RT Journal Article
SR Electronic
T1 Longitudinal pathways of exclusive and polytobacco cigar use among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)
JF Tobacco Control
JO Tob Control
FD BMJ Publishing Group Ltd
SP s163
OP s169
DO 10.1136/tobaccocontrol-2020-055624
VO 29
IS Suppl 3
A1 Kathryn C Edwards
A1 Eva Sharma
A1 Michael J Halenar
A1 Kristie A Taylor
A1 Karin A Kasza
A1 Hannah Day
A1 Hoda T Hammad
A1 Gabriella Anic
A1 Maansi Bansal-Travers
A1 Jean Limpert
A1 Lisa D Gardner
A1 Nicolette Borek
A1 Heather L Kimmel
A1 Wilson M Compton
A1 Andrew Hyland
A1 Cassandra A Stanton
YR 2020
UL http://tobaccocontrol.bmj.com/content/29/Suppl_3/s163.abstract
AB Objective The goal of this study is to examine the cross-sectional prevalence of use and 3-year longitudinal pathways of cigar use in US youth (12-17 years), young adults (18-24 years), and adults 25+ (25 years or older).Design Data were drawn from the first three waves (2013–2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US youth and adults. Respondents with data at all three waves (youth, n=11 046; young adults, n=6478; adults 25+, n=17 188) were included in longitudinal analyses.Results Weighted cross-sectional prevalence of past 30-day (P30D) use was stable for adults 25+ (~6%), but decreased in youth (Wave 1 (W1) to Wave 3 (W3)=2.5% to 1.2%) and young adults (W1 to W3=15.7% to 14.0%). Among W1 P30D cigar users, over 50% discontinued cigar use (irrespective of other tobacco use) by Wave 2 (W2) or W3. Across age groups, over 70% of W1 P30D cigar users also indicated P30D use of another tobacco product, predominantly cigar polytobacco use with cigarettes. Discontinuing all tobacco use by W2 or W3 was greater in adult exclusive P30D cigar users compared with polytobacco cigar users.Conclusions Although the majority of P30D cigar users discontinued use by W3, adult polytobacco users of cigars were less likely to discontinue all tobacco use than were exclusive cigar users. Tracking patterns of cigar use will allow further assessment of the population health impact of cigars.