Influence of gender on initiation of tobacco and nicotine containing product use among U.S. Air Force trainees
Military personnel are a subgroup of young adults at risk for tobacco and nicotine containing product (TNCP) use. This study of US Air Force (USAF) trainees who were never users of TNCPs examined gender, peer tobacco use, and tobacco use intentions as predictors of TNCP initiation after Basic Milita...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335520300644 |
| _version_ | 1819226569352151040 |
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| author | Christi A. Patten Xin-Qun Wang Melissa A. Little Jon O. Ebbert Gerald W. Talcott Ann S. Hryshko-Mullen Robert Klesges |
| author_facet | Christi A. Patten Xin-Qun Wang Melissa A. Little Jon O. Ebbert Gerald W. Talcott Ann S. Hryshko-Mullen Robert Klesges |
| author_sort | Christi A. Patten |
| collection | DOAJ |
| description | Military personnel are a subgroup of young adults at risk for tobacco and nicotine containing product (TNCP) use. This study of US Air Force (USAF) trainees who were never users of TNCPs examined gender, peer tobacco use, and tobacco use intentions as predictors of TNCP initiation after Basic Military Training (BMT). We used a longitudinal cohort assessment study design with baseline and 1-year surveys completed (2011–2016) among 2393 USAF trainees: 73% men, 95% aged 18–25 years, 36% racial minorities. Overall, initiation of any TNCP use at 1-year was 23% (20% women, 24% men). From a multivariable multinomial logistic regression model predicting TNCP use at 1-year follow-up, significant 2-way interactions were detected between gender and number of close friends using tobacco before BMT (p = 0.015), and between gender and tobacco use intentions (p < 0.0001). Women reporting almost all or many close friends used tobacco were more likely to report TNCP use compared to women with none (Odds ratio [OR] = 5.8, 95% CI 2.5–13.5, Bonferroni corrected p < 0.0001). Having close friends using tobacco had little influence on TNCP use among men. Men with tobacco use intentions were more likely to report TNCP use compared to men having no intentions (OR = 8.0, 95% CI: 4.7–13.6, Bonferroni corrected p < 0.001), but tobacco use intentions had little influence among women. In this sample of USAF trainees, the study provides novel prospective findings on TNCP initiation, and how men and women are influenced differently by peer tobacco use and tobacco use intentions. Gender-specific prevention efforts focused on uptake of TNCPs appear warranted. |
| first_indexed | 2024-12-23T10:27:34Z |
| format | Article |
| id | doaj.art-df802fb0f2254bcca90b701f75639d5b |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-23T10:27:34Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-df802fb0f2254bcca90b701f75639d5b2022-12-21T17:50:31ZengElsevierPreventive Medicine Reports2211-33552020-09-0119101104Influence of gender on initiation of tobacco and nicotine containing product use among U.S. Air Force traineesChristi A. Patten0Xin-Qun Wang1Melissa A. Little2Jon O. Ebbert3Gerald W. Talcott4Ann S. Hryshko-Mullen5Robert Klesges6Department of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA; Corresponding author.Department of Public Health Sciences, University of Virginia School of Medicine, PO Box 800717, Charlottesville, VA 22908, USADepartment of Public Health Sciences, University of Virginia School of Medicine, PO Box 800717, Charlottesville, VA 22908, USADepartment of Internal Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USADepartment of Public Health Sciences, University of Virginia School of Medicine, PO Box 800717, Charlottesville, VA 22908, USAWilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, TX 78236, USADepartment of Public Health Sciences, University of Virginia School of Medicine, PO Box 800717, Charlottesville, VA 22908, USAMilitary personnel are a subgroup of young adults at risk for tobacco and nicotine containing product (TNCP) use. This study of US Air Force (USAF) trainees who were never users of TNCPs examined gender, peer tobacco use, and tobacco use intentions as predictors of TNCP initiation after Basic Military Training (BMT). We used a longitudinal cohort assessment study design with baseline and 1-year surveys completed (2011–2016) among 2393 USAF trainees: 73% men, 95% aged 18–25 years, 36% racial minorities. Overall, initiation of any TNCP use at 1-year was 23% (20% women, 24% men). From a multivariable multinomial logistic regression model predicting TNCP use at 1-year follow-up, significant 2-way interactions were detected between gender and number of close friends using tobacco before BMT (p = 0.015), and between gender and tobacco use intentions (p < 0.0001). Women reporting almost all or many close friends used tobacco were more likely to report TNCP use compared to women with none (Odds ratio [OR] = 5.8, 95% CI 2.5–13.5, Bonferroni corrected p < 0.0001). Having close friends using tobacco had little influence on TNCP use among men. Men with tobacco use intentions were more likely to report TNCP use compared to men having no intentions (OR = 8.0, 95% CI: 4.7–13.6, Bonferroni corrected p < 0.001), but tobacco use intentions had little influence among women. In this sample of USAF trainees, the study provides novel prospective findings on TNCP initiation, and how men and women are influenced differently by peer tobacco use and tobacco use intentions. Gender-specific prevention efforts focused on uptake of TNCPs appear warranted.http://www.sciencedirect.com/science/article/pii/S2211335520300644TobaccoNicotineInitiationMilitaryAir ForceGender |
| spellingShingle | Christi A. Patten Xin-Qun Wang Melissa A. Little Jon O. Ebbert Gerald W. Talcott Ann S. Hryshko-Mullen Robert Klesges Influence of gender on initiation of tobacco and nicotine containing product use among U.S. Air Force trainees Preventive Medicine Reports Tobacco Nicotine Initiation Military Air Force Gender |
| title | Influence of gender on initiation of tobacco and nicotine containing product use among U.S. Air Force trainees |
| title_full | Influence of gender on initiation of tobacco and nicotine containing product use among U.S. Air Force trainees |
| title_fullStr | Influence of gender on initiation of tobacco and nicotine containing product use among U.S. Air Force trainees |
| title_full_unstemmed | Influence of gender on initiation of tobacco and nicotine containing product use among U.S. Air Force trainees |
| title_short | Influence of gender on initiation of tobacco and nicotine containing product use among U.S. Air Force trainees |
| title_sort | influence of gender on initiation of tobacco and nicotine containing product use among u s air force trainees |
| topic | Tobacco Nicotine Initiation Military Air Force Gender |
| url | http://www.sciencedirect.com/science/article/pii/S2211335520300644 |
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