Ollie Ganz1, Amy M Cohn2, Renee D Goodwin3, Daniel P Giovenco4, Olivia A Wackowski5, Eugene M Talbot6, Cristine D Delnevo5. 1. Rutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, 303 George Street Suite 500, New Brunswick, NJ 08901, USA; Department of Health Behavior, Society and Policy, Rutgers School of Public Health, 683 Hoes Lane W, Piscataway, NJ 08854, USA. Electronic address: ollie.ganz@rutgers.edu. 2. Health Promotion Research Center, University of Oklahoma Health Sciences Center, 655 Research Parkway, Suite400, Oklahoma City, OK 73104, USA; Department of Pediatrics, University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, OK, 73104, USA. 3. Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, The City University of New York, 55 W 125th Street, New York, NY 10027, USA; Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USA. 4. Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY 10032, USA. 5. Rutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, 303 George Street Suite 500, New Brunswick, NJ 08901, USA; Department of Health Behavior, Society and Policy, Rutgers School of Public Health, 683 Hoes Lane W, Piscataway, NJ 08854, USA. 6. Rutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, 303 George Street Suite 500, New Brunswick, NJ 08901, USA.
Abstract
OBJECTIVE: Tobacco use remains disproportionately common among adults with internalizing problems. The rising prevalence of flavored tobacco use among this population may be a contributing factor. Using data from Wave 4 of the Population Assessment of Tobacco and Health Study, this study examined differences across adult ever tobacco users by severity of internalizing problems, in initiation of tobacco use with a flavored product and past 30-day (current) flavored tobacco use (n = 27,425). Severity of internalizing problems was measured using the Global Appraisal of Individual Needs-Short Screener Internalizing Disorder Screener. Tobacco use variables included initiation with or current use of a flavored product, assessed separately for each product. Weighted chi-square tests and multivariable modified Poisson regression models were used to examine the associations between severity of internalizing problems and each outcome. RESULTS: Controlling for covariates, ever users with severe internalizing problems were more likely to have initiated with flavors for cigarettes (adjusted prevalence ratio [aPR]: 1.16, 95% confidence interval [CI]: 1.09,1.24), cigarillos (aPR: 1.09, 95% CI: 1.03, 1.16), electronic nicotine products (aPR: 1.08, 95% CI: 1.03, 1.13) and smokeless tobacco (aPR: 1.15, 95% CI: 1.04, 1.27), relative to those with low internalizing problems. Ever users with severe internalizing problems were more likely to currently use a flavored tobacco product for cigarettes (aPR: 1.15, 95% CI: 1.07, 1.24) and cigarillos (aPR: 1.15, 95% CI: 1.04, 1.28). CONCLUSIONS: Flavored tobacco use seems disproportionately common among tobacco users with severe internalizing problems, across a variety of measures.
OBJECTIVE: Tobacco use remains disproportionately common among adults with internalizing problems. The rising prevalence of flavored tobacco use among this population may be a contributing factor. Using data from Wave 4 of the Population Assessment of Tobacco and Health Study, this study examined differences across adult ever tobacco users by severity of internalizing problems, in initiation of tobacco use with a flavored product and past 30-day (current) flavored tobacco use (n = 27,425). Severity of internalizing problems was measured using the Global Appraisal of Individual Needs-Short Screener Internalizing Disorder Screener. Tobacco use variables included initiation with or current use of a flavored product, assessed separately for each product. Weighted chi-square tests and multivariable modified Poisson regression models were used to examine the associations between severity of internalizing problems and each outcome. RESULTS: Controlling for covariates, ever users with severe internalizing problems were more likely to have initiated with flavors for cigarettes (adjusted prevalence ratio [aPR]: 1.16, 95% confidence interval [CI]: 1.09,1.24), cigarillos (aPR: 1.09, 95% CI: 1.03, 1.16), electronic nicotine products (aPR: 1.08, 95% CI: 1.03, 1.13) and smokeless tobacco (aPR: 1.15, 95% CI: 1.04, 1.27), relative to those with low internalizing problems. Ever users with severe internalizing problems were more likely to currently use a flavored tobacco product for cigarettes (aPR: 1.15, 95% CI: 1.07, 1.24) and cigarillos (aPR: 1.15, 95% CI: 1.04, 1.28). CONCLUSIONS: Flavored tobacco use seems disproportionately common among tobacco users with severe internalizing problems, across a variety of measures.
Authors: Ollie Ganz; Rajiv N Rimal; Amanda L Johnson; Amy M Cohn; Kimberly Horn; Cristine D Delnevo; Andrea C Villanti Journal: Drug Alcohol Depend Date: 2019-10-28 Impact factor: 4.492
Authors: Amy M Cohn; Ollie Ganz; Ashley A Dennhardt; James G Murphy; Sarah Ehlke; Sarah Cha; Amanda L Graham Journal: Addict Behav Date: 2019-08-21 Impact factor: 3.913
Authors: Andrea C Villanti; Amanda L Johnson; Allison M Glasser; Shyanika W Rose; Bridget K Ambrose; Kevin P Conway; K Michael Cummings; Cassandra A Stanton; Kathryn C Edwards; Cristine D Delnevo; Olivia A Wackowski; Shari P Feirman; Maansi Bansal-Travers; Jennifer K Bernat; Enver Holder-Hayes; Victoria R Green; Marushka L Silveira; Andrew Hyland Journal: JAMA Netw Open Date: 2019-10-02
Authors: Andrea H Weinberger; Michael O Chaiton; Jiaqi Zhu; Melanie M Wall; Deborah S Hasin; Renee D Goodwin Journal: Am J Prev Med Date: 2020-03-07 Impact factor: 5.043