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Research Letter
November 3, 2015

Flavored Tobacco Product Use Among US Youth Aged 12-17 Years, 2013-2014

Author Affiliations
  • 1Center for Tobacco Products, US Food and Drug Administration, Silver Spring, Maryland
  • 2Division of Epidemiology, Services, and Prevention Research, National Institute on Drug Abuse, Bethesda, Maryland
  • 3Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York
  • 4Schroeder Institute for Tobacco Research and Policy Studies at Truth Initiative, Washington, DC
JAMA. 2015;314(17):1871-1873. doi:10.1001/jama.2015.13802

Most tobacco use begins during youth and young adulthood.1 Recent declines in prevalence of cigarette smoking among youth have coincided with increased use of e-cigarettes and hookahs.2 Although flavors other than menthol are prohibited in cigarettes in the United States,3 flavored noncigarette tobacco products are widely available and may appeal to youth. We examined flavored tobacco use among a nationally representative sample of US youth.

The Population Assessment of Tobacco and Health (PATH) Study is a household-based, nationally representative, longitudinal cohort study of 45 971 adults and youth (12-17 years) in the United States. We analyzed youth data from wave 1, collected September 2013 through December 2014 (the survey is available in the eAppendix in the Supplement). Among youth within participating households (weighted household screener rate, 54%), 78.4% participated in an audio computer-assisted interview. Nonresponse analysis showed few differences with referent national surveys.4 Survey weights were adjusted for nonresponse.

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