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A multiple indicators and multiple causes model of alternative tobacco use
Aashir Nasim1, Melissa D Blank, Caroline O Cobb
1Virginia Commonwealth University, Institute for Drug and Alcohol Studies, Department of Psychology, Richmond, VA, USA. anasim@vcu.edu
Adolescent alternative tobacco product (ATP) use is linked to early cigarette smoking, daily consumption, and peer influence. Tailoring prevention programs to these smoking behaviors can help reduce ATP use among youth.
Area of Science:
- Public Health
- Adolescent Health
- Tobacco Control
Background:
- Adolescent tobacco use remains a significant public health concern.
- Alternative tobacco products (ATPs) represent a growing category of concern.
- Understanding the relationship between traditional and alternative tobacco product use is crucial for effective intervention.
Purpose of the Study:
- To investigate the association between cigarette smoking experiences and the use of alternative tobacco products (ATPs) among adolescents.
- To identify specific smoking behaviors that predict ATP use in high school students.
Main Methods:
- Utilized Multiple Indicators and Multiple Causes (MIMIC) models for simultaneous estimation.
- Analyzed data from the 2009 Virginia Youth Tobacco Survey.
- Included 1827 high school students in the analysis.
Main Results:
- Adolescent ATP use was significantly associated with ever smoking cigarettes, early age of smoking onset, and higher daily cigarette consumption.
- Peer smoking was also a significant predictor of ATP use.
- Observed notable differences in these associations across racial/ethnic groups.
Conclusions:
- Interventions aimed at preventing and cessation of adolescent tobacco use should consider targeting specific cigarette smoking characteristics.
- Public health strategies can be refined by addressing the interplay between traditional and alternative tobacco product use.
- Further research is needed to explore racial/ethnic disparities in adolescent tobacco product use patterns.
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