236604 Ever Use of Emerging Tobacco Products by Cigarette Smoking Status and Other Characteristics

Monday, October 31, 2011: 10:30 AM

Robert C. McMillen, PhD , Social Science Research Center, Mississippi State University, Starkville, MS
Jeomi Maduka, BS , Center for Child and Adolescent Health Policy, Massachusetts General Hospital for Children, Harvard Medical School, Boston, MA
Jonathan Winickoff, MD, MPH , Center for Child and Adolescent Health Policy, Massachusetts General Hospital for Children, Harvard Medical School, Boston, MA
Several tobacco products have recently entered the US market but the lifetime prevalence for these products among US adults is not known. Mixed-mode cross-sectional surveys representing national probability samples of adults were administered to an RDD frame and an internet panel frame (Knowledge Networks). Lifetime prevalence for snus, a hookah, dissolvable tobacco products, or an electronic cigarette was assessed; and examined across smoking status and other characteristics. Cooperation rates ranged from 71% (N=1,504) in the RDD frame to 67% (N=1,736) in the KN frame. Among respondents,13.6% have tried at least one emerging tobacco product (5.1% snus; 8.8% hookah; 0.6% DTPs; and 1.8% electronic cigarette). Current smokers (27.6%) were the most likely to have tried these products, compared to former smokers (17.2%) and never smokers (7.7%) p<.001. Overall, 18.2% of young adults 18-24 and 12.8% of those >24 have tried one of these products (p<.01). In the multivariate analysis, current 5.70 [4.29, 7.59] and former 2.71 [2.06, 3.57] smoking status remained significant; as did young adults 2.19 [1.61, 2.98]; males 3.52 [2.78, 4.46]; northeast 1.69 [1.18, 2.44], midwest 1.65 [1.20, 2.28], and west 1.81 [1.37, 2.40]; and some college 2.68 [1.70, 4.22] and college degree 2.05 [1.27, 3.31]. These findings demonstrate use of tobacco products by never, former, and current smokers; raising concerns about never smokers developing nicotine addiction, former smokers relapsing, and current smokers using these products rather than quitting. These findings also illustrate young age and male gender as an important factor in the use of these products.

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

Learning Objectives:
Identify use of emerging tobacco products and differentiate use across different products and across demographics.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have more than 10 years experience in tobacco control and serve as Coordinator of the Tobacco Control Unit at the Social Science Research Center of MSU
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.