TY - JOUR
T1 - Identifying behavioural characteristics of tobacco product and e-cigarette use clusters
T2 - A repeat cross-sectional analysis
AU - Cole, Adam G.
AU - Chaurasia, Ashok
AU - Kennedy, Ryan D.
AU - Leatherdale, Scott T.
N1 - Funding Information:
The COMPASS study was supported by the Canadian Institutes of Health Research [ OOP-110788, MOP-114875 ]. Dr. Leatherdale is a Chair in Applied Public Health funded by the Public Health Agency of Canada in partnership with Canadian Institutes of Health Research . Dr. Cole was funded by the Canadian Institutes of Health Research at the time of the study [ GSD-140312 ]. The funding sources had no role in the study design; in the collection, analysis and interpretation of data; in the writing of the manuscript; or in the decision to submit the article for publication.
Publisher Copyright:
© 2018 Elsevier Ltd
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/3
Y1 - 2019/3
N2 - Background: Youth may use a variety of tobacco products and e-cigarettes. However, there is a lack of evidence for the combinations of tobacco products and e-cigarettes commonly used by youth in Canada and whether youth from different usage classes share similar characteristics. Methods: A cohort of 9th grade students from Ontario, Canada was identified at baseline (2013–14) of the COMPASS study (n = 4651). Classes of youth that currently use similar combinations of tobacco products and e-cigarettes were identified at baseline, one (FY1) and two years later (FY2) using latent class analysis. Multinomial logistic regression models identified demographic and behavioural characteristics (e.g., environmental influences, substance use behaviours, etc.) of youth in current tobacco and e-cigarette use classes relative to youth in non-current use classes. Results: At baseline, a three-class model was identified as best, while a four-class model was identified at FY1 and FY2. A non-current use group and an all-product use group were identified every year. Students that reported having friends that smoked cigarettes, binge drinking, and using marijuana were more likely to be classified into a current use class. Conclusions: Tobacco cigarettes were more likely to be used with other products than on their own. An all-product use group was identified across all three survey waves and the prevalence of this group increased over time. Given that many youth in this study used more than one tobacco product or e-cigarette and commonly reported binge drinking and using marijuana, prevention and cessation activities should address the use of multiple products.
AB - Background: Youth may use a variety of tobacco products and e-cigarettes. However, there is a lack of evidence for the combinations of tobacco products and e-cigarettes commonly used by youth in Canada and whether youth from different usage classes share similar characteristics. Methods: A cohort of 9th grade students from Ontario, Canada was identified at baseline (2013–14) of the COMPASS study (n = 4651). Classes of youth that currently use similar combinations of tobacco products and e-cigarettes were identified at baseline, one (FY1) and two years later (FY2) using latent class analysis. Multinomial logistic regression models identified demographic and behavioural characteristics (e.g., environmental influences, substance use behaviours, etc.) of youth in current tobacco and e-cigarette use classes relative to youth in non-current use classes. Results: At baseline, a three-class model was identified as best, while a four-class model was identified at FY1 and FY2. A non-current use group and an all-product use group were identified every year. Students that reported having friends that smoked cigarettes, binge drinking, and using marijuana were more likely to be classified into a current use class. Conclusions: Tobacco cigarettes were more likely to be used with other products than on their own. An all-product use group was identified across all three survey waves and the prevalence of this group increased over time. Given that many youth in this study used more than one tobacco product or e-cigarette and commonly reported binge drinking and using marijuana, prevention and cessation activities should address the use of multiple products.
KW - Adolescence
KW - Electronic cigarette
KW - Latent class analysis
KW - Tobacco use
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U2 - 10.1016/j.addbeh.2018.10.026
DO - 10.1016/j.addbeh.2018.10.026
M3 - Article
C2 - 30368022
AN - SCOPUS:85055273717
SN - 0306-4603
VL - 90
SP - 77
EP - 84
JO - Addictive Behaviors
JF - Addictive Behaviors
ER -