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. 2020 May;29(Suppl 3):s134-s138.
doi: 10.1136/tobaccocontrol-2019-055367.

Overview of tobacco use transitions for population health

Andrew Hyland  1 , Karin A Kasza  2 , Nicolette Borek  3 , Heather L Kimmel  4 , Kristie A Taylor  5 , Wilson M Compton  4 , Hannah Day  3 , Elisabeth A Donaldson  3 , Eva Sharma  5 , Gabriella Anic  3 , Kathryn C Edwards  5 , Michael J Halenar  5 , Lynn C Hull  3 , Wendy Kissin  5 , Jean Limpert  3 , Elizabeth L Seaman  5 , Maansi Bansal-Travers  2 , Lisa D Gardner  3 , Hoda T Hammad  3 , Cassandra A Stanton  5   6
Affiliations

Overview of tobacco use transitions for population health

Andrew Hyland et al. Tob Control. 2020 May.

Abstract

The Family Smoking Prevention and Tobacco Control Act provided the US Food and Drug Administration authority to regulate tobacco products using a population health standard. Models have been developed to estimate the population health impacts of tobacco initiation, cessation and relapse transitions. Models should be informed by high-quality, longitudinal data to estimate these constructs. Simulation studies have generated data to predict the impact of various tobacco control interventions, including the influence of regulations on tobacco use behaviours and health. The purpose of this paper is to provide a high-level conceptual overview for understanding tobacco transition behaviours and correlates of these behaviours using data from the Population Assessment of Tobacco and Health (PATH) Study, a US nationally representative longitudinal tobacco study of about 46 000 persons aged 12+ years. The papers that follow in this journal issue build and expand on this conceptual overview using data from the first three waves of the PATH Study. These papers describe use patterns of different tobacco products and their correlates, and can serve as foundations for more in-depth papers that will help the research community better understand the population health impacts and drivers of different tobacco use patterns.

Keywords: electronic nicotine delivery devices; non-cigarette tobacco products; surveillance and monitoring.

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Conflict of interest statement

Competing interests: WMC reports long-term stock holdings in General Electric Company, 3M Company, and Pfizer Incorporated, unrelated to this manuscript. No financial disclosures were reported by the other authors of this paper.

Figures

Figure 1:
Figure 1:. Overview of Broad Tobacco Use Transitions for Population Health
Figure notes. Population-level depiction of 3 mutually exclusive and exhaustive tobacco user states (i.e., never, current, former), 3 broad behavioral transitions among tobacco user states (i.e., initiation, cessation, relapse), each of which is composed of a set of arrows reflecting steps in the process of moving from one user state to another (e.g., cessation could include attempting to quit and successful quitting among attempters), correlates of behavioral transitions, and how these interact to produce changes in health indicators. Transitions in user states and changes in health indicators are assessed among individuals but reflect population-level health when aggregated together.
See this image and copyright information in PMC

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