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. 2015 Nov 13;12(11):14477-89.
doi: 10.3390/ijerph121114477.

Poly-Tobacco Use among High School Students

Sarah D Kowitt  1 , Tanha Patel  2 , Leah M Ranney  3 , Li-Ling Huang  4 , Erin L Sutfin  5 , Adam O Goldstein  6
Affiliations

Poly-Tobacco Use among High School Students

Sarah D Kowitt et al. Int J Environ Res Public Health. .

Abstract

Although cigarette use by adolescents is declining, emerging tobacco products are becoming increasingly popular and youth may use more than one type of tobacco product. The purposes of this study were: (1) to assess patterns of poly-tobacco use among a representative sample of high school students and (2) to determine how beliefs correlate with poly-tobacco use. Data came from the 2013 North Carolina Youth Tobacco Survey (n = 4092). SAS logistic regression survey procedures were used to account for the complex survey design and sampling weights. Among all high school students in NC in 2013, 29.7% reported current any tobacco use, with 19.1% reporting current poly-tobacco use, and 10.6% reporting current use of only one product. Among poly-tobacco users, 59.3% reported that one of the products they currently used was cigarettes. Positive tobacco product beliefs were found to be significantly associated with poly-tobacco use. Communication campaigns, policy efforts, and future research are needed for prevention, regulation, and control of poly-tobacco use among adolescents, which represents a significant public health problem.

Keywords: adolescents; health beliefs; non-cigarette tobacco products; tobacco policy; tobacco products.

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Figures

Figure 1
Figure 1
Combinations of Tobacco Products among poly-users, 2013 North Carolina Youth Tobacco Survey. Percentages do not add up to 100% because students may use more than one tobacco product, the denominator is n = 751 (i.e., poly-tobacco users).
See this image and copyright information in PMC

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