Adolescent tobacco coupon receipt, vulnerability characteristics and subsequent tobacco use: Analysis of PATH Study, Waves 1 and 2

Shyanika W. Rose; Allison M. Glasser; Yitong Zhou; Tess Boley Cruz; Amy M. Cohn; Brianna A. Lienemann; M. Justin Byron; Li Ling Huang; Helen I. Meissner; Lourdes Baezconde-Garbanati; Jennifer B. Unger

doi:10.1136/tobaccocontrol-2017-054141

Adolescent tobacco coupon receipt, vulnerability characteristics and subsequent tobacco use: Analysis of PATH Study, Waves 1 and 2

Shyanika W. Rose, Allison M. Glasser, Yitong Zhou, Tess Boley Cruz, Amy M. Cohn, Brianna A. Lienemann, M. Justin Byron, Li Ling Huang, Helen I. Meissner, Lourdes Baezconde-Garbanati, Jennifer B. Unger

Behavioral Science

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Objectives We examine adolescent receipt of tobacco coupons and subsequent tobacco use. Methods Data were from the Population Assessment of Tobacco and Health (PATH) Study (2013-2015). We identified correlates of coupon receipt at Wave 1 (youth sample age 12-17; n = 13 651) including demographics, additional vulnerability factors that may place youth at risk of tobacco use and correlates of coupon receipt by channel. We examined associations of Wave 1 coupon receipt with Wave 2 tobacco use using weighted multivariable models. Results Overall, 7.6% of US youth received tobacco coupons in the 6 months before Wave 1. Coupon recipients were more likely to be women, living outside urban areas, living with a tobacco user, current and former (vs never) tobacco users, having high internalising mental health symptoms and having a favourite tobacco advertisement. Coupons were received primarily through direct mail (56%), product packs (28%) and online (25%). Never tobacco users at Wave 1 who received coupons were more likely to be ever users at Wave 2 (adjusted OR (aOR)=1.42; 95% CI 1.06 to 1.91). Coupon recipients were more likely to use a new tobacco product between waves (aOR=1.67; 95% CI 1.18 to 2.36) and report past 30-day tobacco use at Wave 2 (aOR=1.81; 95% CI 1.31 to 2.49). Conclusions One in 13 US youth (7.6%) received coupons. Vulnerable youth had the greatest odds of coupon receipt. Coupon recipients had greater odds of tobacco use among never users, trying a new tobacco product and current use. Coupon bans, limits on youth coupon exposure, stronger age verification, pack inserts or restricting coupon redemption may help reduce tobacco use among adolescents, particularly for those at greatest risk.

Original language	English
Pages (from-to)	E50-E56
Journal	Tobacco Control
Volume	27
Issue number	e1
DOIs	https://doi.org/10.1136/tobaccocontrol-2017-054141
State	Published - Jul 1 2018

Bibliographical note

Publisher Copyright:
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Funding

Funding This project was completed as part of the collaborative research being conducted by the National Institutes of Health (NIH) and Food and Drug Administration (FDA) Tobacco Centers of Regulatory Science (TCORS) Vulnerable Populations Working Group. This study is supported in part by grant number U54CA189222 under a subcontract to Westat from NCI, FDA and the Center for Evaluation and Coordination of Training and Research (CECTR) in tobacco regulatory science for SWR and AMG; P50CA180905 from the National Cancer Institute (NCI) and the Food and Drug Administration (FDA) Center for Tobacco Products (CTP) for TBC, JBU, BAL and LB-G; T32CA009492-29 from NCI for BAL; and P50 CA180907 from the NCI and FDA CTP for MJB and L-LH.

Funders	Funder number
U.S. Food and Drug Administration	T32CA009492-29, P50 CA180907
National Childhood Cancer Registry – National Cancer Institute	P50CA180905, U54CA189222, P50CA180907

Keywords

coupon
price promotion
tobacco
youth

ASJC Scopus subject areas

Health(social science)
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1136/tobaccocontrol-2017-054141

Cite this

Rose, S. W., Glasser, A. M., Zhou, Y., Cruz, T. B., Cohn, A. M., Lienemann, B. A., Byron, M. J., Huang, L. L., Meissner, H. I., Baezconde-Garbanati, L., & Unger, J. B. (2018). Adolescent tobacco coupon receipt, vulnerability characteristics and subsequent tobacco use: Analysis of PATH Study, Waves 1 and 2. Tobacco Control, 27(e1), E50-E56. https://doi.org/10.1136/tobaccocontrol-2017-054141

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title = "Adolescent tobacco coupon receipt, vulnerability characteristics and subsequent tobacco use: Analysis of PATH Study, Waves 1 and 2",

abstract = "Objectives We examine adolescent receipt of tobacco coupons and subsequent tobacco use. Methods Data were from the Population Assessment of Tobacco and Health (PATH) Study (2013-2015). We identified correlates of coupon receipt at Wave 1 (youth sample age 12-17; n = 13 651) including demographics, additional vulnerability factors that may place youth at risk of tobacco use and correlates of coupon receipt by channel. We examined associations of Wave 1 coupon receipt with Wave 2 tobacco use using weighted multivariable models. Results Overall, 7.6% of US youth received tobacco coupons in the 6 months before Wave 1. Coupon recipients were more likely to be women, living outside urban areas, living with a tobacco user, current and former (vs never) tobacco users, having high internalising mental health symptoms and having a favourite tobacco advertisement. Coupons were received primarily through direct mail (56%), product packs (28%) and online (25%). Never tobacco users at Wave 1 who received coupons were more likely to be ever users at Wave 2 (adjusted OR (aOR)=1.42; 95% CI 1.06 to 1.91). Coupon recipients were more likely to use a new tobacco product between waves (aOR=1.67; 95% CI 1.18 to 2.36) and report past 30-day tobacco use at Wave 2 (aOR=1.81; 95% CI 1.31 to 2.49). Conclusions One in 13 US youth (7.6%) received coupons. Vulnerable youth had the greatest odds of coupon receipt. Coupon recipients had greater odds of tobacco use among never users, trying a new tobacco product and current use. Coupon bans, limits on youth coupon exposure, stronger age verification, pack inserts or restricting coupon redemption may help reduce tobacco use among adolescents, particularly for those at greatest risk.",

keywords = "coupon, price promotion, tobacco, youth",

author = "Rose, {Shyanika W.} and Glasser, {Allison M.} and Yitong Zhou and Cruz, {Tess Boley} and Cohn, {Amy M.} and Lienemann, {Brianna A.} and Byron, {M. Justin} and Huang, {Li Ling} and Meissner, {Helen I.} and Lourdes Baezconde-Garbanati and Unger, {Jennifer B.}",

note = "Publisher Copyright: {\textcopyright} Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.",

year = "2018",

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Rose, SW, Glasser, AM, Zhou, Y, Cruz, TB, Cohn, AM, Lienemann, BA, Byron, MJ, Huang, LL, Meissner, HI, Baezconde-Garbanati, L & Unger, JB 2018, 'Adolescent tobacco coupon receipt, vulnerability characteristics and subsequent tobacco use: Analysis of PATH Study, Waves 1 and 2', Tobacco Control, vol. 27, no. e1, pp. E50-E56. https://doi.org/10.1136/tobaccocontrol-2017-054141

TY - JOUR

T1 - Adolescent tobacco coupon receipt, vulnerability characteristics and subsequent tobacco use

T2 - Analysis of PATH Study, Waves 1 and 2

AU - Rose, Shyanika W.

AU - Glasser, Allison M.

AU - Zhou, Yitong

AU - Cruz, Tess Boley

AU - Cohn, Amy M.

AU - Lienemann, Brianna A.

AU - Byron, M. Justin

AU - Huang, Li Ling

AU - Meissner, Helen I.

AU - Baezconde-Garbanati, Lourdes

AU - Unger, Jennifer B.

N1 - Publisher Copyright: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Objectives We examine adolescent receipt of tobacco coupons and subsequent tobacco use. Methods Data were from the Population Assessment of Tobacco and Health (PATH) Study (2013-2015). We identified correlates of coupon receipt at Wave 1 (youth sample age 12-17; n = 13 651) including demographics, additional vulnerability factors that may place youth at risk of tobacco use and correlates of coupon receipt by channel. We examined associations of Wave 1 coupon receipt with Wave 2 tobacco use using weighted multivariable models. Results Overall, 7.6% of US youth received tobacco coupons in the 6 months before Wave 1. Coupon recipients were more likely to be women, living outside urban areas, living with a tobacco user, current and former (vs never) tobacco users, having high internalising mental health symptoms and having a favourite tobacco advertisement. Coupons were received primarily through direct mail (56%), product packs (28%) and online (25%). Never tobacco users at Wave 1 who received coupons were more likely to be ever users at Wave 2 (adjusted OR (aOR)=1.42; 95% CI 1.06 to 1.91). Coupon recipients were more likely to use a new tobacco product between waves (aOR=1.67; 95% CI 1.18 to 2.36) and report past 30-day tobacco use at Wave 2 (aOR=1.81; 95% CI 1.31 to 2.49). Conclusions One in 13 US youth (7.6%) received coupons. Vulnerable youth had the greatest odds of coupon receipt. Coupon recipients had greater odds of tobacco use among never users, trying a new tobacco product and current use. Coupon bans, limits on youth coupon exposure, stronger age verification, pack inserts or restricting coupon redemption may help reduce tobacco use among adolescents, particularly for those at greatest risk.

AB - Objectives We examine adolescent receipt of tobacco coupons and subsequent tobacco use. Methods Data were from the Population Assessment of Tobacco and Health (PATH) Study (2013-2015). We identified correlates of coupon receipt at Wave 1 (youth sample age 12-17; n = 13 651) including demographics, additional vulnerability factors that may place youth at risk of tobacco use and correlates of coupon receipt by channel. We examined associations of Wave 1 coupon receipt with Wave 2 tobacco use using weighted multivariable models. Results Overall, 7.6% of US youth received tobacco coupons in the 6 months before Wave 1. Coupon recipients were more likely to be women, living outside urban areas, living with a tobacco user, current and former (vs never) tobacco users, having high internalising mental health symptoms and having a favourite tobacco advertisement. Coupons were received primarily through direct mail (56%), product packs (28%) and online (25%). Never tobacco users at Wave 1 who received coupons were more likely to be ever users at Wave 2 (adjusted OR (aOR)=1.42; 95% CI 1.06 to 1.91). Coupon recipients were more likely to use a new tobacco product between waves (aOR=1.67; 95% CI 1.18 to 2.36) and report past 30-day tobacco use at Wave 2 (aOR=1.81; 95% CI 1.31 to 2.49). Conclusions One in 13 US youth (7.6%) received coupons. Vulnerable youth had the greatest odds of coupon receipt. Coupon recipients had greater odds of tobacco use among never users, trying a new tobacco product and current use. Coupon bans, limits on youth coupon exposure, stronger age verification, pack inserts or restricting coupon redemption may help reduce tobacco use among adolescents, particularly for those at greatest risk.

KW - coupon

KW - price promotion

KW - tobacco

KW - youth

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Adolescent tobacco coupon receipt, vulnerability characteristics and subsequent tobacco use: Analysis of PATH Study, Waves 1 and 2

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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