Alternative tobacco product use among college students: Who is at highest risk? Open Access

Enofe, Nosayaba (2013)

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Abstract Alternative tobacco product use among college students: Who is at highest risk? By Nosayaba Enofe

Given the increased prevalence of alternative tobacco product use among young adults and increased marketing of these products, we examined smoking status, other substance use, sociodemographics, and psychosocial characteristics in relation to alternative tobacco product use. In 2010, students at 6 colleges in the Southeast were recruited to complete an online survey assessing tobacco product use (i.e., cigarettes, cigars, little cigars, cigarillos, hookah, chew, and snus), along with alcohol and marijuana use, and other psychosocial variables. Of students who were invited to participate, 20.1% (N=4,849/24,055) returned a completed survey. We created a variable for any alternative tobacco product use in the past 30 days. Bivariate analyses indicated differences in alternative tobacco product use among nonsmokers, nondaily smokers, and daily smokers, as well as in relation to age, gender, number of friends that smoke, living with a smoker, depressive symptoms, attitudes toward smoking, sensation seeking, and alcohol and marijuana use. Multivariate analyses indicated that daily and nondaily smokers were more likely than nonsmokers to use alternative tobacco products in comparison to nonsmokers (p<.001), controlling for sociodemographic and psychosocial factors. Among current (past 30 day) smokers, never daily nondaily smokers were three times as likely as former daily nondaily smokers and daily smokers to have used alternative tobacco products (p<.001), controlling for other important factors. In both sets of analyses, those who were younger, male, and Black and marijuana users were at increased risk of alternative tobacco product use (p<.001). Never daily nondaily smokers represent the group at highest risk for using these products. This is notable given that patterns of use of tobacco products may mirror how cigarettes are consumed among the nondaily smoking population. Intervention strategies might be applicable to polytobacco users who demonstrate this overall pattern of occasional tobacco consumption.

Table of Contents

Table of Contents Introduction...1 Literature Review...5 Specific Aims...11 Method...12 Participants...12 Measures...12 Procedures...17 Analysis....18 Results...19 Discussion...21 Findings...21 Conclusion...29 Limitations...29 Implications for Research and Practice...30 References...33 List of Tables Table 1...45 Table 2...47 Table 3...48 Table 4...49

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