RT Journal Article
SR Electronic
T1 Multiple tobacco product use among cigarette smokers: a longitudinal examination of menthol and non-menthol smokers during young adulthood
JF Tobacco Control
JO Tob Control
FD BMJ Publishing Group Ltd
SP 411
OP 415
DO 10.1136/tobaccocontrol-2020-055922
VO 31
IS 3
A1 Dale Mantey
A1 Melissa Harrell
A1 Baojiang Chen
A1 Steven H Kelder
A1 Cheryl Perry
A1 Alexandra Loukas
YR 2022
UL http://tobaccocontrol.bmj.com/content/31/3/411.abstract
AB Background Multiple tobacco product (MTP) use is common among young adults. Most MTP users are combustible cigarette smokers that use one or more other tobacco products. This study aims to explore menthol as a risk factor for MTP use among a cohort of young adult cigarette smokers.Methods Participants were 18–29 years cigarette smokers at 24 Texas colleges in a 6-wave study. Participants (n=4700 observations) were classified as: single product users (ie, exclusive cigarette smoking); dual product users and poly product users. A multilevel, ordered logistic regression model was used to examine the association between menthol cigarette smoking and MTP use. Two longitudinal, multilevel, multinomial logistic regressions were used to examine the relationship between menthol cigarette smoking and number of tobacco products used.Results Overall, 40.7% of the sample were single product users, 33.7% were dual product users and 25.6% were poly product users. Menthol was associated with 1.28 greater odds of MTP use. Further, menthol was associated with 1.19 greater risk of dual and 1.40 greater risk of poly product use, relative to single product use. Lastly, menthol cigarette smoking was associated with 1.18 greater risk of poly product use, relative to dual product use.Conclusions There was a gradient relationship between menthol cigarette smoking and number of tobacco products used among young adult cigarette smokers. Findings provide for greater regulatory and programmatic efforts to reduce the use of menthol cigarettes.Data are available on reasonable request.