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Factors associated with short‐term transitions of non‐daily smokers: socio‐demographic characteristics and other tobacco product use
Author(s) -
Wang Yingning,
Sung HaiYen,
Yao Tingting,
Lightwood James,
Max Wendy
Publication year - 2017
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.13700
Subject(s) - medicine , activities of daily living , demography , multinomial logistic regression , logistic regression , smokeless tobacco , population , environmental health , tobacco use , physical therapy , machine learning , sociology , computer science
Aims To examine the transitions in smoking status among non‐daily smokers who transitioned to daily or former smokers or remained as non‐daily smokers during a 12‐month period. We analyzed factors associated with these transitions, including the use of cigars and smokeless tobacco (SLT). Design Secondary data analyses using pooled data from the 2003, 2006/07 and 2010/11 Tobacco Use Supplements to the Current Population Survey (TUS‐CPS). Setting United States. Participants Self‐respondents aged 18+ who have smoked for more than 5 years and were non‐daily smokers 12 months before the interview ( n = 13 673, or 14.5% of current smokers). Measurements Multinomial logistic regression model to determine the correlates of non‐daily to daily, stable non‐daily and non‐daily to former smoking transitions among non‐daily smokers at baseline. The model controlled for socio‐demographic factors and the use of cigars and SLT. Findings Of the adults in our sample, 2.6% were non‐daily smokers at baseline. Among these, 69.7% remained non‐daily smokers (stable non‐daily smokers), 18.4% became daily smokers (non‐daily to daily smokers) and 11.9% quit smoking (non‐daily to former smokers) after 12 months. The non‐daily to daily versus stable non‐daily smoking transition was less likely among those who were aged 65+ ( P = 0.018), male ( P < 0.001), Hispanic ( P < 0.001), with an income of $25 000–49 999 or ≥$75 000 and current users of SLT ( P = 0.003), but more likely among those without a college degree compared with the appropriate reference group. The non‐daily to former versus stable non‐daily smoking transition was less likely among those aged 25+, male ( P = 0.013), non‐Hispanic Asian ( P = 0.032), without a college degree, widowed/divorced/separated ( P = 0.013) or never married ( P = 0.011) and current users of cigars ( P = 0.003) compared with the appropriate reference group. Conclusions While more than two‐thirds of non‐daily smokers in the United States remain as such after 12 months, others become daily smokers or quit. The likelihood of remaining stable non‐daily smokers and of transition from non‐daily to daily and non‐daily to former smokers is associated with socio‐demographic factors and current use of cigars and smokeless tobacco.