Age of Initiation of Tobacco Products Among USA Youth and Young Adults

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Estimating the age of onset of tobacco product initiation, transition or trajectories of patterns of use, and correlates of use among U.S. youth and young adults could be informative. This study involves a prospective secondary analysis of the first three waves of the Population Assessment of Tobacco and Health (PATH) Study among U.S. youth (aged 12-17 years) and young adults (aged 18-24 years) who reported never use at Wave 1. Use of the following tobacco products will be analyzed: cigarettes, e-cigarettes, cigars (traditional cigars, cigarillo, and filtered cigars), hookah, and smokeless tobacco. Seven outcomes will be evaluated for each product: age to first report ever or past 30-day use, age to become susceptible to use, age to be an established user (i.e. ever use fairly regularly), age to first report dual/poly use, age to report first use of a flavored product, and age of ever combustible use. Study aims are: (1) among youth who were never users at Wave 1, to estimate their age of initiation of tobacco products and to identify the risk factors associated with age of initiation of each product; (2) among young adults who were never users at Wave 1, to estimate their age of initiation of tobacco products and to identify the risk factors associated with age of initiation of each product; and (3) among all participants, to identify trajectories and transitions in the onset of tobacco product use across time and to identify associated risk factors. Researchers will explore socio-demographic, interpersonal, intra-personal, social, and environmental factors potentially associated with the age of initiation of the different products. This study will provide new data regarding tobacco product use trajectories among youth and young adults.

Principal Investigator(s): Adriana Perez

Funding Mechanism: NIH Grant 

ID number: 1R01CA234205-01A1

Award Date: May 09, 2019

Institution: The University of Texas

People:

Adriana Perez, PhD

Meagan Bluestein, MPH

Baojiang Chen, PhD

Kymberle Sterling, DrPH, MPH

Melissa Harrell, PhD

Folefac Atem, PhD, MS, MA

Arnold Kuk

Charles Spells

Prospective estimation of the age of initiation of cigarettes among young adults (18-24 years old): findings from the Population Assessment of Tobacco and Health (PATH) waves 1-4 (2013-2017)

Pérez, A, N’hpang, R.S., Kuk, A., Bluestein, M., Penedo, E., Chen, B., Sterling, K., Perry, C.L., Harrell, M.B. (2021) Prospective estimation of the age of initiation of cigarettes among young adults (18-24 years old): findings from the Population Assessment of Tobacco and Health (PATH) waves 1-4 (2013-2017). PLoS One. May 5;16(5):e0251246. doi: 10.1371/journal.pone.0251246. eCollection 2021. [PMCID: PMC8099124]

Prospective estimation of the age of initiation of hookah use among youth: Findings from the Population Assessment of Tobacco and Health (PATH) study waves 1-4

Pérez, A., Arnold, E.K., Bluestein, M.A., Harrell, M.B., Perry, C.L., Chen, B. (2021) Prospective estimation of the age of initiation of hookah use among youth: Findings from the Population Assessment of Tobacco and Health (PATH) study waves 1-4 (2013-2017). Addictive Behaviors. Volume 117, June 2021, 106838. [PMCID: PMC7956064]

Age of Onset of Susceptibility to Different Tobacco Products Among US Young Adults: Findings from the Population Assessment of Tobacco and Health Study (PATH) Waves 2-4 (2014-2017)

Pérez, A., Bluestein, M.A., Kuk, A.E., Chen, B., Sterling, K.L., Harrell, M.B. Age of Onset of Susceptibility to Different Tobacco Products Among US Young Adults: Findings from the Population Assessment of Tobacco and Health Study (PATH) Waves 2-4 (2014-2017). Submitted to Tobacco Use Insights on 04/08/2021.

The Recalled Age of Initiation of Multiple Tobacco Products Among 26-34 Year Olds: Findings From the Population Assessment of Tobacco and Health (PATH) Study Wave 1 (2013- 2014).

(Pérez, A., Penedo, E., Bluestein, M., Chen, B., Perry, C.L., Harrell, M.B. (2020) Forthcoming International Journal of Environmental Research and Public Health accepted on Nov 30/2020.)