Tobacco-product use by adults and youths in the United States in 2013 and 2014

Karin A. Kasza, Bridget K. Ambrose, Kevin P. Conway, Nicolette Borek, Kristie Taylor, Maciej L. Goniewicz, K. Michael Cummings, Eva Sharma, Jennifer L. Pearson, Victoria R. Green, Annette R. Kaufman, Maansi Bansal-Travers, Mark J. Travers, Jonathan Kwan, Cindy Tworek, Yu Ching Cheng, Ling Yang, Nikolas Pharris-Ciurej, Dana M. Van Bemmel, Cathy L. BackingerWilson M. Compton, Andrew J. Hyland

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Noncigarette tobacco products are evolving rapidly, with increasing popularity in the United States. METHODS: We present prevalence estimates for 12 types of tobacco products, using data from 45,971 adult and youth participants (≥12 years of age) from Wave 1 (September 2013 through December 2014) of the Population Assessment of Tobacco and Health (PATH) Study, a large, nationally representative, longitudinal study of tobacco use and health in the United States. Participants were asked about their use of cigarettes, e-cigarettes, traditional cigars, cigarillos, filtered cigars, pipe tobacco, hookah, snus pouches, other smokeless tobacco, dissolvable tobacco, bidis, and kreteks. Estimates of the prevalence of use for each product were determined according to use category (e.g., current use or use in the previous 30 days) and demographic subgroup, and the prevalence of multiple-product use was explored. RESULTS: More than a quarter (27.6%) of adults were current users of at least one type of tobacco product in 2013 and 2014, although the prevalence varied depending on use category. A total of 8.9% of youths had used a tobacco product in the previous 30 days; 1.6% of youths were daily users. Approximately 40% of tobacco users, adults and youths alike, used multiple tobacco products; cigarettes plus e-cigarettes was the most common combination. Young adults (18 to 24 years of age), male adults and youths, members of racial minorities, and members of sexual minorities generally had higher use of tobacco than their counterparts. CONCLUSIONS: During this study, 28% of U.S. adults were current users of tobacco, and 9% of youths had used tobacco in the previous 30 days. Use of multiple products was common among tobacco users. These findings will serve as baseline data to examine between-person differences and within-person changes over time in the use of tobacco products. (Funded by the National Institute on Drug Abuse and the Food and Drug Administration.)

Original languageEnglish (US)
Pages (from-to)342-353
Number of pages12
JournalNew England Journal of Medicine
Volume376
Issue number4
DOIs
StatePublished - Jan 26 2017
Externally publishedYes

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Tobacco Use
Tobacco Products
Tobacco
National Institute on Drug Abuse (U.S.)
Smokeless Tobacco
Health
United States Food and Drug Administration
Longitudinal Studies
Young Adult
Demography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kasza, K. A., Ambrose, B. K., Conway, K. P., Borek, N., Taylor, K., Goniewicz, M. L., ... Hyland, A. J. (2017). Tobacco-product use by adults and youths in the United States in 2013 and 2014. New England Journal of Medicine, 376(4), 342-353. https://doi.org/10.1056/NEJMsa1607538

Tobacco-product use by adults and youths in the United States in 2013 and 2014. / Kasza, Karin A.; Ambrose, Bridget K.; Conway, Kevin P.; Borek, Nicolette; Taylor, Kristie; Goniewicz, Maciej L.; Cummings, K. Michael; Sharma, Eva; Pearson, Jennifer L.; Green, Victoria R.; Kaufman, Annette R.; Bansal-Travers, Maansi; Travers, Mark J.; Kwan, Jonathan; Tworek, Cindy; Cheng, Yu Ching; Yang, Ling; Pharris-Ciurej, Nikolas; Van Bemmel, Dana M.; Backinger, Cathy L.; Compton, Wilson M.; Hyland, Andrew J.

In: New England Journal of Medicine, Vol. 376, No. 4, 26.01.2017, p. 342-353.

Research output: Contribution to journalArticle

Kasza, KA, Ambrose, BK, Conway, KP, Borek, N, Taylor, K, Goniewicz, ML, Cummings, KM, Sharma, E, Pearson, JL, Green, VR, Kaufman, AR, Bansal-Travers, M, Travers, MJ, Kwan, J, Tworek, C, Cheng, YC, Yang, L, Pharris-Ciurej, N, Van Bemmel, DM, Backinger, CL, Compton, WM & Hyland, AJ 2017, 'Tobacco-product use by adults and youths in the United States in 2013 and 2014', New England Journal of Medicine, vol. 376, no. 4, pp. 342-353. https://doi.org/10.1056/NEJMsa1607538
Kasza KA, Ambrose BK, Conway KP, Borek N, Taylor K, Goniewicz ML et al. Tobacco-product use by adults and youths in the United States in 2013 and 2014. New England Journal of Medicine. 2017 Jan 26;376(4):342-353. https://doi.org/10.1056/NEJMsa1607538
Kasza, Karin A. ; Ambrose, Bridget K. ; Conway, Kevin P. ; Borek, Nicolette ; Taylor, Kristie ; Goniewicz, Maciej L. ; Cummings, K. Michael ; Sharma, Eva ; Pearson, Jennifer L. ; Green, Victoria R. ; Kaufman, Annette R. ; Bansal-Travers, Maansi ; Travers, Mark J. ; Kwan, Jonathan ; Tworek, Cindy ; Cheng, Yu Ching ; Yang, Ling ; Pharris-Ciurej, Nikolas ; Van Bemmel, Dana M. ; Backinger, Cathy L. ; Compton, Wilson M. ; Hyland, Andrew J. / Tobacco-product use by adults and youths in the United States in 2013 and 2014. In: New England Journal of Medicine. 2017 ; Vol. 376, No. 4. pp. 342-353.
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abstract = "BACKGROUND: Noncigarette tobacco products are evolving rapidly, with increasing popularity in the United States. METHODS: We present prevalence estimates for 12 types of tobacco products, using data from 45,971 adult and youth participants (≥12 years of age) from Wave 1 (September 2013 through December 2014) of the Population Assessment of Tobacco and Health (PATH) Study, a large, nationally representative, longitudinal study of tobacco use and health in the United States. Participants were asked about their use of cigarettes, e-cigarettes, traditional cigars, cigarillos, filtered cigars, pipe tobacco, hookah, snus pouches, other smokeless tobacco, dissolvable tobacco, bidis, and kreteks. Estimates of the prevalence of use for each product were determined according to use category (e.g., current use or use in the previous 30 days) and demographic subgroup, and the prevalence of multiple-product use was explored. RESULTS: More than a quarter (27.6{\%}) of adults were current users of at least one type of tobacco product in 2013 and 2014, although the prevalence varied depending on use category. A total of 8.9{\%} of youths had used a tobacco product in the previous 30 days; 1.6{\%} of youths were daily users. Approximately 40{\%} of tobacco users, adults and youths alike, used multiple tobacco products; cigarettes plus e-cigarettes was the most common combination. Young adults (18 to 24 years of age), male adults and youths, members of racial minorities, and members of sexual minorities generally had higher use of tobacco than their counterparts. CONCLUSIONS: During this study, 28{\%} of U.S. adults were current users of tobacco, and 9{\%} of youths had used tobacco in the previous 30 days. Use of multiple products was common among tobacco users. These findings will serve as baseline data to examine between-person differences and within-person changes over time in the use of tobacco products. (Funded by the National Institute on Drug Abuse and the Food and Drug Administration.)",
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AU - Kasza, Karin A.

AU - Ambrose, Bridget K.

AU - Conway, Kevin P.

AU - Borek, Nicolette

AU - Taylor, Kristie

AU - Goniewicz, Maciej L.

AU - Cummings, K. Michael

AU - Sharma, Eva

AU - Pearson, Jennifer L.

AU - Green, Victoria R.

AU - Kaufman, Annette R.

AU - Bansal-Travers, Maansi

AU - Travers, Mark J.

AU - Kwan, Jonathan

AU - Tworek, Cindy

AU - Cheng, Yu Ching

AU - Yang, Ling

AU - Pharris-Ciurej, Nikolas

AU - Van Bemmel, Dana M.

AU - Backinger, Cathy L.

AU - Compton, Wilson M.

AU - Hyland, Andrew J.

PY - 2017/1/26

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N2 - BACKGROUND: Noncigarette tobacco products are evolving rapidly, with increasing popularity in the United States. METHODS: We present prevalence estimates for 12 types of tobacco products, using data from 45,971 adult and youth participants (≥12 years of age) from Wave 1 (September 2013 through December 2014) of the Population Assessment of Tobacco and Health (PATH) Study, a large, nationally representative, longitudinal study of tobacco use and health in the United States. Participants were asked about their use of cigarettes, e-cigarettes, traditional cigars, cigarillos, filtered cigars, pipe tobacco, hookah, snus pouches, other smokeless tobacco, dissolvable tobacco, bidis, and kreteks. Estimates of the prevalence of use for each product were determined according to use category (e.g., current use or use in the previous 30 days) and demographic subgroup, and the prevalence of multiple-product use was explored. RESULTS: More than a quarter (27.6%) of adults were current users of at least one type of tobacco product in 2013 and 2014, although the prevalence varied depending on use category. A total of 8.9% of youths had used a tobacco product in the previous 30 days; 1.6% of youths were daily users. Approximately 40% of tobacco users, adults and youths alike, used multiple tobacco products; cigarettes plus e-cigarettes was the most common combination. Young adults (18 to 24 years of age), male adults and youths, members of racial minorities, and members of sexual minorities generally had higher use of tobacco than their counterparts. CONCLUSIONS: During this study, 28% of U.S. adults were current users of tobacco, and 9% of youths had used tobacco in the previous 30 days. Use of multiple products was common among tobacco users. These findings will serve as baseline data to examine between-person differences and within-person changes over time in the use of tobacco products. (Funded by the National Institute on Drug Abuse and the Food and Drug Administration.)

AB - BACKGROUND: Noncigarette tobacco products are evolving rapidly, with increasing popularity in the United States. METHODS: We present prevalence estimates for 12 types of tobacco products, using data from 45,971 adult and youth participants (≥12 years of age) from Wave 1 (September 2013 through December 2014) of the Population Assessment of Tobacco and Health (PATH) Study, a large, nationally representative, longitudinal study of tobacco use and health in the United States. Participants were asked about their use of cigarettes, e-cigarettes, traditional cigars, cigarillos, filtered cigars, pipe tobacco, hookah, snus pouches, other smokeless tobacco, dissolvable tobacco, bidis, and kreteks. Estimates of the prevalence of use for each product were determined according to use category (e.g., current use or use in the previous 30 days) and demographic subgroup, and the prevalence of multiple-product use was explored. RESULTS: More than a quarter (27.6%) of adults were current users of at least one type of tobacco product in 2013 and 2014, although the prevalence varied depending on use category. A total of 8.9% of youths had used a tobacco product in the previous 30 days; 1.6% of youths were daily users. Approximately 40% of tobacco users, adults and youths alike, used multiple tobacco products; cigarettes plus e-cigarettes was the most common combination. Young adults (18 to 24 years of age), male adults and youths, members of racial minorities, and members of sexual minorities generally had higher use of tobacco than their counterparts. CONCLUSIONS: During this study, 28% of U.S. adults were current users of tobacco, and 9% of youths had used tobacco in the previous 30 days. Use of multiple products was common among tobacco users. These findings will serve as baseline data to examine between-person differences and within-person changes over time in the use of tobacco products. (Funded by the National Institute on Drug Abuse and the Food and Drug Administration.)

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