Associations Between Initial Water Pipe Tobacco Smoking and Snus Use and Subsequent Cigarette Smoking: Results From a Longitudinal Study of US Adolescents and Young Adults | Adolescent Medicine | JAMA Pediatrics | JAMA Network
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1.
Primack  BA, Shensa  A, Kim  KH,  et al.  Waterpipe smoking among U.S. university students.  Nicotine Tob Res. 2013;15(1):29-35.PubMedGoogle ScholarCrossref
2.
Arrazola  RA, Kuiper  NM, Dube  SR.  Patterns of current use of tobacco products among U.S. high school students for 2000-2012: findings from the National Youth Tobacco Survey.  J Adolesc Health. 2014;54(1):54-60.e9. doi:10.1016/j.jadohealth.2013.08.003.PubMedGoogle ScholarCrossref
3.
Akl  EA, Jawad  M, Lam  WY, Co  CN, Obeid  R, Irani  J.  Motives, beliefs and attitudes towards waterpipe tobacco smoking: a systematic review.  Harm Reduct J. 2013;10:12.PubMedGoogle ScholarCrossref
4.
Amrock  SM, Gordon  T, Zelikoff  JT, Weitzman  M.  Hookah use among adolescents in the United States: results of a national survey.  Nicotine Tob Res. 2014;16(2):231-237.PubMedGoogle ScholarCrossref
5.
Hafez  N, Ling  PM.  How Philip Morris built Marlboro into a global brand for young adults: implications for international tobacco control.  Tob Control. 2005;14(4):262-271.PubMedGoogle ScholarCrossref
6.
Mejia  AB, Ling  PM.  Tobacco industry consumer research on smokeless tobacco users and product development.  Am J Public Health. 2010;100(1):78-87.PubMedGoogle ScholarCrossref
7.
Peek  KJ, Kusel  J, Eyre  SL, Auerswald  CL, Halpern-Felsher  BL.  Understanding smokeless tobacco initiation and use among rural youth: an unexplored population.  J Adolesc Health. 2013;52(2):S19. doi:10.1016/j.jadohealth.2012.10.049.Google ScholarCrossref
8.
World Health Organization. Tobacco Free Initiative (TFI): WHO Study Group on Tobacco Product Regulation (TobReg). http://www.who.int/tobacco/global_interaction/tobreg/en/. Accessed October 21, 2014.
9.
Jacob  P  III, Abu Raddaha  AH, Dempsey  D,  et al.  Comparison of nicotine and carcinogen exposure with water pipe and cigarette smoking.  Cancer Epidemiol Biomarkers Prev. 2013;22(5):765-772.PubMedGoogle ScholarCrossref
10.
Palamar  JJ, Zhou  S, Sherman  S, Weitzman  M.  Hookah use among U.S. high school seniors.  Pediatrics. 2014;134(2):227-234.PubMedGoogle ScholarCrossref
11.
Richter  P, Hodge  K, Stanfill  S, Zhang  L, Watson  C.  Surveillance of moist snuff: total nicotine, moisture, pH, un-ionized nicotine, and tobacco-specific nitrosamines.  Nicotine Tob Res. 2008;10(11):1645-1652.PubMedGoogle ScholarCrossref
12.
Haddock  CK, Weg  MV, DeBon  M,  et al.  Evidence that smokeless tobacco use is a gateway for smoking initiation in young adult males.  Prev Med. 2001;32(3):262-267.PubMedGoogle ScholarCrossref
13.
Tomar  SL.  Is use of smokeless tobacco a risk factor for cigarette smoking? the U.S. experience.  Nicotine Tob Res. 2003;5(4):561-569.PubMedGoogle ScholarCrossref
14.
Severson  HH, Forrester  KK, Biglan  A.  Use of smokeless tobacco is a risk factor for cigarette smoking.  Nicotine Tob Res. 2007;9(12):1331-1337.PubMedGoogle ScholarCrossref
15.
Melikian  AA, Hoffmann  D.  Smokeless tobacco: a gateway to smoking or a way away from smoking.  Biomarkers. 2009;14(suppl 1):85-89.PubMedGoogle ScholarCrossref
16.
Fielder  RL, Carey  KB, Carey  MP.  Hookah, cigarette, and marijuana use: a prospective study of smoking behaviors among first-year college women.  Addict Behav. 2013;38(11):2729-2735.PubMedGoogle ScholarCrossref
17.
Galanti  MR, Rosendahl  I, Wickholm  S.  The development of tobacco use in adolescence among “snus starters” and “cigarette starters”: an analysis of the Swedish “BROMS” cohort.  Nicotine Tob Res. 2008;10(2):315-323.PubMedGoogle ScholarCrossref
18.
American Association for Public Opinion Research.  Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. Deerfield, IL: AAPOR; 2009.
19.
Sargent  JD, Tanski  S, Stoolmiller  M, Hanewinkel  R.  Using sensation seeking to target adolescents for substance use interventions.  Addiction. 2010;105(3):506-514.PubMedGoogle ScholarCrossref
20.
Hill  AB.  The environment and disease: association or causation?  Proc R Soc Med. 1965;58(5):295-300.PubMedGoogle Scholar
21.
Naimi  TS, Brewer  RD, Mokdad  A, Denny  C, Serdula  MK, Marks  JS.  Binge drinking among US adults.  JAMA. 2003;289(1):70-75.PubMedGoogle ScholarCrossref
22.
Bouchery  EE, Harwood  HJ, Sacks  JJ, Simon  CJ, Brewer  RD.  Economic costs of excessive alcohol consumption in the U.S., 2006.  Am J Prev Med. 2011;41(5):516-524.PubMedGoogle ScholarCrossref
23.
Centers for Disease Control and Prevention (CDC).  Vital signs: binge drinking prevalence, frequency, and intensity among adults: United States, 2010.  MMWR Morb Mortal Wkly Rep. 2012;61(1):14-19.PubMedGoogle Scholar
24.
Honaker  J, King  G, Blackwell  M, Amelia  II.  A program for missing data.  J Stat Softw. 2011;45(7):1-47.Google Scholar
25.
Sutfin  EL, McCoy  TP, Reboussin  BA, Wagoner  KG, Spangler  J, Wolfson  M.  Prevalence and correlates of waterpipe tobacco smoking by college students in North Carolina.  Drug Alcohol Depend. 2011;115(1-2):131-136.PubMedGoogle ScholarCrossref
26.
Hampson  SE, Tildesley  E, Andrews  JA, Barckley  M, Peterson  M.  Smoking trajectories across high school: sensation seeking and hookah use.  Nicotine Tob Res. 2013;15(8):1400-1408.PubMedGoogle ScholarCrossref
27.
Cobb  CO, Shihadeh  A, Weaver  MF, Eissenberg  T.  Waterpipe tobacco smoking and cigarette smoking: a direct comparison of toxicant exposure and subjective effects.  Nicotine Tob Res. 2011;13(2):78-87.PubMedGoogle ScholarCrossref
28.
Rastam  S, Eissenberg  T, Ibrahim  I, Ward  KD, Khalil  R, Maziak  W.  Comparative analysis of waterpipe and cigarette suppression of abstinence and craving symptoms.  Addict Behav. 2011;36(5):555-559.PubMedGoogle ScholarCrossref
29.
Villanti  AC, Richardson  A, Vallone  DM, Rath  JM.  Flavored tobacco product use among U.S. young adults.  Am J Prev Med. 2013;44(4):388-391.PubMedGoogle ScholarCrossref
30.
Vansickel  AR, Shihadeh  A, Eissenberg  T.  Waterpipe tobacco products: nicotine labelling versus nicotine delivery.  Tob Control. 2012;21(3):377-379.PubMedGoogle ScholarCrossref
31.
Morris  DS, Fiala  SC, Pawlak  R.  Opportunities for policy interventions to reduce youth hookah smoking in the United States.  Prev Chronic Dis. 2012;9:E165. doi:10.5888/pcd9.120082.PubMedGoogle ScholarCrossref
32.
Furberg  H, Lichtenstein  P, Pedersen  NL, Bulik  C, Sullivan  PF.  Cigarettes and oral snuff use in Sweden: prevalence and transitions.  Addiction. 2006;101(10):1509-1515.PubMedGoogle ScholarCrossref
33.
Ramström  LM, Foulds  J.  Role of snus in initiation and cessation of tobacco smoking in Sweden.  Tob Control. 2006;15(3):210-214.PubMedGoogle ScholarCrossref
34.
Popova  L, Ling  PM.  Alternative tobacco product use and smoking cessation: a national study.  Am J Public Health. 2013;103(5):923-930.PubMedGoogle ScholarCrossref
35.
Ling  PM, Haber  LA, Wedl  S.  Branding the rodeo: a case study of tobacco sports sponsorship.  Am J Public Health. 2010;100(1):32-41.PubMedGoogle ScholarCrossref
36.
Tobacco Control Legal Consortium.  Regulatory Options for Snus. Saint Paul, MN: Public Health Law Center; 2013.
37.
Vanyukov  MM, Tarter  RE, Kirillova  GP,  et al.  Common liability to addiction and “gateway hypothesis”: theoretical, empirical and evolutionary perspective.  Drug Alcohol Depend. 2012;123(suppl 1):S3-S17.PubMedGoogle ScholarCrossref
38.
Jessor  R.  Problem-behavior theory, psychosocial development, and adolescent problem drinking.  Br J Addict. 1987;82(4):331-342.PubMedGoogle ScholarCrossref
39.
Redhead  CS, Garvey T.  FDA Final Rule Restricting the Sale and Distribution of Cigarettes and Smokeless Tobacco. Washington, DC: Congressional Research Service; 2010.
40.
Tobacco Control Legal Consortium.  A Deeming Regulation: What Is Possible Under the Law. Saint Paul, MN: Public Health Law Center; 2014.
Original Investigation
February 2015

Associations Between Initial Water Pipe Tobacco Smoking and Snus Use and Subsequent Cigarette Smoking: Results From a Longitudinal Study of US Adolescents and Young Adults

Author Affiliations
  • 1Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
  • 2Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
  • 3Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
JAMA Pediatr. 2015;169(2):129-136. doi:10.1001/jamapediatrics.2014.2697
Abstract

Importance  Many adolescents and young adults use alternative tobacco products, such as water pipes and snus, instead of cigarettes.

Objective  To assess whether prior water pipe tobacco smoking and snus use among never smokers are risk factors for subsequent cigarette smoking.

Design, Setting, and Participants  We conducted a 2-wave national longitudinal study in the United States among 2541 individuals aged 15 to 23 years old. At baseline (October 25, 2010, through June 11, 2011), we ascertained whether respondents had smoked cigarettes, smoked water pipe tobacco, or used snus. At the 2-year follow-up (October 27, 2012, through March 31, 2013), we determined whether baseline non–cigarette smokers had subsequently tried cigarette smoking, were current (past 30 days) cigarette smokers, or were high-intensity cigarette smokers. We fit multivariable logistic regression models among baseline non–cigarette smokers to assess whether baseline water pipe tobacco smoking and baseline snus use were associated with subsequent cigarette smoking initiation and current cigarette smoking, accounting for established sociodemographic and behavioral risk factors. We fit similarly specified multivariable ordinal logistic regression models to assess whether baseline water pipe tobacco smoking and baseline snus use were associated with high-intensity cigarette smoking at follow-up.

Exposures  Water pipe tobacco smoking and the use of snus at baseline.

Main Outcomes and Measures  Among baseline non–cigarette smokers, cigarette smoking initiation, current (past 30 days) cigarette smoking at follow-up, and the intensity of cigarette smoking at follow-up.

Results  Among 1596 respondents, 1048 had never smoked cigarettes at baseline, of whom 71 had smoked water pipe tobacco and 20 had used snus at baseline. At follow-up, accounting for behavioral and sociodemographic risk factors, baseline water pipe tobacco smoking and snus use were independently associated with cigarette smoking initiation (adjusted odds ratios: 2.56; 95% CI, 1.46-4.47 and 3.73; 95% CI, 1.43-9.76, respectively), current cigarette smoking (adjusted odds ratios: 2.48; 95% CI, 1.01-6.06 and 6.19; 95% CI, 1.86-20.56, respectively), and higher intensity of cigarette smoking (adjusted proportional odds ratios: 2.55; 95% CI, 1.48-4.38 and 4.45; 95% CI, 1.75-11.27, respectively).

Conclusions and Relevance  Water pipe tobacco smoking and the use of snus independently predicted the onset of cigarette smoking and current cigarette smoking at follow-up. Comprehensive Food and Drug Administration regulation of these tobacco products may limit their appeal to youth and curb the onset of cigarette smoking.

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