Tobacco Use Insights最新文献

{"title":"Engagement in Tobacco Use Prompting During Childhood or Adolescence and Its Association with Tobacco Use in Adulthood among Colombian Women.","authors":"Isabel C Scarinci,&nbsp;Isabel C Garcés-Palacio","doi":"10.1177/1179173X20949265","DOIUrl":"https://doi.org/10.1177/1179173X20949265","url":null,"abstract":"<p><p>Although most tobacco users initiate this behavior before the age of 18, little is known about engaging in tobacco use prompting behaviors (TPBs) during childhood/adolescence and tobacco use in adulthood, particularly among women in low- and middle-income countries (LMICs). The purpose of this study was to examine engagement in TPBs during childhood or adolescence and tobacco use in adulthood among Colombian women and whether or not current/past tobacco users who were engaged in TPBs during their childhood or adolescence had more odds of engaging other children or adolescents in these behaviors as adults. There were 4262 adult women who were recruited and completed an interviewer-administered survey through a door-to-door approach across the 9 regions of Antioquia, Colombia using a multi-stage probabilistic sampling. TPBs were defined as someone being asked to: (1) empty an ashtray, (2) buy cigarettes, (3) put the cigarette in their mouth and light it, (4) light a cigarette without putting it in their mouth, or (5) smoke with the adult during childhood or adolescence. We conducted bivariate regression logistic models where variables with a <i>P</i> < .25 were included in a parsimonious model. Approximately 40% of participants (41%) reported engaging in TPBs in childhood or adolescence. Buying cigarettes, lighting cigarettes with their mouth, and smoking with an adult were significantly associated with tobacco use in adulthood. Current/past tobacco users who reported being engaged in TPBs during childhood or adolescence (except for smoking with an adult) had higher odds of prompting these behaviors as adults. TPBs during childhood or adolescence are relevant contributors to tobacco use in adulthood among Colombian women.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20949265"},"PeriodicalIF":2.2,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20949265","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38431094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Level Factors Associated with Oncology Provider-Delivered Brief Tobacco Treatment Among Recently Diagnosed Cancer Patients.","authors":"J M Neil,&nbsp;S N Price,&nbsp;E R Friedman,&nbsp;C Ponzani,&nbsp;J S Ostroff,&nbsp;A Muzikansky,&nbsp;E R Park","doi":"10.1177/1179173X20949270","DOIUrl":"https://doi.org/10.1177/1179173X20949270","url":null,"abstract":"<p><strong>Background: </strong>A cancer diagnosis is seen as a \"teachable moment\" for patients to consider changing their behavioral risk factors, such as smoking. It also offers an opportunity for oncology providers to engage in a dialogue about how they can support patients changing their smoking behaviors. Brief, evidence-based tobacco cessation treatment delivered by oncology providers through the 5As (Ask, Advise, Assess, Assist Arrange) model is recommended, but provision to cancer patients remains suboptimal.</p><p><strong>Aim: </strong>Explore patient-level factors associated with 5As receipt among current smokers with a newly diagnosed cancer.</p><p><strong>Method: </strong>A total of 303 patients self-reported whether they received each of the 5As during their most recent oncology care visit. Multivariable regression analyses were conducted to identify patient-level factors associated with 5As receipt.</p><p><strong>Results: </strong>Oncology provider-delivered 5As rates ranged from 81.5% (Ask) to 30.7% (Arrange). 5As receipt was associated with: reporting lower illness-related stigma, diagnosis of a comorbid smoking-related disease, diagnosis of a smoking-related cancer, and diagnosis of a non-advanced cancer.</p><p><strong>Conclusion: </strong>Findings support previous literature in which smoking-related diagnoses were associated with greater receipt of 5As; however, disparities in the receipt of 5As existed for patients with more advanced cancer diagnoses and illness-related stigma. Inequities in the provision of quit assistance may further decrease treatment effectiveness and survival expectancy among certain patient populations. These findings are, therefore, important as they identify specific patient-level factors associated with lower 5As receipt among newly diagnosed cancer patients.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20949270"},"PeriodicalIF":2.2,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20949270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38431095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developmental Trajectories of Tobacco/Nicotine and Cannabis Use and Patterns of Product Co-use in Young Adulthood.","authors":"Michael S Dunbar,&nbsp;Jordan P Davis,&nbsp;Joan S Tucker,&nbsp;Rachana Seelam,&nbsp;Regina A Shih,&nbsp;Elizabeth J D'Amico","doi":"10.1177/1179173X20949271","DOIUrl":"https://doi.org/10.1177/1179173X20949271","url":null,"abstract":"<p><strong>Introduction: </strong>Concurrent co-use of tobacco/nicotine and cannabis (T/C) products is common among young people and may increase risks for negative health and psychosocial outcomes, but little is known about developmental patterns of T/C co-use. This study aimed to identify distinct trajectory classes of concurrent T/C co-use from ages 16 to 21 and compare groups on T/C co-use behaviors in young adulthood.</p><p><strong>Methods: </strong>Participants (n = 2497) reported T/C use on annual online surveys from 2015 to 2019 (ages 16-22). We used parallel process growth mixture models to model simultaneous trajectories of past-month cigarette, e-cigarette, smokeless tobacco, and cannabis use and identify latent classes of T/C trajectories. Classes were then compared on types and number of T/C products used and types of T/C co-use in young adulthood.</p><p><strong>Results: </strong>Models revealed 4 T/C classes: <i>Low/No T/C Use, Early Concurrent T/C Co-use, Late Concurrent T/C Co-use</i>, and <i>Tobacco Quitters/Cannabis Maintainers</i>. Compared to other classes, the <i>Early Concurrent T/C Co-use</i> group-individuals with rapid progression to concurrent T/C co-use during adolescence-were more likely to report poly-tobacco use, poly-cannabis use, same-occasion sequential T/C co-use and T/C co-administration (ie, mixing T/C) of both combustible and vaping products in young adulthood.</p><p><strong>Conclusion: </strong>Early progression to concurrent T/C co-use in adolescence is prospectively linked to poly-product use and co-use of T/C products in young adulthood. Prevention efforts targeting co-use of T/C products in adolescence may help to reduce riskier patterns of T/C use and co-use in young adulthood.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20949271"},"PeriodicalIF":2.2,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20949271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38472934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Natural Course of Cigarette Smoking among Adolescent Daily Smokers in France and Quebec.","authors":"Laetitia Minary,&nbsp;Nelly Agrinier,&nbsp;Erika N Dugas,&nbsp;Marie-Pierre Sylvestre,&nbsp;Jennifer O'Loughlin","doi":"10.1177/1179173X20943549","DOIUrl":"https://doi.org/10.1177/1179173X20943549","url":null,"abstract":"<p><strong>Objective: </strong>To describe the natural course of cigarette smoking and nicotine dependence (ND) over 1-year in daily smokers ages 15 to 17 living in different social contexts.</p><p><strong>Method: </strong>Cigarette smoking and ND indicators were measured at baseline and 3- and 12-months thereafter among 95 daily smokers with a total of 123 observations from the Nicotine Dependence in Teens (NDIT) Study in Quebec, Canada, and in 111 daily smokers from the TABagisme chez les ADOlescents (TABADO) Study in Lorraine, France.</p><p><strong>Results: </strong>NDIT and TABADO participants initiated smoking a mean (SD) of 3.9 (1.6) and 3.7 (2.0) years prior to baseline, respectively. Despite baseline differences in age, sex, age at initiation, number of cigarettes smoked per day and social context, 85% of participants in both samples reported cravings and responded \"yes\" to \"felt like you really need a cigarette\". Mean (SD) number of cigarettes smoked per day increased from 9.4 (8.1) to 11.8 (8.0) over 1 year in NDIT (adjusted mean difference (95% CI) = 2.4 (0.8, 3.0)), and from 11.5 (6.5) to 13.5 (6.7) in TABADO (adjusted mean difference (95% CI) = 2.0 (0.8, 3.1)). However, most ND indicators in both samples were stable over time and cessation was infrequent.</p><p><strong>Conclusion: </strong>Despite notable differences across samples, the natural course of cigarettes smoked per day, ND symptoms and cessation was similar, suggestive of an underlying biologic rather than social process. To quit, adolescents who smoke daily will likely need (pharmacologic) intervention to counter the biological mechanisms underpinning ND, as well as complementary strategies targeting the social context such as creating social environments favoring cessation success.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20943549"},"PeriodicalIF":2.2,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20943549","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38472931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Guided Imagery Telephone-Based Tobacco Cessation Program for a Randomized Controlled Trial.","authors":"Julie S Armin, Uma Nair, Peter Giacobbi, Gayle Povis, Yessenya Barraza, Judith S Gordon","doi":"10.1177/1179173X20949267","DOIUrl":"10.1177/1179173X20949267","url":null,"abstract":"<p><strong>Background/aims: </strong>Guided imagery is an evidence-based, multi-sensory, cognitive process that can be used to increase motivation and achieve a desired behavior. Quitlines are effective, standard care approaches for tobacco cessation; however, utilization of quitlines is low. Using guided imagery-based interventions for smoking cessation may appeal to smokers who do not utilize traditional quitline services. This paper reports the development of program materials for a randomized controlled feasibility trial of a guided imagery-based smoking cessation intervention. The objective of the formative work was to ensure that program materials are inclusive of groups that are less likely to use quitlines, including men and racial/ethnic minority tobacco users.</p><p><strong>Methods: </strong>A three-phase process was used to complete formative assessment: (1) integration of evidence-based cessation practices into program development; (2) iterative small group interviews (N = 46) to modify the program; and (3) pilot-testing the coaching protocol and study process among a small sample of smokers (N = 5).</p><p><strong>Results: </strong>The Community Advisory Board and project consultants offered input on program content and study recruitment based on their knowledge of minority communities with whom they conduct outreach. Small group interview participants included members of underserved quitline populations (52.37% non-white; 55.56% men). Only 28.26% of participants had prior experience with guided imagery, but others described the use of similar mindfulness and meditation practices. Participant feedback was incorporated into program materials and protocols.</p><p><strong>Discussion: </strong>Iteratively collected feedback and pilot testing influenced program content and delivery and informed study processes for a randomized controlled feasibility trial of a telephone-delivered, guided imagery-based intervention.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20949267"},"PeriodicalIF":2.2,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20949267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38472932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in Addressing Patients' Smoking: Cross-Sectional Data from 2002 and 2014 among Physicians in Estonia.","authors":"Mariliis Põld,&nbsp;Kersti Pärna","doi":"10.1177/1179173X20949269","DOIUrl":"https://doi.org/10.1177/1179173X20949269","url":null,"abstract":"<p><strong>Background: </strong>For health professionals, personal and contextual factors influence addressing patients' smoking habits. The objective of the study was to describe frequency of addressing patients' smoking in 2002 and 2014 and to analyse factors related to addressing patients' smoking habits.</p><p><strong>Methods: </strong>Data of physicians from 2 postal cross-sectional surveys were used (n = 4140 in 2002, n = 5666 in 2014). The number of respondents was 2747 in 2002 and 2903 in 2014. The corrected response rate was 67.8% and 53.1%, respectively. Age-standardized frequency of addressing patients' smoking during the last 7 days was determined. Distribution of other variables along with confidence intervals (CI) was calculated. Logistic regression was used to analyse association of addressing patients' smoking with attitudes and perceived barriers regarding addressing patients' smoking and with background factors. Fully adjusted odds ratios (OR) with 95% CIs were calculated.</p><p><strong>Results: </strong>The age-standardized prevalence of addressing patients' smoking habits among men was 84.4% (95% CI 80.3-88.5) in 2002 and 88.3% (95% CI (84.5-92.2) in 2014, among women 82.1% (95% CI 80.2-83.9) and 89.0% (95% CI 87.2-90.8), respectively. According to logistic regression analysis, in 2014, significantly more physicians agreed that it is doctors' responsibility to convince people to stop smoking (among men, OR 2.32; 95% CI 1.19-4.54, among women OR 1.41; 95% CI 1.06-1.88), that smoking prevention should form part of health professionals' training, that physicians should have smoking related hand-out materials, and that lack of time was a barrier to addressing patients' smoking. Addressing patients' smoking was significantly associated with attitudes and perceived barriers regarding addressing patients' smoking, age, and other background factors (among women only).</p><p><strong>Conclusions: </strong>Addressing patients' smoking habits was more common in 2014 than in 2002, but the change was significant among women only. Compared to 2002, in 2014 physicians' attitudes regarding addressing patients' smoking were more approving. Results of this study are useful for policymakers and institutions involved in organization and development of smoking prevention training and cessation services.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20949269"},"PeriodicalIF":2.2,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20949269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38472933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ecological Exploration of Knowledge and Attitudes Towards Tobacco and E-Cigarettes Among Primary School Children, Teachers, and Parents in Wales: A Qualitative Study.","authors":"Rachel Brown, Jordan Van Godwin, Lauren Copeland, Britt Hallingberg, Lianna Angel, Sarah MacDonald, Jeremy Segrott, Graham Moore","doi":"10.1177/1179173X20938770","DOIUrl":"10.1177/1179173X20938770","url":null,"abstract":"<p><p>Experimentation with e-cigarettes has grown rapidly among UK adolescents. To date, this topic has been primarily researched in secondary schools, with less understanding of development of attitudes and behaviours at an earlier age. This research reports qualitative data from interviews with pupils, parents, and teachers at 4 case study schools in Wales (N = 42). It draws on Bronfenbrenner's Ecological Systems Theory to consider how the intersection of systems surrounding primary school-age children and their interaction with these systems, shape knowledge, and attitudes towards e-cigarettes and tobacco. Findings indicate that consistent messaging on smoking from school and family was reflected in strong disapproval among pupils and clear understanding of harms. This was less evident for e-cigarettes, where messages were mixed and inconsistent between home and school, with concerns over what to tell children about e-cigarettes in light of mixed messages and absence of official guidance. Implications of findings for policy and teaching are discussed.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20938770"},"PeriodicalIF":2.2,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7425248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38311893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Vaping Teenager: Understanding the Psychographics and Interests of Adolescent Vape Users to Inform Health Communication Campaigns.","authors":"Carolyn Ann Stalgaitis,&nbsp;Mayo Djakaria,&nbsp;Jeffrey Washington Jordan","doi":"10.1177/1179173X20945695","DOIUrl":"https://doi.org/10.1177/1179173X20945695","url":null,"abstract":"<p><strong>Background: </strong>Adolescent vaping continues to rise, yet little is known about teen vape users beyond demographics. Effective intervention requires a deeper understanding of the psychographics and interests of adolescent vape users to facilitate targeted communication campaigns.</p><p><strong>Methods: </strong>We analyzed the 2017-2018 weighted cross-sectional online survey data from Virginia high school students (N = 1594) to identify and describe subgroups of adolescents who vaped. Participants reported 30-day vape use, identification with 5 peer crowds (Alternative, Country, Hip Hop, Mainstream, Popular), social prioritization, agreement with personal values statements, social media and smartphone use, and television and event preferences. We compared vaping rates and frequency by peer crowd using a chi-square analysis with follow-up testing to identify higher-risk crowds and confirmed associations using binary and multinomial logistic regression models with peer crowd scores predicting vaping, controlling for demographics. We then used chi-square and <i>t</i> tests to describe the psychographics, media use, and interests of higher-risk peer crowds and current vape users within those crowds.</p><p><strong>Results: </strong>Any current vaping was the highest among those with Hip Hop peer crowd identification (25.4%), then Popular (21.3%). Stronger peer crowd identification was associated with increased odds of any current vaping for both crowds, vaping on 1 to 19 days for both crowds, and vaping on 20 to 30 days for Hip Hop only. Compared with other peer crowds and non-users, Hip Hop and Popular youth and current vape users reported greater social prioritization and agreement with values related to being social and fashionable. Hip Hop and Popular youth and current vape users reported heavy Instagram and Snapchat use, as well as unique television show and event preferences.</p><p><strong>Conclusions: </strong>Hip Hop and Popular adolescents are most likely to vape and should be priority audiences for vaping prevention campaigns. Findings should guide the development of targeted health communication campaigns delivered via carefully designed media strategies.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20945695"},"PeriodicalIF":2.2,"publicationDate":"2020-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20945695","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38403312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeting Nonsmokers to Help Smokers Quit: Features of a Large-scale Intervention.","authors":"Gary J Tedeschi, Leslie S Zoref, Sharon E Cummins, Shu-Hong Zhu","doi":"10.1177/1179173X20943565","DOIUrl":"10.1177/1179173X20943565","url":null,"abstract":"<p><p>Smoking continues to be a major public health problem, despite a substantial decline in prevalence rates over the last decades. Quit smoking interventions typically target smokers, whether through individual or group treatment or through broader public health campaigns. Yet, nonsmokers represent a vast and largely untapped resource to help smokers quit. This article describes an innovative approach that targeted nonsmokers through a media-style campaign with repeated reminders about smoking cessation. We tested the nonsmoker intervention in a large randomized trial and showed it to be effective in helping smokers quit. Components of the intervention included repeated mailings with relevant cessation messages over a 10-week period, 2 brief check-in telephone calls, and access to a study Web site. In this article, we discuss details of the intervention development, content, and implementation.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20943565"},"PeriodicalIF":2.1,"publicationDate":"2020-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/61/10.1177_1179173X20943565.PMC7378709.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38229077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco Use Among College Students Across Various Disciplines in Kerala, India.","authors":"Priya G Menon,&nbsp;Sanju George,&nbsp;B Sivasankaran Nair,&nbsp;Anjana Rani,&nbsp;K Thennarasu,&nbsp;T S Jaisoorya","doi":"10.1177/1179173X20938773","DOIUrl":"https://doi.org/10.1177/1179173X20938773","url":null,"abstract":"<p><strong>Background: </strong>Tobacco use is a major public health concern in India. Its use in young people is linked to increased severity, longer duration, and reduced efforts to seek treatment for tobacco use. A significant proportion of young people are enrolled in colleges, and early prevention during this period has better effectiveness. There is preliminary evidence that prevalence may vary across courses even among students of the same sociocultural background. Hence, we compared the prevalence and correlates of tobacco use among college students enrolled in five common streams of collegiate education (medical, nursing, engineering, arts/science and others, law/fisheries) in Kerala, India.</p><p><strong>Methods: </strong>5784 college students from 58 colleges (medical, nursing, engineering, arts, and law and fisheries) selected by cluster random sampling in the district of Ernakulum, Kerala, completed a self-administered questionnaire incorporating standardized instruments. R software was used for analyses. Lifetime prevalence and severity of tobacco use were determined. Sociodemographic variables of tobacco users and nonusers enrolled in various courses were compared using chi-square test and two-way ANOVA. Furthermore, for each course, factors influencing tobacco use were identified using multivariable logistic regression analysis.</p><p><strong>Results: </strong>The mean age of the sample was 19.5 ± 1.9 years, with the majority being female (65.3%). Lifetime prevalence of tobacco use varied from 0.5% in nursing students, 4.2% in medical students, 8.2% in students of arts and science, 12.5% in engineering students, and 22.8% among other students (law/fisheries). Approximately two-thirds of all tobacco users across courses showed signs of nicotine dependence. Dependent users also showed variance with none in nursing, 2.6% among medicine, 1.6% among arts and science, 1.9% among engineering, and 6.3% among others. Male gender and alcohol use were consistently associated with tobacco use across courses, whereas other examined psychosocial correlates showed variance.</p><p><strong>Conclusions: </strong>To conclude, it appears that among college students, course-level characteristics may influence risk of tobacco use. This has public health importance as it suggests that interventions need to be tailored bearing this in mind. Future research needs to examine campus-level characteristics that may explain variance.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20938773"},"PeriodicalIF":2.2,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20938773","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38189717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}