Longitudinal pathways of exclusive and polytobacco cigar use among youth, young adults and adults in the USA: findings from the PATH Study Waves 1-3 (2013-2016).

Abstract:

OBJECTIVE:The goal of this study is to examine the cross-sectional prevalence of use and 3-year longitudinal pathways of cigar use in US youth (12-17 years), young adults (18-24 years), and adults 25+ (25 years or older). DESIGN:Data were drawn from the first three waves (2013-2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US youth and adults. Respondents with data at all three waves (youth, n=11 046; young adults, n=6478; adults 25+, n=17 188) were included in longitudinal analyses. RESULTS:Weighted cross-sectional prevalence of past 30-day (P30D) use was stable for adults 25+ (~6%), but decreased in youth (Wave 1 (W1) to Wave 3 (W3)=2.5% to 1.2%) and young adults (W1 to W3=15.7% to 14.0%). Among W1 P30D cigar users, over 50% discontinued cigar use (irrespective of other tobacco use) by Wave 2 (W2) or W3. Across age groups, over 70% of W1 P30D cigar users also indicated P30D use of another tobacco product, predominantly cigar polytobacco use with cigarettes. Discontinuing all tobacco use by W2 or W3 was greater in adult exclusive P30D cigar users compared with polytobacco cigar users. CONCLUSIONS:Although the majority of P30D cigar users discontinued use by W3, adult polytobacco users of cigars were less likely to discontinue all tobacco use than were exclusive cigar users. Tracking patterns of cigar use will allow further assessment of the population health impact of cigars.

journal_name

Tob Control

journal_title

Tobacco control

authors

Edwards KC,Sharma E,Halenar MJ,Taylor KA,Kasza KA,Day H,Hammad HT,Anic G,Bansal-Travers M,Limpert J,Gardner LD,Borek N,Kimmel HL,Compton WM,Hyland A,Stanton CA

doi

10.1136/tobaccocontrol-2020-055624

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

s163-s169

issue

Suppl 3

eissn

0964-4563

issn

1468-3318

pii

tobaccocontrol-2020-055624

journal_volume

29

pub_type

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