Latent class analysis of use frequencies for multiple tobacco products in US adults

Ritesh Mistry, Irina Bondarenko, Jihyoun Jeon, Andrew F. Brouwer, Delvon T. Mattingly, Jana L. Hirschtick, Evelyn Jimenez-Mendoza, David T. Levy, Stephanie R. Land, Michael R. Elliott, Jeremy M.G. Taylor, Rafael Meza, Nancy L. Fleischer

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

A persistent challenge is characterizing patterns of tobacco use in terms of product combinations and frequency. Using Wave 4 (2016–17) Population Assessment of Tobacco and Health Study adult data, we conducted latent class analyses (LCA) of past 30-day frequency of use for 9 tobacco products. One-step LCA with joint multinomial logistic regression models compared sociodemographic factors between users (n = 13,716) and non-users (n = 17,457), and between latent classes of users. We accounted for survey design and weights. Our analyses identified 6 classes: in addition to non-users (C0: 75.7%), we found 5 distinct latent classes of users: daily exclusive cigarette users (C1: 15.5%); occasional cigarette and polytobacco users (C2: 3.8%); frequent e-product and occasional cigarette users (C3: 2.2%); daily smokeless tobacco (SLT) and infrequent cigarette users (C4: 2.0%); and occasional cigar users (C5: 0.8%). Compared to C1: C2 and C3 had higher odds of being male (versus female), younger (especially 18–24 versus 55 years), and having higher education; C2 had higher, while C3 and C4 had lower, odds of being a racial/ethnic minority (versus Non-Hispanic White); C4 and C5 had much higher odds of being male (versus female) and heterosexual (versus sexual minority) and having higher income; and C5 had higher odds of college or more education. We identified three classes of daily or frequent users of a primary product (cigarettes, SLT or e-products) and two classes of occasional users (cigarettes, cigars and polytobacco). Sociodemographic differences in class membership may influence tobacco-related health disparities associated with specific patterns of use.

Original languageEnglish
Article number106762
JournalPreventive Medicine
Volume153
DOIs
StatePublished - Dec 2021

Bibliographical note

Publisher Copyright:
© 2021 Elsevier Inc.

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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