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A Multiple Indicators and Multiple Causes Model of Alternative Tobacco Use

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Objective: To examine the relationship between adolescents' cigarette smoking experiences and alternative tobacco product (ATP) use. Methods: Multiple indicators and multiple causes (MIMIC) models estimated simultaneously the relationship between cigarette smoking experiences and ATP use among high school students (N=1827) completing the 2009 Virginia Youth Tobacco Survey. Results: Overall, ATP use was associated with adolescents' ever use of cigarettes, early onset of cigarette smoking, cigarettes smoked per day, and peer smoking; however, important model differences between racial/ethnic groups were observed. Conclusions: Prevention and cessation programs might reduce adolescent ATP use by targeting specific characteristics of cigarette smoking.


Document Type: Research Article


Affiliations: 1: Virginia Commonwealth University, Institute for Drug and Alcohol Studies, Department of Psychology, Richmond, VA, USA. 2: Moffitt Cancer Center, Tobacco Research & Intervention Program, Tampa, FL, USA 3: Virginia Commonwealth University, Department of Psychology, Richmond, VA, USA 4: Virginia Commonwealth University, Institute for Drug and Alcohol Studies, Department of Psychology, Richmond, VA, USA

Publication date: January 1, 2013

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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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