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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

Author

Listed:
  • 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
    Department of Psychology, University of Waterloo, Waterloo, ON N2L 3G1, Canada
    Ontario Institute for Cancer Research, Toronto, ON M5G 0A3, 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
    Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5S 1A1, Canada
    Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 3K7, Canada
    Ontario Tobacco Research Unit, Toronto, ON M5S 2S1, 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
    Survey and Data Management Core, Dana-Farber Cancer Institute, Boston, MA 02215, 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)

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.

Suggested Citation

  • 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. La, 2018. "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," IJERPH, MDPI, vol. 15(11), pages 1-14, November.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2515-:d:181780
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    References listed on IDEAS

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    1. Shannon Gravely & Geoffrey T. Fong & K. Michael Cummings & Mi Yan & Anne C. K. Quah & Ron Borland & Hua-Hie Yong & Sara C. Hitchman & Ann McNeill & David Hammond & James F. Thrasher & Marc C. Willemse, 2014. "Awareness, Trial, and Current Use of Electronic Cigarettes in 10 Countries: Findings from the ITC Project," IJERPH, MDPI, vol. 11(11), pages 1-14, November.
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    Cited by:

    1. Kymberle Landrum Sterling & Katherine Masyn & Stephanie Pike Moore & Craig S. Fryer & Erika Trapl & Ce Shang & Douglas Gunzler, 2022. "Tobacco Whack-A-Mole: A Consumption Taxonomy of Cigar & Other Combustible Tobacco Products among a Nationally Representative Sample of Young Adults," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    2. David T. Levy & Zhe Yuan & Yameng Li & Darren Mays & Luz Maria Sanchez-Romero, 2019. "An Examination of the Variation in Estimates of E-Cigarette Prevalence among U.S. Adults," IJERPH, MDPI, vol. 16(17), pages 1-19, August.
    3. Shannon Gravely & Gang Meng & K. Michael Cummings & Andrew Hyland & Ron Borland & David Hammond & Richard J. O’Connor & Maciej L. Goniewicz & Karin A. Kasza & Ann McNeill & Mary E. Thompson & Sara C. , 2020. "Changes in Smoking and Vaping over 18 Months among Smokers and Recent Ex-Smokers: Longitudinal Findings from the 2016 and 2018 ITC Four Country Smoking and Vaping Surveys," IJERPH, MDPI, vol. 17(19), pages 1-19, September.
    4. 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, 2018. "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," IJERPH, MDPI, vol. 15(11), pages 1, November.

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