Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness
Introduction: Alternative tobacco product (ATP) use is common in the general population; however, few studies have explored ATP among individuals experiencing homelessness. We recruited individuals experiencing homelessness who were current cigarette smokers to explore flavored and unflavored ATP us...
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2020-12-01
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doaj-700e76f817574da9ace3dd6f0b5c0cc92020-12-19T05:08:42ZengElsevierAddictive Behaviors Reports2352-85322020-12-0112100280Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessnessNatalie M. Alizaga0Marlena Hartman-Filson1Holly Elser2Bonnie Halpern-Felsher3Maya Vijayaraghavan4Cañada College, Humanities and Social Sciences Division, Department of Psychology, 4200 Farm Hill Blvd., Bldg 03-139, Redwood City, CA 94061, USAUniversity of California, San Francisco, Division of General Internal Medicine, 1001 Potrero Avenue, San Francisco, CA 94110, USAUC Berkeley School of Public Health, Division of Epidemiology, 2121 Berkeley Way, Berkeley, CA 94720, USAStanford University, Division of Adolescent Medicine, Department of Pediatrics, 770 Welch Road, Suite 100, Palo Alto, CA 94304, USAUniversity of California, San Francisco, Division of General Internal Medicine, 1001 Potrero Avenue, San Francisco, CA 94110, USA; Corresponding author at: University of California, San Francisco, Division of General Internal Medicine, 1001 Potrero Avenue, Box 1364, San Francisco, CA 94110, USA.Introduction: Alternative tobacco product (ATP) use is common in the general population; however, few studies have explored ATP among individuals experiencing homelessness. We recruited individuals experiencing homelessness who were current cigarette smokers to explore flavored and unflavored ATP use and its association with past-year cigarette quit attempts. Methods: Using time-location sampling, we recruited participants from eight service sites in San Francisco, CA between December 2017 and July 2018. We explored type of ATP use and perceptions of product addiction, harm and risk between cigarette-only smokers and those who used cigarettes and ATPs (‘ATP users’). We used logistic regression to examine the association between ATP and past-year quit attempts, adjusting for demographics, substance use disorders, depressive symptoms, and cigarette use characteristics. Results: Among the 470 participants, 34.5% were cigarette-only users and 65.5% were ATP users. Among ATP users, 74.0% used cigars and 29.8% used e-cigarettes in the past month, with fruit-flavored products being the most common. ATP users were more likely to perceive cigars, blunts, and smokeless tobacco to be quite to extremely harmful or addictive compared to cigarette-only users. ATP use was not associated with past-year quit attempts, whereas hazardous alcohol use (OR = 2.07; CI 1.07–4.02) was associated with higher odds and and amphetamine use (OR = 0.50; CI 0.26–0.98) was associated with lower odds of past-year attempts. Conclusions: High rates of ATP use highlight a need for studies that explore motivations for use, beyond use as a smoking cessation aid, among people experiencing homelessness.http://www.sciencedirect.com/science/article/pii/S2352853220300110Alternative tobacco useFlavored tobaccoHomeless adults |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Natalie M. Alizaga Marlena Hartman-Filson Holly Elser Bonnie Halpern-Felsher Maya Vijayaraghavan |
spellingShingle |
Natalie M. Alizaga Marlena Hartman-Filson Holly Elser Bonnie Halpern-Felsher Maya Vijayaraghavan Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness Addictive Behaviors Reports Alternative tobacco use Flavored tobacco Homeless adults |
author_facet |
Natalie M. Alizaga Marlena Hartman-Filson Holly Elser Bonnie Halpern-Felsher Maya Vijayaraghavan |
author_sort |
Natalie M. Alizaga |
title |
Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness |
title_short |
Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness |
title_full |
Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness |
title_fullStr |
Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness |
title_full_unstemmed |
Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness |
title_sort |
alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness |
publisher |
Elsevier |
series |
Addictive Behaviors Reports |
issn |
2352-8532 |
publishDate |
2020-12-01 |
description |
Introduction: Alternative tobacco product (ATP) use is common in the general population; however, few studies have explored ATP among individuals experiencing homelessness. We recruited individuals experiencing homelessness who were current cigarette smokers to explore flavored and unflavored ATP use and its association with past-year cigarette quit attempts. Methods: Using time-location sampling, we recruited participants from eight service sites in San Francisco, CA between December 2017 and July 2018. We explored type of ATP use and perceptions of product addiction, harm and risk between cigarette-only smokers and those who used cigarettes and ATPs (‘ATP users’). We used logistic regression to examine the association between ATP and past-year quit attempts, adjusting for demographics, substance use disorders, depressive symptoms, and cigarette use characteristics. Results: Among the 470 participants, 34.5% were cigarette-only users and 65.5% were ATP users. Among ATP users, 74.0% used cigars and 29.8% used e-cigarettes in the past month, with fruit-flavored products being the most common. ATP users were more likely to perceive cigars, blunts, and smokeless tobacco to be quite to extremely harmful or addictive compared to cigarette-only users. ATP use was not associated with past-year quit attempts, whereas hazardous alcohol use (OR = 2.07; CI 1.07–4.02) was associated with higher odds and and amphetamine use (OR = 0.50; CI 0.26–0.98) was associated with lower odds of past-year attempts. Conclusions: High rates of ATP use highlight a need for studies that explore motivations for use, beyond use as a smoking cessation aid, among people experiencing homelessness. |
topic |
Alternative tobacco use Flavored tobacco Homeless adults |
url |
http://www.sciencedirect.com/science/article/pii/S2352853220300110 |
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