A comparison of tobacco product prevalence by different frequency of use thresholds across three US surveys

Abstract Background With the increasing changes in tobacco use patterns, “current use” definition and the survey used may have important implications for monitoring population use trends. Methods Using three US surveys (2014/15 TUS-CPS, NHIS and PATH), we compared the adult (age 18+) prevalence of f...

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Main Authors: Luz María Sánchez-Romero, Christopher J. Cadham, Jana L. Hirschtick, Delvon T. Mattingly, Beomyoung Cho, Nancy L. Fleischer, Andrew Brouwer, Ritesh Mistry, Stephanie R. Land, Jihyoun Jeon, Rafael Meza, David T. Levy
Format: Article
Language:English
Published: BMC 2021-06-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-11283-w
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author Luz María Sánchez-Romero
Christopher J. Cadham
Jana L. Hirschtick
Delvon T. Mattingly
Beomyoung Cho
Nancy L. Fleischer
Andrew Brouwer
Ritesh Mistry
Stephanie R. Land
Jihyoun Jeon
Rafael Meza
David T. Levy
author_facet Luz María Sánchez-Romero
Christopher J. Cadham
Jana L. Hirschtick
Delvon T. Mattingly
Beomyoung Cho
Nancy L. Fleischer
Andrew Brouwer
Ritesh Mistry
Stephanie R. Land
Jihyoun Jeon
Rafael Meza
David T. Levy
author_sort Luz María Sánchez-Romero
collection DOAJ
description Abstract Background With the increasing changes in tobacco use patterns, “current use” definition and the survey used may have important implications for monitoring population use trends. Methods Using three US surveys (2014/15 TUS-CPS, NHIS and PATH), we compared the adult (age 18+) prevalence of four product groups (cigarettes, other combustibles, smokeless tobacco, and e-cigarettes) based on three past 30-day frequency of use thresholds: 1+, 10+, and 25+ days. We also examined mutually exclusive single, dual, and polytobacco users as a percentage of total users for each product group. Results Regardless of threshold or product, the prevalence was higher in PATH followed by NHIS and TUS-CPS, in some cases by large percentages. The differences in cigarette and smokeless tobacco use prevalence in going from the 1+ to 10+ days and to the 25+ days threshold were minimal. Applying different frequency thresholds had the largest impact on other combustibles prevalence, with a 60% reduction with the 10+ days threshold and a 80% reduction with the 25+ days threshold, compared to the 1+ days threshold, followed by e-cigarettes with 40 and 60% reductions, respectively. The proportion of dual and polytobacco users decreased considerably when using the 10+ vs. the 1+ days threshold and polytobacco use was almost non-existent with the 25+ days threshold. Conclusion The estimated prevalence of each tobacco product use depends largely on the survey and frequency of use threshold adopted. The choice of survey and frequency threshold merits serious consideration when monitoring patterns of tobacco use.
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spelling doaj.art-a48ab04fa4f047699d7a81bfaf0459942022-12-21T22:12:40ZengBMCBMC Public Health1471-24582021-06-0121111110.1186/s12889-021-11283-wA comparison of tobacco product prevalence by different frequency of use thresholds across three US surveysLuz María Sánchez-Romero0Christopher J. Cadham1Jana L. Hirschtick2Delvon T. Mattingly3Beomyoung Cho4Nancy L. Fleischer5Andrew Brouwer6Ritesh Mistry7Stephanie R. Land8Jihyoun Jeon9Rafael Meza10David T. Levy11Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical CenterDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical CenterDepartment of Epidemiology, University of Michigan School of Public HealthDepartment of Epidemiology, University of Michigan School of Public HealthDepartment of Epidemiology, University of Michigan School of Public HealthDepartment of Epidemiology, University of Michigan School of Public HealthDepartment of Epidemiology, University of Michigan School of Public HealthDepartment of Health Behavior and Health Education, University of Michigan School of Public HealthTobacco Control Research Branch, National Cancer InstituteDepartment of Epidemiology, University of Michigan School of Public HealthDepartment of Epidemiology, University of Michigan School of Public HealthDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical CenterAbstract Background With the increasing changes in tobacco use patterns, “current use” definition and the survey used may have important implications for monitoring population use trends. Methods Using three US surveys (2014/15 TUS-CPS, NHIS and PATH), we compared the adult (age 18+) prevalence of four product groups (cigarettes, other combustibles, smokeless tobacco, and e-cigarettes) based on three past 30-day frequency of use thresholds: 1+, 10+, and 25+ days. We also examined mutually exclusive single, dual, and polytobacco users as a percentage of total users for each product group. Results Regardless of threshold or product, the prevalence was higher in PATH followed by NHIS and TUS-CPS, in some cases by large percentages. The differences in cigarette and smokeless tobacco use prevalence in going from the 1+ to 10+ days and to the 25+ days threshold were minimal. Applying different frequency thresholds had the largest impact on other combustibles prevalence, with a 60% reduction with the 10+ days threshold and a 80% reduction with the 25+ days threshold, compared to the 1+ days threshold, followed by e-cigarettes with 40 and 60% reductions, respectively. The proportion of dual and polytobacco users decreased considerably when using the 10+ vs. the 1+ days threshold and polytobacco use was almost non-existent with the 25+ days threshold. Conclusion The estimated prevalence of each tobacco product use depends largely on the survey and frequency of use threshold adopted. The choice of survey and frequency threshold merits serious consideration when monitoring patterns of tobacco use.https://doi.org/10.1186/s12889-021-11283-wTobacco productsPrevalenceSurveys and questionnairesUnited States
spellingShingle Luz María Sánchez-Romero
Christopher J. Cadham
Jana L. Hirschtick
Delvon T. Mattingly
Beomyoung Cho
Nancy L. Fleischer
Andrew Brouwer
Ritesh Mistry
Stephanie R. Land
Jihyoun Jeon
Rafael Meza
David T. Levy
A comparison of tobacco product prevalence by different frequency of use thresholds across three US surveys
BMC Public Health
Tobacco products
Prevalence
Surveys and questionnaires
United States
title A comparison of tobacco product prevalence by different frequency of use thresholds across three US surveys
title_full A comparison of tobacco product prevalence by different frequency of use thresholds across three US surveys
title_fullStr A comparison of tobacco product prevalence by different frequency of use thresholds across three US surveys
title_full_unstemmed A comparison of tobacco product prevalence by different frequency of use thresholds across three US surveys
title_short A comparison of tobacco product prevalence by different frequency of use thresholds across three US surveys
title_sort comparison of tobacco product prevalence by different frequency of use thresholds across three us surveys
topic Tobacco products
Prevalence
Surveys and questionnaires
United States
url https://doi.org/10.1186/s12889-021-11283-w
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