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4. Initial experimentation with tobacco is associated with subsequent tobacco use patterns among youth in the United States.

Author

El-Shahawy, Omar, Walker, Kandi L., Groom, Allison M., Payne, Thomas J., Tompkins, Lindsay K., Kesh, Anshula, Landry, Robyn, Pfeiffer, Jack, Giachello, Aida L., Vu, Thanh-Huyen T., Ma, Jennie Z., Robertson, Rose Marie, Gunturu, Sasidhar, Blaha, Michael J., and Hart, Joy L.

Subjects
ELECTRONIC cigarettes, TOBACCO products, SMOKELESS tobacco, TOBACCO use, CONSUMER preferences
Abstract

Understanding the association between initial experimentation with a tobacco product and subsequent patterns of tobacco use among youth is important to informing prevention activities for youth in the US. We conducted an online survey from August to October 2017 among youth aged 13–18 years. The current analysis focused on respondents reporting initial experimentation with any tobacco product (n = 2,022). Using multinomial logistic regression, we examined the association between first tobacco product tried (cigarettes; cigars including cigarillos, little cigars, and bidis; electronic nicotine delivery systems (ENDS); smokeless and chewing tobacco; or hookah) with subsequent patterns of tobacco use while adjusting for covariates. Of the youth who experimented, 56.8% were non-current tobacco users. Of current tobacco users (n = 934), 13% were exclusive ENDS users, 5.3% exclusive combustible mono-users, 13.4% ENDS plus combustible poly-users, 3.3% combustible product only poly-users, and 8.2% other tobacco poly-users. The most common type of first tobacco product tried was ENDS (44.7%), followed by cigarettes (35.0%) and cigars (8.6%). Those who experimented with combustible tobacco products were less likely to be exclusive ENDS users [Relative Risk Ratio (RRR) = 0.46; 95% CI = 0.28, 0.73 for cigarettes; RRR = 0.32; 95% CI = 0.13, 0.81 for cigars; and RRR = 0.33; 95% CI = 0.14, 0.79 for hookah] when compared to non-current tobacco users (reference group). Tobacco product choices for initial experimentation appear to play a role in subsequent tobacco use patterns among youth. Understanding the reasons behind initial product choice may inform our understanding regarding the reasons for subsequent current tobacco product use, thus informing youth prevention efforts. [ABSTRACT FROM AUTHOR]

Published
2024
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5. Correlates of youth vaping flavor preferences

Author

Groom, Allison L., Vu, Thanh-Huyen T., Kesh, Anshula, Hart, Joy L., Walker, Kandi L., Giachello, Aida L., Sears, Clara G., Tompkins, Lindsay K., Mattingly, Delvon T., Landry, Robyn L., Robertson, Rose Marie, and Payne, Thomas J.

Published
2020
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16. Perceptions of electronic cigarettes among ethno-culturally diverse Latino adults in four US urban centers.

Author

Navas-Nacher, Elena L., Estrella, Mayra L., Giachello, Aida L., Payne, Thomas J., Kandi L, Walker, Hart, Joy L., Rodriguez, Carlos J., Groom, Allison, Landry, Robyn L., Kesh, Anshula, Vu, Thanh-Huyen T., Sears, Clara G., Tompkins, Lindsay K., and Robertson, Rose Marie

Subjects
HISPANIC Americans, ELECTRONIC cigarettes, METROPOLITAN areas
Abstract

The aim of this study was to examine perceptions including knowledge, attitudes, and beliefs about e-cigarettes among ethno-culturally diverse Latino adults living in the US, a rapidly growing minority group for which we know little about their e-cigarette perceptions. A total of 25 focus groups with Latinos (n = 180; ages 18–64 years) were conducted in 2014. E-cigarettes users and non-users were recruited via purposive sampling techniques. Participants completed brief questionnaires on sociodemographic factors and tobacco use. Focus group discussions were conducted in English and Spanish, audio-recorded, and transcribed. Data were analyzed using thematic analysis procedures. Participants were of diverse Latino backgrounds. Over one-third (35%) reported current cigarette smoking and 8% reported current e-cigarette or hookah use. Nonsmokers reported experimenting with e-cigarettes and hookah during social occasions. Participants' perceptions towards e-cigarettes were generally formed in comparison to conventional cigarettes. Perceived benefits of using e-cigarettes included their utility as a smoking cessation aid, higher social acceptability, and lower harm compared to conventional cigarettes. Negative perceptions of e-cigarettes included lower overall satisfaction compared to conventional cigarettes and high content of toxins. Socio-cultural factors (e.g. gender roles, familismo, and simpatía) also influenced perceptions of e-cigarette of study participants. Overall, Latino adults knew relatively little about the potential health risks associated with e-cigarette use. The limited knowledge about and misinformation of e-cigarettes among this rapidly growing minority group have important public health implications. Findings may inform culturally tailored health communication campaigns, which are much needed among underserved US Latino populations in light of low effectiveness of tobacco control and regulatory efforts. [ABSTRACT FROM AUTHOR]

Published
2022
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18. Associations between tobacco use patterns and demographic characteristics of sexual minority and heterosexual youth: Results from a nationwide online survey

Author

Hart, Joy, primary, Ridner, S., additional, Wood, Lindsey, additional, Walker, Kandi, additional, Groom, Allison, additional, Kesh, Anshula, additional, Landry, Robyn, additional, Payne, Thomas, additional, Ma, Jennie, additional, Robertson, Rose Marie, additional, Hart, Paige, additional, Giachello, Aida, additional, and Vu, Thanh-Huyen, additional

Published
2020
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20. Relationship between population characteristics, e-cigarette and tobacco-related perceptions, and likelihood of ever using e-cigarettes

Author

Pfeiffer, Jack, primary, Tompkins, Lindsay, additional, Hart, Joy, additional, Kesh, Anshula, additional, Groom, Allison, additional, Vu, Thanh-Huyen, additional, Ma, Jennie, additional, Landry, Robyn, additional, Payne, Thomas, additional, Giachello, Aida, additional, Robertson, Rose, additional, and Walker, Kandi, additional

Published
2020
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22. Abstract P388: Socioeconomic and Demographic Status and Perceived Health Risk of E-cigarettes Among Youth--Results From a National Survey

Author

Vu, Thanh-Huyen T, primary, Groom, Allison, additional, Hart, Joy L, additional, Tran, Hy, additional, Landry, Robyn L, additional, Ma, Jennie Z, additional, Walker, Kandi L, additional, Giachello, Aida L, additional, Kesh, Anshula, additional, Payne, Thomas J, additional, and Robertson, Rose M, additional

Published
2019
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26. The ‘state’ of tobacco: Perceptions of tobacco among Appalachian youth in Kentucky

Author

Hart, Joy, primary, Walker, Kandi, additional, Sears, Clara, additional, Tompkins, Lindsay, additional, Lee, Alexander, additional, Mattingly, Delvon, additional, Groom, Allison, additional, Landry, Robyn, additional, Giachello, Aida, additional, Payne, Thomas, additional, Kesh, Anshula, additional, Siu, Allison, additional, Smith, Courteney, additional, and Robertson, Rose, additional

Published
2018
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27. Abstract P087: Use of Tobacco Products Among LGBTQ: Results From 2016 Surveys & Focus Groups

Author

Giachello, Aida L, primary, Vu, Thanh-Huyen, additional, Payne, Thomas J, additional, Robertson, Rose M, additional, Rodriguez, Carlos, additional, Groom, Allison, additional, Walker, Kandi, additional, Hart, Joy, additional, Langdon, Sarah, additional, Okhomina, Victoria, additional, Kesh, Anshula, additional, Seale, Samantha R, additional, Navas-Nacher, Elena, additional, Murillo, Erika, additional, Sims, Mario, additional, Salazar-Mitchell, Patricia, additional, Landry, Robyn, additional, and Bates-Ambrus, Venoncia, additional

Published
2017
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