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. 2021 Dec 8:19:95.
doi: 10.18332/tid/143282. eCollection 2021.

Efficacy of a group-based brief tobacco intervention among young adults aged 18-20 years in the US Air Force

Melissa A Little  1   2 , Xin-Qun Wang  1 , Margaret C Fahey  3 , Kara P Wiseman  1   2 , Kinsey Pebley  3 , Robert C Klesges  1   2 , Gerald W Talcott  1   2   4
Affiliations

Efficacy of a group-based brief tobacco intervention among young adults aged 18-20 years in the US Air Force

Melissa A Little et al. Tob Induc Dis. .

Abstract

Introduction: Most smokers begin using tobacco before the age of 25 years, making it important to reduce tobacco use during adolescence and early adulthood. Rates of use are historically higher among military personnel. While 'Tobacco 21' made it illegal for US retailers to sell tobacco to those aged <21 years, the policy did not address cessation for current youth and young adult tobacco users. Additionally, there is limited research on cessation interventions among young adults under 21 years. The current study evaluated the efficacy of a group-based Brief Tobacco Intervention (BTI) among US Air Force trainees, who are predominantly aged 18-20 years and directly impacted by Tobacco 21 legislation.

Methods: Participants were 2969 US Air Force Trainees from April 2017 through January 2018 cluster randomized to three conditions: 1) BTI + Airman's Guide to Remaining Tobacco Free (AG), 2) AG alone, and 3) the National Cancer Institute's Clearing the Air (CTA) pamphlet. To assess the efficacy of the interventions among people aged 18-20 years, a domain analysis (<21 years, n=2117; and ≥21 years, n=852) of a multinomial logistic regression model was run.

Results: Mono tobacco users aged <21 years at baseline who received the BTI+AG had higher odds of quitting tobacco at 3 months (OR=2.13; 95% CI: 1.02-4.46). Dual and poly users aged <21 years at baseline who received the BTI+AG intervention had higher odds of reducing the number of tobacco products used at 3 months (OR=2.94; 95% CI: 1.03-8.37).

Conclusions: The BTI was effective for people aged 18-20 years. The current study offers insight into components of interventions that might be successful in helping this age group decrease tobacco use.

Keywords: ENDS; cessation; military; tobacco; young adults.

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Conflict of interest statement

The authors have each completed and submitted an ICMJE form for disclosure of potential conflicts of interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. M.A. Little, X. Wang, M.C. Fahey, K. Pebley and R.C. Klesges report that since the initial planning of the work the following payments were received: National Institute on Drug Abuse (R21 DA042083 and R01 DA043468), National Center for Advancing Translational Sciences of the National Institutes of Health (Award Numbers UL1TR003015 and KL2TR003016). M.A. Little, X. Wang, M.C. Fahey, K. Pebley and R.C. Klesges also report that in the past 36 months received non-monetary support from Cooperative Research and Development Agreement via US Air Force and the University of Virginia (CRADA # 17-361-59MDW-C18003). Finally, M.A. Little declares that she participates (unpaid) as an Incoming chair in Evidence Based Behavioral Medicine special interest group in the Society for Behavioral Medicine. K.P. Wiseman reports that since the initial planning of the work, the present manuscript was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health (Award Numbers UL1TR003015 and KL2TR003016).

References

    1. Wang TW, Gentzke AS, Creamer MR, et al. Tobacco Product Use and Associated Factors Among Middle and High School Students - United States, 2019. MMWR Surveill Summ. 2019;68(12):1–22. doi: 10.15585/mmwr.ss6812a1. - DOI - PMC - PubMed
    1. Gentzke AS, Creamer M, Cullen KA, et al. Vital Signs: Tobacco Product Use Among Middle and High School Students - United States, 2011-2018. MMWR Morb Mortal Wkly Rep. 2019;68(6):157–164. doi: 10.15585/mmwr.mm6806e1. - DOI - PMC - PubMed
    1. Creamer MR, Wang TW, Babb S, et al. Tobacco Product Use and Cessation Indicators Among Adults — United States, 2018. MMWR. 2019;68(45):1013–1019. doi: 10.15585/mmwr.mm6845a2. - DOI - PMC - PubMed
    1. Richardson A, Williams V, Rath J, Villanti AC, Vallone D. The next generation of users: prevalence and longitudinal patterns of tobacco use among US young adults. Am J Public Health. 2014;104(8):1429–1436. doi: 10.2105/AJPH.2013.301802. - DOI - PMC - PubMed
    1. U.S. Department of Health and Human Services . Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012. Accessed October 22, 2021. https://www.ncbi.nlm.nih.gov/books/NBK99237/

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