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. 2013 Aug;144(8):930-8.
doi: 10.14219/jada.archive.2013.0212.

Association of smokeless tobacco use and smoking in adolescents in the United States: an analysis of data from the Youth Risk Behavior Surveillance System survey, 2011

R Constance Wiener  1
Affiliations

Association of smokeless tobacco use and smoking in adolescents in the United States: an analysis of data from the Youth Risk Behavior Surveillance System survey, 2011

R Constance Wiener. J Am Dent Assoc. 2013 Aug.

Abstract

Background: Using smokeless tobacco and smoking are behaviors that increase the risk of developing oral cancer, soft-tissue lesions, caries, periodontal disease and other oral conditions. The author conducted a study to examine use of smokeless tobacco and smoking by adolescents.

Methods: The study was a cross-sectional analysis of participants with complete data regarding smoking, smokeless tobacco use and other variables of interest from the 2011 national Youth Risk Behavior Surveillance System survey (n = 9,655). The author performed descriptive analysis and multivariable logistic regression analyses.

Results: The unadjusted odds ratio for smokeless tobacco use and smoking was 9.68 (95 percent confidence interval [CI], 7.72-12.13; P < .0001), and the adjusted odds ratio was 3.92 (95 percent CI, 2.89-5.31; P < .0001). Adolescents who used smokeless tobacco were more likely to be male, to smoke and to have engaged in binge drinking.

Conclusion: Adolescents who were using smokeless tobacco were more likely to be engaging in concomitant smoking and to be participating in other risk-taking behaviors. Practical Implications. Dentists are involved in helping patients with tobacco-use cessation. The association of smoking with using smokeless tobacco needs to be considered in the design of tobacco-use cessation programs for adolescents.

Keywords: Tobacco; Youth Risk Behavior Surveillance System survey; adolescence; cessation; smokeless tobacco; smoking; tobacco use.

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Comment in

  • Smokeless tobacco.
    Boccuzzi J. Boccuzzi J. J Am Dent Assoc. 2014 Jan;145(1):17-8. doi: 10.1016/s0002-8177(14)60258-0. J Am Dent Assoc. 2014. PMID: 24379323 No abstract available.
  • Author's response.
    Wiener RC. Wiener RC. J Am Dent Assoc. 2014 Jan;145(1):18. doi: 10.1016/s0002-8177(14)60259-2. J Am Dent Assoc. 2014. PMID: 24379324 No abstract available.

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