Evidence that smokeless tobacco use is a gateway for smoking initiation in young adult males

C. Keith Haddock, Mark Vander Weg, Margaret DeBon, Robert Klesges, Gerald Talcott, Harry Lando, Alan Peterson

Research output: Contribution to journalArticle

104 Citations (Scopus)

Abstract

Background. This study was designed to test the hypothesis that smokeless tobacco (SLT) serves as a gateway drug for smoking among young adult males. Methods. A cohort (n = 7,865) of U.S. Air Force recruits who claimed to have never smoked cigarettes was followed prospectively for 1 year. The participants were male, 32.9% were ethnic minorities, and their average age was 19.84 years (SD = 2.29). Among recruits entering basic military training, 403 (5.1%) reported current SLT use and 198 (2.5%) reported a past history of SLT use. Results. At the 1-year follow-up current SLT users were 233% more likely to have initiated smoking than nonusers (odds ratio = 2.33, 95% CI = 1.84-2.94). Similarly, recruits who reported past SLT use were 227% more likely to begin smoking than participants who had never used SLT (odds ratio = 2.27, 95% CI = 1.64-3.15). SLT use remained a potent predictor of smoking initiation in a multivariate logistic model that included demographic factors and other risk factors for initiation. Conclusions. SLT use appears to be an important predictor of smoking initiation among young adult males. This study suggests that smoking prevention and cessation programs should also include strategies related to SLT use.

Original languageEnglish (US)
Pages (from-to)262-267
Number of pages6
JournalPreventive Medicine
Volume32
Issue number3
DOIs
StatePublished - Jan 1 2001

Fingerprint

Smokeless Tobacco
Tobacco Use
Young Adult
Smoking
Odds Ratio
Smoking Cessation
Tobacco Products
Logistic Models
Air
Demography

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Haddock, C. K., Weg, M. V., DeBon, M., Klesges, R., Talcott, G., Lando, H., & Peterson, A. (2001). Evidence that smokeless tobacco use is a gateway for smoking initiation in young adult males. Preventive Medicine, 32(3), 262-267. https://doi.org/10.1006/pmed.2000.0802

Evidence that smokeless tobacco use is a gateway for smoking initiation in young adult males. / Haddock, C. Keith; Weg, Mark Vander; DeBon, Margaret; Klesges, Robert; Talcott, Gerald; Lando, Harry; Peterson, Alan.

In: Preventive Medicine, Vol. 32, No. 3, 01.01.2001, p. 262-267.

Research output: Contribution to journalArticle

Haddock, CK, Weg, MV, DeBon, M, Klesges, R, Talcott, G, Lando, H & Peterson, A 2001, 'Evidence that smokeless tobacco use is a gateway for smoking initiation in young adult males', Preventive Medicine, vol. 32, no. 3, pp. 262-267. https://doi.org/10.1006/pmed.2000.0802
Haddock, C. Keith ; Weg, Mark Vander ; DeBon, Margaret ; Klesges, Robert ; Talcott, Gerald ; Lando, Harry ; Peterson, Alan. / Evidence that smokeless tobacco use is a gateway for smoking initiation in young adult males. In: Preventive Medicine. 2001 ; Vol. 32, No. 3. pp. 262-267.
@article{080519102d174b3187424a99c6f40668,
title = "Evidence that smokeless tobacco use is a gateway for smoking initiation in young adult males",
abstract = "Background. This study was designed to test the hypothesis that smokeless tobacco (SLT) serves as a gateway drug for smoking among young adult males. Methods. A cohort (n = 7,865) of U.S. Air Force recruits who claimed to have never smoked cigarettes was followed prospectively for 1 year. The participants were male, 32.9{\%} were ethnic minorities, and their average age was 19.84 years (SD = 2.29). Among recruits entering basic military training, 403 (5.1{\%}) reported current SLT use and 198 (2.5{\%}) reported a past history of SLT use. Results. At the 1-year follow-up current SLT users were 233{\%} more likely to have initiated smoking than nonusers (odds ratio = 2.33, 95{\%} CI = 1.84-2.94). Similarly, recruits who reported past SLT use were 227{\%} more likely to begin smoking than participants who had never used SLT (odds ratio = 2.27, 95{\%} CI = 1.64-3.15). SLT use remained a potent predictor of smoking initiation in a multivariate logistic model that included demographic factors and other risk factors for initiation. Conclusions. SLT use appears to be an important predictor of smoking initiation among young adult males. This study suggests that smoking prevention and cessation programs should also include strategies related to SLT use.",
author = "Haddock, {C. Keith} and Weg, {Mark Vander} and Margaret DeBon and Robert Klesges and Gerald Talcott and Harry Lando and Alan Peterson",
year = "2001",
month = "1",
day = "1",
doi = "10.1006/pmed.2000.0802",
language = "English (US)",
volume = "32",
pages = "262--267",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",
number = "3",

}

TY - JOUR

T1 - Evidence that smokeless tobacco use is a gateway for smoking initiation in young adult males

AU - Haddock, C. Keith

AU - Weg, Mark Vander

AU - DeBon, Margaret

AU - Klesges, Robert

AU - Talcott, Gerald

AU - Lando, Harry

AU - Peterson, Alan

PY - 2001/1/1

Y1 - 2001/1/1

N2 - Background. This study was designed to test the hypothesis that smokeless tobacco (SLT) serves as a gateway drug for smoking among young adult males. Methods. A cohort (n = 7,865) of U.S. Air Force recruits who claimed to have never smoked cigarettes was followed prospectively for 1 year. The participants were male, 32.9% were ethnic minorities, and their average age was 19.84 years (SD = 2.29). Among recruits entering basic military training, 403 (5.1%) reported current SLT use and 198 (2.5%) reported a past history of SLT use. Results. At the 1-year follow-up current SLT users were 233% more likely to have initiated smoking than nonusers (odds ratio = 2.33, 95% CI = 1.84-2.94). Similarly, recruits who reported past SLT use were 227% more likely to begin smoking than participants who had never used SLT (odds ratio = 2.27, 95% CI = 1.64-3.15). SLT use remained a potent predictor of smoking initiation in a multivariate logistic model that included demographic factors and other risk factors for initiation. Conclusions. SLT use appears to be an important predictor of smoking initiation among young adult males. This study suggests that smoking prevention and cessation programs should also include strategies related to SLT use.

AB - Background. This study was designed to test the hypothesis that smokeless tobacco (SLT) serves as a gateway drug for smoking among young adult males. Methods. A cohort (n = 7,865) of U.S. Air Force recruits who claimed to have never smoked cigarettes was followed prospectively for 1 year. The participants were male, 32.9% were ethnic minorities, and their average age was 19.84 years (SD = 2.29). Among recruits entering basic military training, 403 (5.1%) reported current SLT use and 198 (2.5%) reported a past history of SLT use. Results. At the 1-year follow-up current SLT users were 233% more likely to have initiated smoking than nonusers (odds ratio = 2.33, 95% CI = 1.84-2.94). Similarly, recruits who reported past SLT use were 227% more likely to begin smoking than participants who had never used SLT (odds ratio = 2.27, 95% CI = 1.64-3.15). SLT use remained a potent predictor of smoking initiation in a multivariate logistic model that included demographic factors and other risk factors for initiation. Conclusions. SLT use appears to be an important predictor of smoking initiation among young adult males. This study suggests that smoking prevention and cessation programs should also include strategies related to SLT use.

UR - http://www.scopus.com/inward/record.url?scp=0035709337&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035709337&partnerID=8YFLogxK

U2 - 10.1006/pmed.2000.0802

DO - 10.1006/pmed.2000.0802

M3 - Article

VL - 32

SP - 262

EP - 267

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - 3

ER -