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Prevalence and Factors Associated with Smokeless Tobacco Use, 2014-2016

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Objectives: We aimed to determine whether the prevalence of current use of smokeless tobacco products (STPs) changed during 2014-2016 and examine factors associated with use among adults in the United States (US). Methods: Data were obtained from Tobacco Products and Risk Perceptions Surveys of probability samples representative of US adults in 2014, 2015, and 2016. Change over time in current (past 30 day) STP use was examined using pairwise comparisons of proportions and multivariable logistic regression. Associated factors were examined using Rao-Scott χ 2 and multivariable logistic regression. Results: The prevalence of current STP use was higher in 2015 (3.6%) than in 2014 (2.3%, p < .001) and 2016 (2.7%, p = .018) among US adults. In 2016, current STP use was associated with being male, under age 60, currently using hookah or e-cigarettes, and having less than a college degree. Rates of use did not vary by cigarette smoking status, race/ethnicity, income, or metropolitan statistical area (MSA). Conclusions: The prevalence of current STP use peaked in 2015. In 2016, current STP use was more prevalent among males and adults with lower education. Continuous monitoring of STP use is needed, particularly non-cigarette tobacco product users.
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Keywords: POLYTOBACCO USE; SMOKELESS TOBACCO; SMOKELESS TOBACCO MARKETING; SNUFF; SNUS; TOBACCO USE PREVALENCE; TOBACCO USE TRENDS

Document Type: Research Article

Affiliations: 1: Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA;, Email: [email protected] 2: Assistant Professor, Medical College of Georgia, Augusta University, Augusta, GA 3: Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA

Publication date: 2017-09-01

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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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