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BMC Public Health
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research article

Polytobacco product use among current cigarette smokers in Hong Kong, China: results from population surveys (2015–17)

Authors: S. L. Chau, M. P. Wang, Y. Wu, D. Y. T. Cheung, A. Kong, V. Lai, T. H. Lam, S. Y. Ho

Published in: BMC Public Health | Issue 1/2021

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Abstract

Background

Polytobacco product use is increasingly popular, but little is known about the prevalence, trend, and factors of such use particularly in non-western countries.

Method

A representative sample of 1139 current cigarette smokers aged 15+ (84.1% male) were telephone interviewed in Tobacco Control Policy-related Surveys in 2015–2017. Information collected included poly-tobacco use (PTU), smoking and socio-demographic characteristics. Associations of current PTU with related factors were analyzed using logistic regression with adjustment for confounders. Prevalence was weighted by age and sex of current cigarette users in the general population.

Results

Eighty-four point one percent (95% CI 81.4–86.6%) were exclusive cigarette smokers. Fifteen point nine percent (13.4–18.6%) were current polytobacco product users, 12.3% (10.2–14.8%) used one tobacco product and 2.52% (1.59–3.97%) used two tobacco products in addition to cigarette. Cigarette use with cigar was more common (6.28%, 4.75–8.27%), and the least used product with cigarette was e-cigarette (1.05%, 0.44–2.50%). The changes in overall prevalence of PTU by number of products use varied in 3 years. Current PTU was associated with being male (AOR 2.01, 95% CI 1.12–3.61), younger age (AORs range from 1.34–4.65, P for trend < .001) and less ready to quit (2.08, 1.09–3.97).

Conclusions

Prevalence of PTU increased slowly by year, one tobacco product use with cigarette was more common. The most used tobacco product with cigarette was cigar. Being male, younger and less ready to quit were associated with current PTU.
Appendix
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Literature
1.
Kowitt SD, Patel T, Ranney LM, et al. Poly-tobacco use among high school students. J Environ Public Health. 2015;12:14477–89.2.CrossRef
2.
Sung HY, Wang Y, Yao T, et al. Polytobacco use of cigarettes, cigars, chewing tobacco, and snuff among US adults. Nicotine Tob Res. 2016;18:817–26.PubMedCrossRef
3.
Merianos AL, Mancuso TF, Gordon JS, et al. Dual- and polytobacco/nicotine product use trends in a national sample of high school students. Am J Health Promot. 2018;32:1280–90.PubMedCrossRef
4.
Kang H, Cho SI. Heated tobacco product use among Korean adolescents. Tob Control. 2019;0:1–3.
5.
World Health Organization. 90% of smokeless tobacco users live in South-East Asia. Geneva: World Health Organ; 2013.
6.
Sinha D, Gupta PC, Parascondola M, et al. Global burden of smokeless tobacco (SLT) use. Tob Induc Dis. 2018;16:215.CrossRef
7.
Caputi TL, Leas E, Dredze M, et al. They’re heating up: internet search query trends reveal significant public interest in heat-not-burn tobacco products. PLoS One. 2017;12:10.CrossRef
8.
King JL, Reboussin D, Ross JC, et al. Polytobacco use among a nationally representative sample of adolescent and young adult e-cigarette users. J Adolesc Health. 2018;63:407–12.PubMedPubMedCentralCrossRef
9.
Petersen A, Myers MG, Tully L, et al. Polytobacco use among young adult smokers: prospective association with cigarette consumption. Tob Control. 2020;29:43–8.PubMedCrossRef
10.
Chaffee BW, Couch ET, Gansky SA. Trends in characteristics and multi-product use among adolescents who use electronic cigarettes, United States 2011-2015. PLoS One. 2017;12:5.CrossRef
11.
Lee YO, Hebert CJ, Nonnemaker JM, et al. Multiple tobacco product use among adults in the United States: cigarettes, cigars, electronic cigarettes, hookah, smokeless tobacco, and snus. Prev Med. 2014;62:14–9.PubMedCrossRef
12.
Corral I, Landrine H, Simms DA, et al. Polytobacco use and multiple-product smoking among a random community sample of African-American adults. BMJ Open. 2013;3:e003606.PubMedPubMedCentralCrossRef
13.
Ali M, Gray TR, Martinez DJ, et al. Risk profiles of youth single, dual, and poly tobacco users. Nicotine Tob Res. 2016;18:1614–21.PubMedCrossRef
14.
15.
Yang G, Wang Y, Wu Y, et al. The road to effective tobacco control in China. Lancet. 2015;385:1019–28.PubMedCrossRef
16.
Census and Statistic Department. Thematic household survey report no. 64: pattern of smoking. In. Hong Kong. 2018.
17.
18.
Jiang N, Ho SY, Wang MP, et al. The relationship of waterpipe use with cigarette smoking susceptibility and nicotine dependence: a cross-sectional study among Hong Kong adolescents. Addict Behav. 2017;64:123–8.PubMedCrossRef
19.
20.
Cheung YT, Wang MP, Ho SY, et al. Public support for electronic cigarette regulation in Hong Kong: a population-based cross-sectional study. J Enivron Public Health. 2017;14:709.
21.
Borland R, Yong HH, O'connor RJ, et al. The reliability and predictive validity of the heaviness of smoking index and its two components: findings from the international tobacco control four country study. Nicotine Tob Res. 2010;12:45–50.CrossRef
22.
Tworek C, Schauer GL, Wu CC, et al. Youth tobacco cessation: quitting intentions and past-year quit attempts. Am J Prev Med. 2014;47:15–27.CrossRef
23.
Sung HY, Wang Y, Yao T, et al. Polytobacco use and nicotine dependence symptoms among US adults, 2012–2014. Nicotine Tob Res. 2018;20:88–98.CrossRef
24.
Agaku IT, Filippidis FT, Vardavas CI, et al. Poly-tobacco use among adults in 44 countries during 2008–2012: evidence for an integrative and comprehensive approach in tobacco control. Drug Alcohol Depend. 2014;139:60–70.PubMedCrossRef
25.
Mostafa A, El Houssinie M, Fotouh AA. Multiple tobacco use among young adult waterpipe smokers in Egypt. World Health Organ. 2018;24:7–17.
26.
Link AR, Cawkwell PB, Shelley DR, et al. An exploration of online behaviors and social media use among hookah and electronic-cigarette users. Addict Behav. 2015;2:37–40.
27.
Pickworth WB, Rosenberry ZR, O'Grady KE, et al. Dual use of cigarettes, little cigars, cigarillos, and large cigars: smoking topography and toxicant exposure. Tob Regul Sci. 2017;3:72–83.CrossRef
28.
Backinger CL, Fagan P, O’Connell ME, et al. Use of other tobacco products among US adult cigarette smokers: prevalence, trends and correlates. Addict Behav. 2008;33:472–89.PubMedCrossRef
29.
30.
Stanton CA, Halenar MJ. Patterns and correlates of multiple tobacco product use in the United States. Nicotine Tob Res. 2018;20:1–4.CrossRef
31.
Osibogun O, Taleb ZB, Bahelah R, et al. Correlates of poly-tobacco use among youth and young adults: findings from the population assessment of tobacco and health study, 2013–2014. Drug Alcohol Depend. 2018;187:160–4.PubMedPubMedCentralCrossRef
32.
Bombard JM, Pederson LL, Nelson DE, et al. Are smokers only using cigarettes? Exploring current polytobacco use among an adult population. Addict Behav. 2007;32:2411–9.PubMedCrossRef
33.
Rigotti NA, Lee JE, Wechsler H. US college students’ use of tobacco products: results of a national survey. JAMA. 2000;284:699–705.PubMedCrossRef
34.
Harrell MB, Weaver SR, Loukas A, et al. Flavored e-cigarette use: characterizing youth, young adult, and adult users. Prev Med Rep. 2017;5:33–40.PubMedCrossRef
35.
36.
Roditis M, Delucchi K, Cash D, et al. Adolescents’ perceptions of health risks, social risks, and benefits differ across tobacco products. J Adolesc Health. 2016;58:558–66.PubMedPubMedCentralCrossRef
37.
Pulvers K, Hayes RB, Scheuermann TS, et al. Tobacco use, quitting behavior, and health characteristics among current electronic cigarette users in a national tri-ethnic adult stable smoker sample. Nicotine Tob Res. 2014;17:1085–95.PubMedPubMedCentralCrossRef
38.
Tomar SL, Alpert HR, Connolly GN. Patterns of dual use of cigarettes and smokeless tobacco among US males: findings from national surveys. Tob Control. 2010;19:104–9.PubMedCrossRef
39.
McClave-Regan AK, Berkowitz J. Smokers who are also using smokeless tobacco products in the US: a national assessment of characteristics, behaviours and beliefs of ‘dual users’. Tob Control. 2011;20:239–42.PubMedCrossRef
40.
Siahpush M, McNeill A, Borland R, et al. Socioeconomic variations in nicotine dependence, self-efficacy, and intention to quit across four countries: findings from the international tobacco control (ITC) four country survey. Tob Control. 2006;15:71–5.CrossRef
41.
Wang MP, Ho SY, Lam TH. Parental smoking, exposure to secondhand smoke at home, and smoking initiation among young children. Nicotine Tob Res. 2011;13:827–32.PubMedCrossRef
42.
Van de Mortel TF. Faking it: social desirability response bias in self-report research. Aust J Adv Nurs. 2008;25:40.
43.
Luk TT, Wang MP, Leung LT, et al. Perceived family relationship quality and use of poly-tobacco products during early and late adolescence. Addict Behav. 2018;85:38–42.PubMedCrossRef
Metadata
Title
Polytobacco product use among current cigarette smokers in Hong Kong, China: results from population surveys (2015–17)
Authors
S. L. Chau
M. P. Wang
Y. Wu
D. Y. T. Cheung
A. Kong
V. Lai
T. H. Lam
S. Y. Ho
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-10341-7

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