Latent transition analysis of use frequencies for multiple nicotine and tobacco products among US adults

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2024-11-23 DOI:10.1016/j.addbeh.2024.108217

Ritesh Mistry PhD , Irina Bondarenko , Jihyoun Jeon , Andrew F. Brouwer , Evelyn Jimenez Mendoza , David T. Levy , Michael R. Elliott , Jamie Tam , Nancy L. Fleischer , Rafael Meza

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引用次数: 0

Abstract

Background

Given the many nicotine and tobacco products in use, studies of the interdependence of use patterns and transitions are needed.

Methods

Using Waves 1–4 of the PATH Study, we analyzed latent transitions among adults who ever regularly used nicotine or tobacco products at Wave 1 to identify latent use states (n = 12,358) and estimated one-wave transition probabilities. Multinomial logistic regression identified demographic factors associated with transitions.

Results

We identified seven latent states: Non-current (42.5% in Wave 1); Daily Cigarette (29.7%); Non-daily Cigarette (9.8%); Daily Cigarette and Non-daily Polytobacco (DCNP, 7.4%), Daily Smokeless Tobacco (SLT, 4.9%); Non-daily Cigar (3.2%); and Daily ENDS (Electronic Nicotine Delivery Systems) and Non-daily Cigarette (DENC, 2.4%). Among Daily Cigarette, 93% did not transition, 2.2% transitioned to Non-daily cigarette, 1.7% to DENC, and 2.2% to Non-current. Among DENC, 87.4% did not transition, 7.3% transitioned to Daily Cigarette, and 3.8% to Non-current. Lower income was associated with lower odds of transitioning from Daily Cigarette and DCNP to Non-daily Cigarette and DENC use. Lower education was associated with higher odds of relapse. Non-Hispanic Blacks were more likely than Non-Hispanic Whites to transition from Daily Cigarette to DCNP and less likely to transition to DENC.

Conclusions

Most individuals remained in their latent use state. The polytobacco and non-daily use states were most likely to transition. Non-Hispanic Blacks were more likely to make harmful transitions, and lower socioeconomic status was associated with a lower probability of transitioning to less harmful states. These differences in transitions may influence tobacco- and nicotine-related health disparities.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.