Types of Dual and Poly-Tobacco Users in the US Military

Melissa A. Little, Zoran Bursac, Karen J. Derefinko, Jon Owen Ebbert, Gerald W. Talcott, Ann Hryshko-Mullen, Robert C. Klesges

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The present investigation was designed to determine the prevalence and types of dual and poly-use of tobacco products in the US Air Force, as well as characteristics and factors associated with these types. We conducted a cross-sectional assessment of tobacco-product use among 13,873 Air Force trainees from 2013 to 2014. The assessment included prevalence of the use of 10 different tobacco products and demographic and environmental factors, such as risk perceptions of tobacco use, peer use, and tobacco-company influences. Latent class analysis was carried out to determine types of poly-tobacco users. Tobacco-product use was reported by 27.1% of participants, and of those, over half reported using more than 1 tobacco product. Latent class analysis indicated 5 classes of poly-tobacco use. Factors associated with poly-tobacco (vs. mono-tobacco) use included lower confidence to remain tobacco-free, low harm perceptions, and receiving tobacco products free at bars or social events. Rates of dual and poly-tobacco use are high among trainees, and while these groups are similar to mono users in some ways, there are a number of differences that need to be considered when developing targeted interventions to address use of multiple tobacco products.

Original languageEnglish (US)
Pages (from-to)211-218
Number of pages8
JournalAmerican Journal of Epidemiology
Volume184
Issue number3
DOIs
StatePublished - Aug 1 2016

Fingerprint

Tobacco Use
Tobacco Products
Tobacco
Air
Demography

Keywords

  • alternative tobacco products
  • dual tobacco use
  • military personnel
  • poly-tobacco use
  • risk factors
  • smokeless tobacco
  • smoking
  • tobacco

ASJC Scopus subject areas

  • Epidemiology
  • Medicine(all)

Cite this

Little, M. A., Bursac, Z., Derefinko, K. J., Ebbert, J. O., Talcott, G. W., Hryshko-Mullen, A., & Klesges, R. C. (2016). Types of Dual and Poly-Tobacco Users in the US Military. American Journal of Epidemiology, 184(3), 211-218. https://doi.org/10.1093/aje/kwv321

Types of Dual and Poly-Tobacco Users in the US Military. / Little, Melissa A.; Bursac, Zoran; Derefinko, Karen J.; Ebbert, Jon Owen; Talcott, Gerald W.; Hryshko-Mullen, Ann; Klesges, Robert C.

In: American Journal of Epidemiology, Vol. 184, No. 3, 01.08.2016, p. 211-218.

Research output: Contribution to journalArticle

Little, MA, Bursac, Z, Derefinko, KJ, Ebbert, JO, Talcott, GW, Hryshko-Mullen, A & Klesges, RC 2016, 'Types of Dual and Poly-Tobacco Users in the US Military', American Journal of Epidemiology, vol. 184, no. 3, pp. 211-218. https://doi.org/10.1093/aje/kwv321
Little MA, Bursac Z, Derefinko KJ, Ebbert JO, Talcott GW, Hryshko-Mullen A et al. Types of Dual and Poly-Tobacco Users in the US Military. American Journal of Epidemiology. 2016 Aug 1;184(3):211-218. https://doi.org/10.1093/aje/kwv321
Little, Melissa A. ; Bursac, Zoran ; Derefinko, Karen J. ; Ebbert, Jon Owen ; Talcott, Gerald W. ; Hryshko-Mullen, Ann ; Klesges, Robert C. / Types of Dual and Poly-Tobacco Users in the US Military. In: American Journal of Epidemiology. 2016 ; Vol. 184, No. 3. pp. 211-218.
@article{9c66a63a5f6c412a97ce70966e0b68ef,
title = "Types of Dual and Poly-Tobacco Users in the US Military",
abstract = "The present investigation was designed to determine the prevalence and types of dual and poly-use of tobacco products in the US Air Force, as well as characteristics and factors associated with these types. We conducted a cross-sectional assessment of tobacco-product use among 13,873 Air Force trainees from 2013 to 2014. The assessment included prevalence of the use of 10 different tobacco products and demographic and environmental factors, such as risk perceptions of tobacco use, peer use, and tobacco-company influences. Latent class analysis was carried out to determine types of poly-tobacco users. Tobacco-product use was reported by 27.1{\%} of participants, and of those, over half reported using more than 1 tobacco product. Latent class analysis indicated 5 classes of poly-tobacco use. Factors associated with poly-tobacco (vs. mono-tobacco) use included lower confidence to remain tobacco-free, low harm perceptions, and receiving tobacco products free at bars or social events. Rates of dual and poly-tobacco use are high among trainees, and while these groups are similar to mono users in some ways, there are a number of differences that need to be considered when developing targeted interventions to address use of multiple tobacco products.",
keywords = "alternative tobacco products, dual tobacco use, military personnel, poly-tobacco use, risk factors, smokeless tobacco, smoking, tobacco",
author = "Little, {Melissa A.} and Zoran Bursac and Derefinko, {Karen J.} and Ebbert, {Jon Owen} and Talcott, {Gerald W.} and Ann Hryshko-Mullen and Klesges, {Robert C.}",
year = "2016",
month = "8",
day = "1",
doi = "10.1093/aje/kwv321",
language = "English (US)",
volume = "184",
pages = "211--218",
journal = "American Journal of Epidemiology",
issn = "0002-9262",
publisher = "Oxford University Press",
number = "3",

}

TY - JOUR

T1 - Types of Dual and Poly-Tobacco Users in the US Military

AU - Little, Melissa A.

AU - Bursac, Zoran

AU - Derefinko, Karen J.

AU - Ebbert, Jon Owen

AU - Talcott, Gerald W.

AU - Hryshko-Mullen, Ann

AU - Klesges, Robert C.

PY - 2016/8/1

Y1 - 2016/8/1

N2 - The present investigation was designed to determine the prevalence and types of dual and poly-use of tobacco products in the US Air Force, as well as characteristics and factors associated with these types. We conducted a cross-sectional assessment of tobacco-product use among 13,873 Air Force trainees from 2013 to 2014. The assessment included prevalence of the use of 10 different tobacco products and demographic and environmental factors, such as risk perceptions of tobacco use, peer use, and tobacco-company influences. Latent class analysis was carried out to determine types of poly-tobacco users. Tobacco-product use was reported by 27.1% of participants, and of those, over half reported using more than 1 tobacco product. Latent class analysis indicated 5 classes of poly-tobacco use. Factors associated with poly-tobacco (vs. mono-tobacco) use included lower confidence to remain tobacco-free, low harm perceptions, and receiving tobacco products free at bars or social events. Rates of dual and poly-tobacco use are high among trainees, and while these groups are similar to mono users in some ways, there are a number of differences that need to be considered when developing targeted interventions to address use of multiple tobacco products.

AB - The present investigation was designed to determine the prevalence and types of dual and poly-use of tobacco products in the US Air Force, as well as characteristics and factors associated with these types. We conducted a cross-sectional assessment of tobacco-product use among 13,873 Air Force trainees from 2013 to 2014. The assessment included prevalence of the use of 10 different tobacco products and demographic and environmental factors, such as risk perceptions of tobacco use, peer use, and tobacco-company influences. Latent class analysis was carried out to determine types of poly-tobacco users. Tobacco-product use was reported by 27.1% of participants, and of those, over half reported using more than 1 tobacco product. Latent class analysis indicated 5 classes of poly-tobacco use. Factors associated with poly-tobacco (vs. mono-tobacco) use included lower confidence to remain tobacco-free, low harm perceptions, and receiving tobacco products free at bars or social events. Rates of dual and poly-tobacco use are high among trainees, and while these groups are similar to mono users in some ways, there are a number of differences that need to be considered when developing targeted interventions to address use of multiple tobacco products.

KW - alternative tobacco products

KW - dual tobacco use

KW - military personnel

KW - poly-tobacco use

KW - risk factors

KW - smokeless tobacco

KW - smoking

KW - tobacco

UR - http://www.scopus.com/inward/record.url?scp=84982976261&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84982976261&partnerID=8YFLogxK

U2 - 10.1093/aje/kwv321

DO - 10.1093/aje/kwv321

M3 - Article

VL - 184

SP - 211

EP - 218

JO - American Journal of Epidemiology

JF - American Journal of Epidemiology

SN - 0002-9262

IS - 3

ER -