Journal article
Flavored combustible tobacco product initiation in two longitudinal youth cohorts in the US Population Assessment of Tobacco and Health Study: 2013–2016 and 2016–2019
Addictive behaviors, Vol.160, 108176
01/2025
DOI: 10.1016/j.addbeh.2024.108176
PMCID: PMC12324170
PMID: 39348776
Abstract
•Two representative US youth cohorts each with three annual waves of data.•Compares flavored and non-flavored initiation of combustible tobacco products (CTPs).•Baseline social media use associated with flavored CTP initiation.•Vaping and Black racial identity negatively associated with flavored CTP initiation.
Flavored tobacco products increase appeal and lower barriers to nicotine addiction for young people. We compared environmental, psychosocial, behavioral, and demographic characteristics between youth who started with flavored and non-flavored (i.e., tobacco-flavored) combustible tobacco products (CTPs).
We analyzed two representative US youth cohorts (baseline age 12–15) from the Population Assessment of Tobacco and Health (PATH) Study (Wave 1 Cohort (W1) 2013–2016; Wave 4 Cohort (W4) 2016–2019). We first assessed baseline characteristics associated with any subsequent CTP initiation among youth with baseline never CTP use (W1 n=5,946; W4 n=8,240). Then, for baseline CTP-naïve youth with subsequent CTP initiation (new experimentation; W1 n=519; W4 n=538), we assessed baseline characteristics associated with subsequent initiation with flavored CTPs versus non-flavored.
Most youth reporting new CTP experimentation initiated with flavored CTPs (W1:67.8%; W4:74.2%). Household norms, susceptibility, baseline experimentation with vaping, alcohol, and/or cannabis; and White race were associated with CTP experimentation. For both cohorts, frequent social media use was associated with flavored CTP initiation (W4 AOR:2.50, 95%CI:1.22,5.12) and Black youth (W4 AOR:0.12, 95%CI:0.06,0.25) were less likely to initiate with flavored CTPs than White youth. Among W1 Cohort youth, perceiving flavored product use as easier was positively associated with flavored CTP initiation (AOR:1.48, 95%CI:1.01,2.17). Among W4 Cohort youth, baseline vaping was negatively associated with flavored CTP initiation (AOR:0.10, 95%CI:0.05,0.20).
Frequent social media use was associated with flavored CTP initiation among youth who used CTPs. Youth who had ever vaped and Black youth were less likely to initiate with flavored CTPs.
Details
- Title: Subtitle
- Flavored combustible tobacco product initiation in two longitudinal youth cohorts in the US Population Assessment of Tobacco and Health Study: 2013–2016 and 2016–2019
- Creators
- Shannon Lea Watkins - University of IowaSimon Page - National Opinion Research CenterYoonsang Kim - National Opinion Research CenterGanna Kostygina - National Opinion Research CenterSherry Emery - National Opinion Research Center
- Resource Type
- Journal article
- Publication Details
- Addictive behaviors, Vol.160, 108176
- DOI
- 10.1016/j.addbeh.2024.108176
- PMID
- 39348776
- PMCID
- PMC12324170
- NLM abbreviation
- Addict Behav
- ISSN
- 0306-4603
- eISSN
- 1873-6327
- Publisher
- Elsevier Ltd
- Grant note
- California Tobacco-Related Disease Research Program: TRDRP 580945 CA-0124060 National Institute on Drug Abuse (NIDA): R01DA051000
This work was supported in part by the California Tobacco-Related Disease Research Program (TRDRP 580945 CA-0124060; SLW), the National Institute on Drug Abuse (NIDA R01DA051000; SE, GK), and the University of Iowa (SLW). TRDRP and NIH had no role in study design, collection, analysis or interpretation of data, writing the manuscript, or the decision to submit the paper for publication.
- Language
- English
- Date published
- 01/2025
- Academic Unit
- Community and Behavioral Health
- Record Identifier
- 9984721242402771
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