218255 Menthol use and nicotine dependence among US adults, 2001-2006

Tuesday, November 9, 2010

Stacy Thorne, PhD, MPH , Epidemiology Branch, CDC/Office on Smoking and Health, Atlanta, GA
Shane Davis, PhD , Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA
Ralph S. Caraballo, PhD , Office on Smoking and Health, Center for Disease Control and Prevention, Atlanta, GA
Previous studies have suggested that menthol may play a role in nicotine addiction and reinforcement as smoking mentholated cigarettes may increase nicotine absorption and the intake of tobacco smoke by-products. Additionally, those who use menthol cigarettes may be less likely to attempt or succeed at quitting than those who smoke non-menthol cigarettes. Through increased understanding of the patterns and use of menthol and non-menthol cigarettes and their relationship to nicotine dependence, it is possible to assist smokers to quit smoking

We used data from the 2001-2006 NHANES, a household survey of the non-institutionalized civilians of the US population. Data were collected on current use of cigarettes, initiation and duration of smoking among menthol and non-menthol cigarette smokers. Nicotine dependence levels were determined using the Heaviness to Smoke index, which consists of two questions; time after waking (first cigarette use), and the amount of cigarettes smoked per day.

Preliminary unadjusted rates show that smoking menthol cigarettes was highest among African Americans (77.8%) when compared to whites (19.0%) and Mexican Americans (9.4%). Additional results show that more than 50% of menthol and non-menthol smokers smoked their first cigarette within the first hour upon wakening. Finally, nicotine dependence results suggest that there was no difference in dependence levels between menthol (44.5%) and non-menthol users (41.2%). Preliminary results suggest that menthol use varies among various demographic groups and that there is no difference of addictiveness between menthol and non-menthol users. Further monitoring of menthol and non-menthol cigarette use is needed to help smokers quit.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
Program participants will be able to identify prevalence of menthol cigarette use and its relation to nicotine dependence among US adults.

Keywords: Tobacco, Data/Surveillance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am second author non this publication and first author is not able to attend APHA event.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.