Yingning Wang1, Hai-Yen Sung1, Tingting Yao1, James Lightwood2, Wendy Max1. 1. Institute for Health and Aging, School of Nursing, University of California, San Francisco, CA, USA. 2. Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, CA, USA.
Abstract
AIMS: To examine the transitions in smoking status among non-daily smokers who transitioned to daily or former smokers or remained as non-daily smokers during a 12-month period. We analyzed factors associated with these transitions, including the use of cigars and smokeless tobacco (SLT). DESIGN: Secondary data analyses using pooled data from the 2003, 2006/07 and 2010/11 Tobacco Use Supplements to the Current Population Survey (TUS-CPS). SETTING: United States. PARTICIPANTS: Self-respondents aged 18+ who have smoked for more than 5 years and were non-daily smokers 12 months before the interview (n = 13 673, or 14.5% of current smokers). MEASUREMENTS: Multinomial logistic regression model to determine the correlates of non-daily to daily, stable non-daily and non-daily to former smoking transitions among non-daily smokers at baseline. The model controlled for socio-demographic factors and the use of cigars and SLT. FINDINGS: Of the adults in our sample, 2.6% were non-daily smokers at baseline. Among these, 69.7% remained non-daily smokers (stable non-daily smokers), 18.4% became daily smokers (non-daily to daily smokers) and 11.9% quit smoking (non-daily to former smokers) after 12 months. The non-daily to daily versus stable non-daily smoking transition was less likely among those who were aged 65+ (P = 0.018), male (P < 0.001), Hispanic (P < 0.001), with an income of $25 000-49 999 or ≥$75 000 and current users of SLT (P = 0.003), but more likely among those without a college degree compared with the appropriate reference group. The non-daily to former versus stable non-daily smoking transition was less likely among those aged 25+, male (P = 0.013), non-Hispanic Asian (P = 0.032), without a college degree, widowed/divorced/separated (P = 0.013) or never married (P = 0.011) and current users of cigars (P = 0.003) compared with the appropriate reference group. CONCLUSIONS: While more than two-thirds of non-daily smokers in the United States remain as such after 12 months, others become daily smokers or quit. The likelihood of remaining stable non-daily smokers and of transition from non-daily to daily and non-daily to former smokers is associated with socio-demographic factors and current use of cigars and smokeless tobacco.
AIMS: To examine the transitions in smoking status among non-daily smokers who transitioned to daily or former smokers or remained as non-daily smokers during a 12-month period. We analyzed factors associated with these transitions, including the use of cigars and smokeless tobacco (SLT). DESIGN: Secondary data analyses using pooled data from the 2003, 2006/07 and 2010/11 Tobacco Use Supplements to the Current Population Survey (TUS-CPS). SETTING: United States. PARTICIPANTS: Self-respondents aged 18+ who have smoked for more than 5 years and were non-daily smokers 12 months before the interview (n = 13 673, or 14.5% of current smokers). MEASUREMENTS: Multinomial logistic regression model to determine the correlates of non-daily to daily, stable non-daily and non-daily to former smoking transitions among non-daily smokers at baseline. The model controlled for socio-demographic factors and the use of cigars and SLT. FINDINGS: Of the adults in our sample, 2.6% were non-daily smokers at baseline. Among these, 69.7% remained non-daily smokers (stable non-daily smokers), 18.4% became daily smokers (non-daily to daily smokers) and 11.9% quit smoking (non-daily to former smokers) after 12 months. The non-daily to daily versus stable non-daily smoking transition was less likely among those who were aged 65+ (P = 0.018), male (P < 0.001), Hispanic (P < 0.001), with an income of $25 000-49 999 or ≥$75 000 and current users of SLT (P = 0.003), but more likely among those without a college degree compared with the appropriate reference group. The non-daily to former versus stable non-daily smoking transition was less likely among those aged 25+, male (P = 0.013), non-Hispanic Asian (P = 0.032), without a college degree, widowed/divorced/separated (P = 0.013) or never married (P = 0.011) and current users of cigars (P = 0.003) compared with the appropriate reference group. CONCLUSIONS: While more than two-thirds of non-daily smokers in the United States remain as such after 12 months, others become daily smokers or quit. The likelihood of remaining stable non-daily smokers and of transition from non-daily to daily and non-daily to former smokers is associated with socio-demographic factors and current use of cigars and smokeless tobacco.
Authors: Pascale M Wortley; Corinne G Husten; Angela Trosclair; Jeff Chrismon; Linda L Pederson Journal: Nicotine Tob Res Date: 2003-10 Impact factor: 4.244
Authors: Kolawole S Okuyemi; Jasjit S Ahluwalia; Rachel Banks; Kari Jo Harris; Michael C Mosier; Niaman Nazir; Joshua Powell Journal: Ethn Dis Date: 2004 Impact factor: 1.847
Authors: Andrew Hyland; Hamed Rezaishiraz; Joseph Bauer; Gary A Giovino; K Michael Cummings Journal: Nicotine Tob Res Date: 2005-06 Impact factor: 4.244
Authors: Dina N K Boulos; Christopher A Loffredo; Maged El Setouhy; Fatma Abdel-Aziz; Ebenezer Israel; Mostafa K Mohamed Journal: Nicotine Tob Res Date: 2009-02-26 Impact factor: 4.244
Authors: Cheryl L Perry; MeLisa R Creamer; Benjamin W Chaffee; Jennifer B Unger; Erin L Sutfin; Grace Kong; Ce Shang; Stephanie L Clendennen; Suchitra Krishnan-Sarin; Mary Ann Pentz Journal: Nicotine Tob Res Date: 2020-06-12 Impact factor: 4.244
Authors: Madelyn Klugman; H Dean Hosgood; Simin Hua; Xiaonan Xue; Thanh-Huyen T Vu; Krista M Perreira; Sheila F Castañeda; Jianwen Cai; James R Pike; Martha Daviglus; Robert C Kaplan; Carmen R Isasi Journal: Ann Epidemiol Date: 2020-06-23 Impact factor: 3.797
Authors: Kamala Swayampakala; James F Thrasher; James W Hardin; Andrea R Titus; Jihong Liu; Geoffrey T Fong; Nancy L Fleischer Journal: Addict Behav Rep Date: 2018-10-10