title: Alternative tobacco use among college students: who is at highest risk?
abstract: OBJECTIVE
  To examines smoking status, substance use, sociodemographics, and psychosocial characteristics in relation to alternative tobacco use among college students.
  
  
  METHODS
  Current tobacco use (cigarettes, cigar-like products, hookah, chew, snus) and correlates (sociodemographics, sensation-seeking, attitudes toward tobacco and smokers, social factors) were assessed among students aged 18-25 at 6 Southeastern US colleges using an online survey.
  
  
  RESULTS
  Those who were younger, male, black, cigarette and marijuana users, and demonstrating at-risk psychosocial factors were at increased risk of alternative tobacco product use (p < .001). Among current smokers, never daily nondaily smokers were 3 times as likely as former daily non-daily smokers and daily smokers to use alternative tobacco products (p < .001).
  
  
  CONCLUSIONS
  Important risk factors for alternative tobacco use included important sociodemographic and psychosocial characteristics.
authors.affiliation: Department of Behavioral Sciences and Health Education, Emory University School of Public Health, Atlanta, GA, USA.
authors.forename: Nosayaba
authors.initials: N
authors.lastname: Enofe
authors.affiliation: Department of Behavioral Sciences and Health Education, Emory University School of Public Health, Atlanta, GA, USA. cjberg@emory.edu.
authors.forename: Carla J
authors.initials: CJ
authors.lastname: Berg
authors.affiliation: Department of Behavioral Sciences and Health Education, Emory University School of Public Health, Atlanta, GA, USA.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Nehl
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D019973:Alcohol-Related Disorders / Q000453:epidemiology; D000704:Analysis of Variance; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D016015:Logistic Models; D008297:Male; D008385:Marijuana Smoking / Q000453:epidemiology; D012307:Risk Factors; D012677:Sensation / Q000502:physiology; D012737:Sex Factors; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology*; D012959:Socioeconomic Factors; D015144:Southeastern United States / Q000453:epidemiology; D013334:Students / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D064424:Tobacco Use / Q000009:adverse effects / Q000453:epidemiology*; D055815:Young Adult