title: Poly-Tobacco Use among High School Students.
abstract: Although cigarette use by adolescents is declining, emerging tobacco products are becoming increasingly popular and youth may use more than one type of tobacco product. The purposes of this study were: (1) to assess patterns of poly-tobacco use among a representative sample of high school students and (2) to determine how beliefs correlate with poly-tobacco use. Data came from the 2013 North Carolina Youth Tobacco Survey (n = 4092). SAS logistic regression survey procedures were used to account for the complex survey design and sampling weights. Among all high school students in NC in 2013, 29.7% reported current any tobacco use, with 19.1% reporting current poly-tobacco use, and 10.6% reporting current use of only one product. Among poly-tobacco users, 59.3% reported that one of the products they currently used was cigarettes. Positive tobacco product beliefs were found to be significantly associated with poly-tobacco use. Communication campaigns, policy efforts, and future research are needed for prevention, regulation, and control of poly-tobacco use among adolescents, which represents a significant public health problem.
authors.affiliation: Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. kowitt@email.unc.edu.
authors.forename: Sarah D
authors.initials: SD
authors.lastname: Kowitt
authors.affiliation: North Carolina Department of Health and Human Services, Tobacco Prevention and Control Branch, Raleigh, NC 27609, USA. tanha2101@gmail.com.
authors.forename: Tanha
authors.initials: T
authors.lastname: Patel
authors.affiliation: Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. Leah_Ranney@unc.edu.
authors.forename: Leah M
authors.initials: LM
authors.lastname: Ranney
authors.affiliation: Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. liling_huang@med.unc.edu.
authors.forename: Li-Ling
authors.initials: LL
authors.lastname: Huang
authors.affiliation: Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. esutfin@wakehealth.edu.
authors.forename: Erin L
authors.initials: EL
authors.lastname: Sutfin
authors.affiliation: Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. adam_goldstein@med.unc.edu.
authors.forename: Adam O
authors.initials: AO
authors.lastname: Goldstein
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D062789:Tobacco Products / Q000706:statistics & numerical data*; D064424:Tobacco Use / Q000453:epidemiology* / Q000523:psychology
keywords: adolescents; health beliefs; non-cigarette tobacco products; tobacco policy; tobacco products