industry. He has also received payment as a consultant to Pfizer, Inc., for services on an external advisory panel to assess ways to improve smoking cessation delivery in health care settings. Maciej Goniewicz has received a research grant from Pfizer and served as a member of a scientific advisory board to Johnson & Johnson. Ray Niaura receives funding from the FDA Center for Tobacco Products via contractual mechanisms with Westat and the NIH. Within the past three years he has served as a paid consultant to the Government of Canada via a contract with Industrial Economics Inc., and has received an honorarium for a virtual meeting from Pfizer Inc. The remaining authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Funding Information:
The writing team thanks David Abrams, Kevin Conway, Kathryn Edwards, Victoria Green, Justina Kofie, Eva Sharma, Jamie Sim, Linye Song, Susanne Tanski, Dennis Trinidad, and Martha White for their contributions. Contributions from Hannah R. Day, Catherine G. Corey and Karl Poonai were completed during their employment at the FDA Center for Tobacco Products.
Publisher Copyright:
© 2022
PY - 2022/11
Y1 - 2022/11
N2 - Introduction: While risk factors for cigarette smoking among youth and young adults are well-documented, less is known about the correlates of initiation of other tobacco products. This study aims to provide estimates and correlates of initiation among U.S. youth and young adults. Methods: Data on youth aged 12–17 (n = 10,072) and young adults aged 18–24 (N = 5,727) who provided information on cigarettes, electronic nicotine delivery systems (ENDS), cigars, pipe, hookah and smokeless tobacco use in Wave 1 (W1: 2013–2014)-Wave 4 (W4: 2016–2018) of the nationally-representative PATH Study were used to calculate ever use initiation and correlates of initiation by W4. Results: Nearly 6 million youth and 2.5 million young adults used tobacco for the first time between W1-W4. Approximately one quarter of youth and young adult ENDS never users initiated ENDS between W1-W4 of the PATH Study. Among youth, use of other tobacco products, ever substance use, and high externalizing problems were associated with initiation of most products. Among young adults, use of other tobacco products and ever substance use were associated with initiation of most products. In both youth and young adults, Hispanics were more likely to initiate hookah use than their non-Hispanic White counterparts. While male sex was a risk factor for most tobacco product initiation across both age groups, it was not associated with hookah initiation. Conclusions: Cigarette and non-cigarette products shared many correlates of initiation, although there are noteworthy demographic differences. Findings can help tailor product specific interventions to reach populations at risk during preliminary stages of use.
AB - Introduction: While risk factors for cigarette smoking among youth and young adults are well-documented, less is known about the correlates of initiation of other tobacco products. This study aims to provide estimates and correlates of initiation among U.S. youth and young adults. Methods: Data on youth aged 12–17 (n = 10,072) and young adults aged 18–24 (N = 5,727) who provided information on cigarettes, electronic nicotine delivery systems (ENDS), cigars, pipe, hookah and smokeless tobacco use in Wave 1 (W1: 2013–2014)-Wave 4 (W4: 2016–2018) of the nationally-representative PATH Study were used to calculate ever use initiation and correlates of initiation by W4. Results: Nearly 6 million youth and 2.5 million young adults used tobacco for the first time between W1-W4. Approximately one quarter of youth and young adult ENDS never users initiated ENDS between W1-W4 of the PATH Study. Among youth, use of other tobacco products, ever substance use, and high externalizing problems were associated with initiation of most products. Among young adults, use of other tobacco products and ever substance use were associated with initiation of most products. In both youth and young adults, Hispanics were more likely to initiate hookah use than their non-Hispanic White counterparts. While male sex was a risk factor for most tobacco product initiation across both age groups, it was not associated with hookah initiation. Conclusions: Cigarette and non-cigarette products shared many correlates of initiation, although there are noteworthy demographic differences. Findings can help tailor product specific interventions to reach populations at risk during preliminary stages of use.
KW - Epidemiologic surveillance
KW - Longitudinal research
KW - Tobacco use
KW - Youth and young adults
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U2 - 10.1016/j.addbeh.2022.107396
DO - 10.1016/j.addbeh.2022.107396
M3 - Article
C2 - 35749867
AN - SCOPUS:85132766815
SN - 0306-4603
VL - 134
JO - Addictive Behaviors
JF - Addictive Behaviors
M1 - 107396
ER -