Prevalence of alternative forms of tobacco use in a population of young adult military recruits.
Recent evidence suggests that the popularity of certain alternative forms of tobacco may be increasing in adolescents. Little is known, however, about the use of these products among young adults. This study examined the use of alternative tobacco products including bidis, cigars, kreteks (clove cigarettes), pipes, and smokeless tobacco in a large sample of young adult military recruits (N=31107). Overall, 18.5% of participants were using some form of alternative tobacco product prior to entry into Basic Military Training. Results revealed a relatively high prevalence of cigar (12.3%) and smokeless tobacco use (6.7%). Use of other products was less common, including 1.1% for pipes, 2.0% for bidis, and 3.0% for kreteks. With the exception of kreteks, which did not differ by gender, the prevalence of use of alternative tobacco products was greater for males than for females (p<.001). Patterns of use also differed according to other demographic characteristics including race, ethnicity, age, and income. Implications for surveillance and tobacco control efforts are discussed.
Vander Weg
Mark W
MW
Center for Research in the Implementation of Innovative Strategies in Practice (CRIISP), VA Medical Center, 601 Highway 6 West, Mail Stop 152, Iowa City, IA 52246, United States. mark.vanderweg@va.gov
Peterson
Alan L
AL
Ebbert
Jon O
JO
Debon
Margaret
M
Klesges
Robert C
RC
Haddock
C Keith
CK
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D008297:Male; D017533:Marital Status / Q000208:ethnology; D008889:Military Personnel / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D015995:Prevalence; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology* / Q000208:ethnology; D012959:Socioeconomic Factors; D014030:Tobacco, Smokeless; D014481:United States / Q000453:epidemiology
Public Health. 2000 Mar;114(2):123-7
10800151
J Natl Cancer Inst. 2000 Feb 16;92(4):333-7
10675383
Head Neck Surg. 1986 Nov-Dec;9(2):104-10
3623935
Cancer. 1995 May 15;75(10):2552-7
7736400
J Periodontol. 2000 Dec;71(12):1874-81
11156044
J Am Dent Assoc. 1999 Jan;130(1):57-64
9919032
MMWR Morb Mortal Wkly Rep. 2006 Oct 27;55(42):1145-8
17065979
MMWR CDC Surveill Summ. 1994 Nov 18;43(3):1-43
7969014
Tob Control. 2002 Jun;11 Suppl 2:ii25-8
12034977
NCI Monogr. 1989;(8):13-6
2654650
MMWR Morb Mortal Wkly Rep. 2003 Nov 14;52(45):1096-8
14614406
J Natl Cancer Inst. 1999 Apr 21;91(8):697-701
10218507
J Dent Res. 2005 Aug;84(8):705-10
16040726
Prev Med. 1996 Mar-Apr;25(2):91-9
8860273
Am J Health Behav. 2004 Mar-Apr;28(2):173-9
15058518
JAMA. 2004 Mar 10;291(10):1238-45
15010446
MMWR Surveill Summ. 2006 May 19;55(3):1-56
16708059
Cancer Causes Control. 2000 Jul;11(6):577-8
10880040
Prev Med. 1997 Sep-Oct;26(5 Pt 1):754-66
9327486
Prev Med. 2003 May;36(5):575-84
12689803
Arch Toxicol. 1989;63(1):1-6
2742495
Prev Med. 2003 Sep;37(3):250-8
12914831
Cancer Causes Control. 2001 Aug;12(6):551-6
11519763
J Public Health Policy. 2003;24(3-4):233-45
15015857
Arch Toxicol. 1990;64(7):515-21
2073125
JAMA. 2000 Aug 9;284(6):735-40
10927783
Tob Control. 2001 Jun;10(2):181-3
11387541
BMJ. 1997 Jun 28;314(7098):1860-3
9224127
Psychol Bull. 1992 Jan;111(1):23-41
1539088
Int J Cancer. 2003 Sep 10;106(4):600-4
12845659
Br Med J (Clin Res Ed). 1981 Sep 26;283(6295):814-7
6794710
Clin Pharmacol Ther. 1988 Jul;44(1):23-8
3391001
Nicotine Tob Res. 2007 Dec;9(12):1331-7
18058351
Pharmacol Biochem Behav. 2003 Feb;74(3):739-45
12543240
Prev Med. 2004 Jul;39(1):207-11
15208004
Nicotine Tob Res. 2003 Aug;5(4):561-9
12959794
JAMA. 2000 Aug 9;284(6):699-705
10927777
Prev Med. 2001 Mar;32(3):262-7
11277684
Nicotine Tob Res. 1999 Mar;1(1):21-44
11072386
Prev Med. 2004 Mar;38(3):309-17
14766113
Am J Med Sci. 2003 Oct;326(4):248-54
14557744
Cancer Causes Control. 2005 May;16(4):347-58
15953977
Prev Med. 1988 Jan;17(1):116-28
3362797
JAMA. 1988 Dec 23-30;260(24):3641-4
3057254
West J Med. 1989 Aug;151(2):220-8
2773482
Pharmacol Biochem Behav. 2002 May;72(1-2):443-7
11900818
Arch Intern Med. 1999 Nov 8;159(20):2413-8
10665889
J Consult Clin Psychol. 2006 Apr;74(2):295-306
16649874
JAMA. 1990 Jul 11;264(2):218-24
2355443
Tob Control. 2003 Dec;12(4):360-7
14660767
Prev Med. 2002 Aug;35(2):193-8
12200105
JAMA. 2003 Jul 2;290(1):86-97
12837716
Am J Epidemiol. 1986 Dec;124(6):926-41
3776975
Int J Epidemiol. 2003 Oct;32(5):802-8
14559754
Nicotine Tob Res. 2002 Nov;4(4):485-90
12521408
Med Clin North Am. 2004 Nov;88(6):1593-605
15464115
Addict Behav. 2005 Feb;30(2):325-36
15621403
Lancet. 2006 Aug 19;368(9536):647-58
16920470