Multiple tobacco product use among adults in the United States: Cigarettes, cigars, electronic cigarettes, hookah, smokeless tobacco, and snus

• Published in: Preventive medicine Vol. 62; pp. 14 - 19
• Main Authors: Lee, Youn O, Hebert, Christine J, Nonnemaker, James M, Kim, Annice E
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Inc 01-05-2014; Elsevier
• Subjects: Adolescent; Adult; Aged; Biological and medical sciences; Chi-Square Distribution; Chi-Square Test; Cigar smoking; Cigarette smoking; Cigarettes; Cigars; electronic cigarettes; Electronic Nicotine Delivery Systems - psychology; Electronic Nicotine Delivery Systems - utilization; Female; Health Surveys; Hookah smoking; Humans; Internal Medicine; Logistic Models; Male; Medical sciences; Middle Aged; Miscellaneous; Prevalence; Prevention and actions; Public health. Hygiene; Public health. Hygiene-occupational medicine; Risk Factors; Smokeless tobacco; Smoking - epidemiology; Smoking - psychology; Snuff; Socioeconomic Factors; Surveys and Questionnaires; Tobacco products; Tobacco Products - utilization; Tobacco Use Cessation - methods; Tobacco Use Cessation - psychology; Tobacco Use Cessation - statistics & numerical data; Tobacco, Smokeless - utilization; Tobacco, tobacco smoking; Toxicology; United States - epidemiology; Young Adult; United States; North America; America; USA; other tobacco product; ATS; Council of American Survey Research Organizations; CDC; aOR; Cigar smoking; electronic cigarettes; OTP; adjusted odds ratio; Cigarette smoking; Smokeless tobacco; Centers for Disease Control and Prevention; Hookah smoking; Adult Tobacco Survey; CASRO; Human; Cigar; Multiple; Tobacco smoking; Adult; Electronic cigarette
• ISSN: 0091-7435; 1096-0260
• DOI: 10.1016/j.ypmed.2014.01.014

Abstract Objective Noncigarette tobacco products are increasingly popular. Researchers need to understand multiple tobacco product use to assess the effects of these products on population health. We estimate national prevalence and examine risk factors for multiple product use. Method We calculated prevalence estimates of current use patterns involving cigarettes, cigars, electronic cigarettes, hookah, smokeless tobacco, and snus using data from the 2012 RTI National Adult Tobacco Survey (N = 3627), a random-digit-dial telephone survey of adults aged 18 and over. Associations between use patterns (exclusive single product and multiple products) and demographic characteristics were examined using Pearson chi-square tests and logistic regression. Results 32.1% of adults currently use 1 or more tobacco products; 14.9% use cigarettes exclusively, and 6.6% use one noncigarette product exclusively, 6.9% use cigarettes with another product (dual use), 1.3% use two noncigarette products, and 2.4% use three or more products (polytobacco use). Smokers who are young adult, male, never married, reside in the West, and made prior quit attempts were at risk for multiple product use. Conclusions Over 10% of U.S. adults use multiple tobacco products. A better understanding of multiple product use involving combustible products, like cigars and hookah, is needed. Multiple product use may be associated with past quit attempts.