Klemperer, EM;
Kock, L;
Feinstein, MJP;
Coleman, SRM;
Gaalema, DE;
Higgins, ST;
(2024)
Sex differences in tobacco use, attempts to quit smoking, and cessation among dual users of cigarettes and e-cigarettes: Longitudinal findings from the US Population Assessment of Tobacco and Health Study.
Preventive Medicine
, 188
, Article 108112. 10.1016/j.ypmed.2024.108112.
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Abstract
SIGNIFICANCE: A growing number of adults use more than one tobacco product, with dual use of cigarettes and e-cigarettes being the most common combination. Monitoring sex disparities in tobacco use is a public health priority. However, little is known regarding whether dual users differ by sex. METHODS: Data came from Waves 4-6 (12/2016-11/2021) of the Population Assessment of Tobacco and Health Study, a US nationally-representative longitudinal survey. This analysis included current adult dual users of cigarettes and e-cigarettes. We used weighted generalized estimating equations to assess the association between sex and (1) making a cigarette quit attempt (n = 1882 observations from n = 1526 individuals) and (2) smoking cessation (n = 2081 observations from n = 1688 individuals) across two wave pairs, adjusting for age, education, ethnicity, time-to-first cigarette after waking, and e-cigarette use frequency. RESULTS: Among US dual users, 14.1% (95% Confidence Intervals [Cl] = 11.9-16.4) of females and 23.4% (20.0-26.9) of males were young adults (aged 18-24), 11.7% (9.2-14.2) of females and 14.4% (11.6-17.2) of males had <high school education, and 82.2% (79.4-84.5) of females and 78.7% (75.1-82.4) of males were white. Overall, 44.9% (41.6-48.1) of females compared with 37.4% (33.5-41.3) of males made an attempt to quit smoking between a baseline and follow-up wave (Adjusted Risk Ratio [ARR] = 1.23, 1.05-1.45). In contrast, there were no apparent differences between females (22.1%, 19.0-25.2) and males (24.3%, 21.5-27.1) in smoking cessation (ARR = 1.06, 0.84-1.35). CONCLUSION: US females who dually use e-cigarettes and cigarettes were more likely to attempt to quit smoking, but not more likely to succeed at quitting, than males.
| Type: | Article |
|---|---|
| Title: | Sex differences in tobacco use, attempts to quit smoking, and cessation among dual users of cigarettes and e-cigarettes: Longitudinal findings from the US Population Assessment of Tobacco and Health Study |
| Location: | United States |
| DOI: | 10.1016/j.ypmed.2024.108112 |
| Publisher version: | https://doi.org/10.1016/j.ypmed.2024.108112 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Public, Environmental & Occupational Health, Medicine, General & Internal, General & Internal Medicine, Cigarette smoking, E -cigarette, Electronic nicotine delivery systems, Dual use, Smoking cessation, Quit attempt, Nicotine dependence, Sex differences, Cohort studies, UNITED-STATES, GENDER-DIFFERENCES, ONLINE SURVEY, NICOTINE, DEPENDENCE, ADULTS, PATH |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10205940 |
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