Adult Cigarette Smokers at Highest Risk for Concurrent Alternative Tobacco Prodcuts Use Among
Thursday, June 11, 2015
Posted by: Natalia Gromov
Nikki L. Nollen, PhD, Jasiit S. Ahluwalia, MD, MPH, MS, Yang Lei, BA, Qing Yu, MA.
Adult Cigarette Smokers at Highest Risk for Concurrent Alternative Tobacco Prodcuts Use Among a Racially/Ethnically and Socioeconomically Diverse Sample.
Nicotine Tob Res (2015)doi: 10.1093/ntr/ntv110First published online: May 20, 2015
Rates of alternative tobacco product use (ATPs; e.g., cigars, cigarillos, pipes) among cigarette smokers are on the rise but little is known about the subgroups at highest risk. This study explored interactions between demographic, tobacco, and psychosocial factors to identify cigarette smokers at highest risk for ATP use from a racially/ethnically and socioeconomically diverse sample of adult smokers across the full smoking spectrum (nondaily, daily light, daily heavy). Methods: 2,376 adult cigarette smokers participated in an online cross-sectional survey. Quotas ensured equal recruitment of African American (AA), White (W), Hispanic/Latino (H) as well as daily and non-daily smokers. Classification and Regression Tree (CART) modeling was used to identify subgroups of cigarette smokers at highest risk for ATP use. Results: 51.3% were Cig+ATP smokers. Alcohol for men and age, race/ethnicity, and discrimination for women increased the probability of ATP use. Strikingly, 73.5% of men screening positive for moderate to heavy drinking and 62.2% of younger (≤ 45 years) AA/H women who experienced regular discrimination were Cig+ATP smokers. Conclusions: Screening for concurrent ATP use is necessary for the continued success of tobacco cessation efforts especially among male alcohol users and racial/ethnic minority women who are at greatest risk for ATP use.