Dual tobacco user subtypes in the U.S. Air Force

Dependence, attitudes, and other correlates of use

Yoseph Kram, Robert Klesges, Jon O. Ebbert, Gerald Talcott, Torsten B. Neilands, Pamela M. Ling

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Introduction: To describe the characteristics associated with patterns of daily and dual tobacco use in U.S. Air Force (USAF) personnel transitioning from Basic Military Training to Technical Training. Methods: Cross-sectional survey of USAF personnel in Technical Training School at Lackland Air Force Base (N = 8,956, response rate: 73%). Logistic regression analyzed the association of predictor variables between daily smokers, daily smokeless tobacco (ST) users, daily smokers who used ST nondaily, daily ST users who smoked cigarettes nondaily, and daily users of both cigarettes and ST. Results: Compared to daily smokers, participants who were daily smokers/nondaily ST users were more likely to be male, would use ST and multiple forms of tobacco in the future, reported more friends using ST and cigarettes, and were more susceptible to tobacco advertising. Compared to daily ST users, daily ST users/nondaily cigarette users were more likely to live in the Midwest, would use multiple forms of tobacco in the future, reported more friends smoked cigarettes and used ST, and were more likely to try a product that claimed to be safer than cigarettes. Daily users of both cigarettes and ST were significantly more likely to be nicotine dependent than daily smokers/nondaily ST users and daily ST users/nondaily smokers. Conclusions: Dual users are heterogeneous groups of tobacco users who are at high risk for continued tobacco use. Daily users of both cigarettes and ST have higher levels of nicotine dependence, even compared to other dual users. Specific interventions targeted at dual users are needed in this increasingly prevalent and high-risk population.

Original languageEnglish (US)
Article numberntu056
JournalNicotine and Tobacco Research
Volume16
Issue number9
DOIs
StatePublished - Jan 1 2014

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Smokeless Tobacco
Tobacco
Air
Tobacco Products
Military Personnel
Tobacco Use
Tobacco Use Disorder
Nicotine

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Kram, Y., Klesges, R., Ebbert, J. O., Talcott, G., Neilands, T. B., & Ling, P. M. (2014). Dual tobacco user subtypes in the U.S. Air Force: Dependence, attitudes, and other correlates of use. Nicotine and Tobacco Research, 16(9), [ntu056]. https://doi.org/10.1093/ntr/ntu056

Dual tobacco user subtypes in the U.S. Air Force : Dependence, attitudes, and other correlates of use. / Kram, Yoseph; Klesges, Robert; Ebbert, Jon O.; Talcott, Gerald; Neilands, Torsten B.; Ling, Pamela M.

In: Nicotine and Tobacco Research, Vol. 16, No. 9, ntu056, 01.01.2014.

Research output: Contribution to journalArticle

Kram, Yoseph ; Klesges, Robert ; Ebbert, Jon O. ; Talcott, Gerald ; Neilands, Torsten B. ; Ling, Pamela M. / Dual tobacco user subtypes in the U.S. Air Force : Dependence, attitudes, and other correlates of use. In: Nicotine and Tobacco Research. 2014 ; Vol. 16, No. 9.
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