TY - JOUR
T1 - Use of emerging tobacco products in the United States
AU - McMillen, Robert
AU - Maduka, Jeomi
AU - Winickoff, Jonathan
PY - 2012
Y1 - 2012
N2 - This paper provides the first nationally representative estimates for use of four emerging products. Addressing the issue of land-line substitution with cell phones, we used a mixed-mode survey to obtain two representative samples of US adults. Of 3,240 eligible respondents contacted, 74 completed surveys. In the weighted analysis, 13.6 have tried at least one emerging tobacco product; 5.1 snus; 8.8 waterpipe; 0.6 dissolvable tobacco products; 1.8 electronic nicotine delivery systems (ENDS) products. Daily smokers (25.1) and nondaily smokers (34.9) were the most likely to have tried at least one of these products, compared to former smokers (17.2) and never smokers (7.7), P <.001. 18.2 of young adults 18-24 and 12.8 of those 24 have tried one of these products, P <.01. In multivariable analysis, current daily (5.5, 4.3-7.6), nondaily (6.1, 4.0-9.3), and former smoking status (2.7, 2.1-3.6) remained significant, as did young adults (2.2, 1.6-3.0); males (3.5, 2.8-4.5); higher educational attainment; some college (2.7, 1.7-4.2); college degree (2.0, 1.3-3.3). Use of these products raises concerns about nonsmokers being at risk for nicotine dependence and current smokers maintaining their dependence. Greater awareness of emerging tobacco product prevalence and the high risk demographic user groups might inform efforts to determine appropriate public health policy and regulatory action.
AB - This paper provides the first nationally representative estimates for use of four emerging products. Addressing the issue of land-line substitution with cell phones, we used a mixed-mode survey to obtain two representative samples of US adults. Of 3,240 eligible respondents contacted, 74 completed surveys. In the weighted analysis, 13.6 have tried at least one emerging tobacco product; 5.1 snus; 8.8 waterpipe; 0.6 dissolvable tobacco products; 1.8 electronic nicotine delivery systems (ENDS) products. Daily smokers (25.1) and nondaily smokers (34.9) were the most likely to have tried at least one of these products, compared to former smokers (17.2) and never smokers (7.7), P <.001. 18.2 of young adults 18-24 and 12.8 of those 24 have tried one of these products, P <.01. In multivariable analysis, current daily (5.5, 4.3-7.6), nondaily (6.1, 4.0-9.3), and former smoking status (2.7, 2.1-3.6) remained significant, as did young adults (2.2, 1.6-3.0); males (3.5, 2.8-4.5); higher educational attainment; some college (2.7, 1.7-4.2); college degree (2.0, 1.3-3.3). Use of these products raises concerns about nonsmokers being at risk for nicotine dependence and current smokers maintaining their dependence. Greater awareness of emerging tobacco product prevalence and the high risk demographic user groups might inform efforts to determine appropriate public health policy and regulatory action.
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U2 - 10.1155/2012/989474
DO - 10.1155/2012/989474
M3 - Article
C2 - 22654922
AN - SCOPUS:84862270026
SN - 1687-9805
VL - 2012
JO - Journal of Environmental and Public Health
JF - Journal of Environmental and Public Health
M1 - 989474
ER -