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Adolescents' first tobacco products: Associations with current multiple tobacco product use.

Publication ,  Journal Article
Kowitt, SD; Goldstein, AO; Sutfin, EL; Osman, A; Meernik, C; Heck, C; Ranney, LM
Published in: PLoS One
2019

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.

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Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2019

Volume

14

Issue

5

Start / End Page

e0217244

Location

United States

Related Subject Headings

  • Tobacco, Waterpipe
  • Tobacco Use
  • Tobacco Products
  • Surveys and Questionnaires
  • Students
  • Smoking Prevention
  • Smoking
  • Psychology, Adolescent
  • Odds Ratio
  • North Carolina
 

Citation

APA
Chicago
ICMJE
MLA
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Kowitt, S. D., Goldstein, A. O., Sutfin, E. L., Osman, A., Meernik, C., Heck, C., & Ranney, L. M. (2019). Adolescents' first tobacco products: Associations with current multiple tobacco product use. PLoS One, 14(5), e0217244. https://doi.org/10.1371/journal.pone.0217244
Kowitt, Sarah D., Adam O. Goldstein, Erin L. Sutfin, Amira Osman, Clare Meernik, Courtney Heck, and Leah M. Ranney. “Adolescents' first tobacco products: Associations with current multiple tobacco product use.PLoS One 14, no. 5 (2019): e0217244. https://doi.org/10.1371/journal.pone.0217244.
Kowitt SD, Goldstein AO, Sutfin EL, Osman A, Meernik C, Heck C, et al. Adolescents' first tobacco products: Associations with current multiple tobacco product use. PLoS One. 2019;14(5):e0217244.
Kowitt, Sarah D., et al. “Adolescents' first tobacco products: Associations with current multiple tobacco product use.PLoS One, vol. 14, no. 5, 2019, p. e0217244. Pubmed, doi:10.1371/journal.pone.0217244.
Kowitt SD, Goldstein AO, Sutfin EL, Osman A, Meernik C, Heck C, Ranney LM. Adolescents' first tobacco products: Associations with current multiple tobacco product use. PLoS One. 2019;14(5):e0217244.

Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2019

Volume

14

Issue

5

Start / End Page

e0217244

Location

United States

Related Subject Headings

  • Tobacco, Waterpipe
  • Tobacco Use
  • Tobacco Products
  • Surveys and Questionnaires
  • Students
  • Smoking Prevention
  • Smoking
  • Psychology, Adolescent
  • Odds Ratio
  • North Carolina