Cigarettes, Smokeless Tobacco, and E-cigarettes: State-specific Use Patterns among U.S. Adults, 2017
Thursday, June 16, 2022
Posted by: Natalia Gromov
Hu
SS, Wang TW, Homa DM, Tsai J, Neff L.
Cigarettes, Smokeless
Tobacco, and E-cigarettes: State-specific Use Patterns among U.S. Adults,
2017-2018.
Am J Prev Med. 2022;62(6):930-942. doi:10.1016/j.amepre.2021.12.014
Introduction.
State-level monitoring of changes in tobacco product use can inform tobacco
control policy and practice. This study examines the state-specific prevalence
of current cigarette smoking, smokeless tobacco use, and E-cigarette use and related
cigarette quitting behaviors among E-cigarette users during 2017-2018.
Methods. Data
from the 2017 and 2018 Behavioral Risk Factor Surveillance System were used to
assess state-specific current use of cigarettes, smokeless tobacco, and
E-cigarettes among adults aged ≥18 years. Analyzed in 2021, state-specific
tobacco product estimates and relative percentage changes between 2017 and 2018
were computed for U.S. states and the District of Columbia. Chi-square tests
captured subgroup differences, and logistic regression assessed changes over
time.
Results.
Prevalence of adult current cigarette smoking and smokeless tobacco use varied
across states and remained relatively stable during 2017-2018, whereas the
prevalence of adult E-cigarette use significantly increased during 2017-2018
among 19 of 36 states that collected Behavioral Risk Factor Surveillance System
E-cigarette data in 2018. In all states and the District of Columbia during
2017-2018 combined, the percentage of current cigarette smoking among current
E-cigarette users was higher than that of never cigarette smoking; the
percentage of attempting to quit cigarette smoking in the past year among dual
users of cigarettes and E-cigarettes was >50%.
Conclusions.
During 2017-2018, the prevalence of adult current cigarette smoking and
smokeless tobacco use varied across states and remained relatively stable,
whereas adult E-cigarette use prevalence significantly increased. Comprehensive
state-based tobacco prevention and control efforts are warranted to reduce the
morbidity and mortality attributed to the use of all tobacco products,
including E-cigarettes, among U.S. adults.
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