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Predictors of Smokeless Tobacco Initiation in a Young Adult Military Cohort

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Objective: To identify predictors of smokeless tobacco (ST) initiation among young adults. Methods: A military cohort (N=28,229) was analyzed to identify variables associated with ST initiation. Results: Baseline current cigarette smoking at baseline was a strong predictor for any ST use (OR 3.88; 95% CI: 3.33-4.52) and daily ST use (OR 3.01, 2.34-3.88) as was experimental ST use for any (OR 2.39, 2.09-2.73) and daily ST use (OR 2.41, 1.93-3.01). Conclusions: Smoking and previous ST use are strong predictors for ST use in adults. Research is needed to characterize ST initiation and changes in smoking behavior over time.
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Keywords: cohort studies; military personnel; risk factors; smokeless; smoking; tobacco

Document Type: Research Article

Affiliations: 1: Mayo Clinic College of Medicine, Mayo Clinic, Rochester, MN. 2: Health Psychology and Medicine, University of Missouri – Kansas City, Kansas City, MO. 3: Department of Preventive Medicine, Health Services Center, University of Tennessee, Memphis, TN.

Publication date: 2006-01-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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