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Pan Y, Ballard A, Cho B. Sex and Racial/Ethnic Patterns of Tobacco Product Use Among Students at a U.S. University in 2021-2023. Subst Use Misuse 2024; 59:1249-1255. [PMID: 38532555 DOI: 10.1080/10826084.2024.2330919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/28/2024]
Abstract
Background: Although the prevalence of conventional tobacco product use among U.S. college students has declined, an increasing number of students use various novel tobacco products. Objectives: This study aims to examine up-to-date sex and racial/ethnic patterns of tobacco use among students at a U.S. university in 2021-2023. Methods: Data of 2,732 students at an urban university in the Southeast of the U.S. were collected in 2021-2023 as part of the National College Health Assessment of the American College Health Association. Self-reported past 3-month use of five tobacco products (cigarette, electronic vapor products, water pipe/hookah, smokeless tobacco, and cigars) was dichotomized. We conducted multinomial logistic regression analysis to examine sex (male or female) and racial/ethnic (non-Hispanic White, non-Hispanic Black, Hispanic, or non-Hispanic Other) differences in single and dual/poly (con-current use of two or more tobacco products) tobacco use compared to nonuse, adjusting for age, student status, parent education level, obese status, psychological distress level, and survey year. Results: Male students had higher odds of being dual/poly tobacco user than female students, adjusting for covariates (adjusted odds ratio [AOR] = 2.00, 95% confidence interval [CI] = 1.42, 2.82). Non-Hispanic Black students had lower odds of being single (AOR = 0.43, 95% CI = 0.26, 0.69) and dual/poly (AOR = 0.09, 95% CI = 0.02, 0.37) tobacco user compared to non-Hispanic White students, adjusting for covariates. Conclusions: Considering higher health risk of con-current use of multiple tobacco products, dual/poly tobacco use prevention strategies targeting male and non-Hispanic White students may be considered.
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Affiliation(s)
- Yining Pan
- Department of Public Health, University of North Florida, Jacksonville, FL, USA
| | - Ashley Ballard
- Department of Recreation and Wellness, University of North Florida, Jacksonville, FL, USA
| | - Beomyoung Cho
- Department of Public Health, University of North Florida, Jacksonville, FL, USA
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Hart JL, Ridner SL, Wood LA, Walker KL, Groom A, Kesh A, Landry RL, Payne TJ, Ma JZ, Robertson RM, Hart PE, Giachello AL, Vu THT. Associations between tobacco use patterns and demographic characteristics of sexual minority and heterosexual youth: Results from a nationwide online survey. Tob Prev Cessat 2020; 6:69. [PMID: 33336121 PMCID: PMC7737560 DOI: 10.18332/tpc/130348] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 10/14/2020] [Accepted: 11/10/2020] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Youth are at risk for tobacco use, and previous research has pointed to increased vulnerabilities associated with sexual minority identity. For example, LGB youth have increased odds for using tobacco than their heterosexual peers, and bisexual youth have higher odds of smoking than other sexual identity groups. As new tobacco products proliferate and health risks from dual/poly use grow, increased understanding of tobacco use patterns by sexual minority youth is needed. METHODS For 3117 youth, aged 13–18 years, who completed an online questionnaire in 2017 and identified their sexual orientation [minority (e.g. lesbian/gay, bisexual, or pansexual) vs majority (heterosexual)] and gender, we classified current tobacco use into four categories: e-cigarette only, other product only (such as cigarette, cigar, or smokeless tobacco; not an e-cigarette), dual/poly use, and no use. Analyses were conducted separately for male and female participants. Multinomial logistic regression was employed. RESULTS Female sexual minority youth had nearly twofold odds of dual/ poly tobacco use (OR=1.95; 95% CI: 1.12–3.40), compared to their heterosexual counterparts. For male youth, sexual minority identification was not significantly associated with dual/poly use. No significant differences were found in sexual minority and heterosexual youth e-cigarette only or other tobacco only use groups. Tobacco use patterns also significantly differed by age, race, place of residence, and parental education level. CONCLUSIONS Study findings reveal greater odds of dual/poly tobacco use for female sexual minority youth. Tailored tobacco prevention and cessation programs or interventions are needed for sexual minority youth most at risk of tobacco use, especially multiple product use.
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Affiliation(s)
- Joy L Hart
- Department of Communication, University of Louisville, Louisville, United States.,Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,School of Medicine, University of Louisville, Christina Lee Brown Envirome Institute, Louisville, United States
| | - S Lee Ridner
- College of Nursing, University of South Alabama, Mobile, United States
| | - Lindsey A Wood
- Department of Communication, University of Louisville, Louisville, United States.,School of Medicine, University of Louisville, Christina Lee Brown Envirome Institute, Louisville, United States
| | - Kandi L Walker
- Department of Communication, University of Louisville, Louisville, United States.,Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,School of Medicine, University of Louisville, Christina Lee Brown Envirome Institute, Louisville, United States
| | - Allison Groom
- Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,American Heart Association, Dallas, United States
| | - Anshula Kesh
- Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,American Heart Association, Dallas, United States
| | - Robyn L Landry
- Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,American Heart Association, Dallas, United States
| | - Thomas J Payne
- Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, United States
| | - Jennie Z Ma
- Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,School of Medicine, Public Health Sciences, University of Virginia, Charlottesville, United States
| | - Rose Marie Robertson
- Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,American Heart Association, Dallas, United States
| | - Paige E Hart
- School of Medicine, University of Louisville, Louisville, United States
| | - Aida L Giachello
- Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, United States
| | - Thanh-Huyen T Vu
- Tobacco Center for Regulatory Science, American Heart Association, Dallas, United States.,Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, United States
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