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Prev Med. 2018 Dec;117:61-68. doi: 10.1016/j.ypmed.2018.03.001. Epub 2018 Mar 17.

Tobacco and nicotine delivery product use in a U.S. national sample of women of reproductive age.

Author information

1
Vermont Center on Behavior and Health, University of Vermont, United States.
2
Vermont Center on Behavior and Health, University of Vermont, United States; Rehabilitation Institute, Southern Illinois University, United States. Electronic address: rredner@siu.edu.
3
Vermont Center on Behavior and Health, University of Vermont, United States; Department of Psychiatry, University of Vermont, United States.
4
Westat, Center for Evaluation and Coordination of Training and Research (CECTR) in Tobacco Regulatory Science, Department of Oncology, Georgetown University Medical Center, United States.
5
Biostatistics, University of Vermont, United States.
6
College of Public Health, The Ohio State University, United States.
7
Vermont Center on Behavior and Health, University of Vermont, United States; Department of Psychiatry, University of Vermont, United States; Department of Psychological Science, University of Vermont, United States.

Abstract

This study examined prevalence and correlates of using cigarettes, e-cigarettes, and other tobacco/nicotine delivery products in a U.S. national sample of women of reproductive age. Weighted data were obtained from women aged 15-44 years who were not currently pregnant in the first wave of the Population Assessment of Health and Tobacco (PATH, 2013-2014) study (N = 12,848). 20.1% of women were current cigarette smokers, 5.9% current e-cigarette users, 4.9% current cigar smokers, and 6.5% current hookah users. Prevalence of current use of other tobacco products was <1.0%. Current cigarette smoking was the strongest correlate of current e-cigarette use (OR = 65.7, 95% CI = 44.8-96.5), cigar smoking (OR = 19.2, 95% CI = 14.1-26.1), and hookah use (OR = 6.6, 95% CI = 5.1-8.5). Among former cigarette smokers, 3.8%, 6.9%, and 3.2% were also currently using e-cigarettes, hookah, and cigars, respectively. Use of other tobacco and nicotine delivery products was low among those who never smoked tobacco cigarettes: 2.5% used hookah and <1.0% used other products. Cigarette smoking prevalence remains relatively high among women of reproductive age and strongly correlated with use of other tobacco products. Monitoring tobacco and nicotine use in this population is important due to the additional risk of adverse health impacts should they become pregnant. Clinicians working with cigarette smokers should assess for use of other tobacco products. Among women of reproductive age, use of emerging tobacco and nicotine products appears to be largely, although not exclusively, restricted to current cigarette smokers.

KEYWORDS:

Cigarette smoking; Cigars; E-cigarettes; Hookah; Nationally representative sample; Nicotine; Population Assessment of Health and Tobacco; Reproductive age; Tobacco; Women

PMID:
29559222
PMCID:
PMC6141351
[Available on 2019-12-01]
DOI:
10.1016/j.ypmed.2018.03.001

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