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Review
, 7 (1), 29-43

The Changing Face of Tobacco Use Among United States Youth

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Review

The Changing Face of Tobacco Use Among United States Youth

Dana Lauterstein et al. Curr Drug Abuse Rev.

Abstract

Tobacco use, primarily in the form of cigarettes, is the leading cause of preventable morbidity and mortality in the United States (U.S.). The adverse effects of tobacco use began to be recognized in the 1940's and new hazards of active smoking and secondhand smoke (SHS) exposure from cigarettes continue to be identified to this day. This has led to a sustained and wide-ranging array of highly effective regulatory, public health, and clinical efforts that have been informed by extensive scientific data, resulting in marked decreases in the use of cigarettes. Unfortunately, the dramatic recent decline in cigarette use in the U.S., has been accompanied by an upsurge in adolescent and young adult use of new, non-cigarette tobacco and nicotine-delivery products, commonly referred to as alternative tobacco products (ATPs). Commonly used ATPs include hookah, cigars, smokeless tobacco, and electronic cigarettes. While there have been a number of review articles that focus on adult ATP use, the purpose of this review is to provide an overview of what is, and is not known about emerging ATP use among U.S. adolescents on a national scale; as well as to identify research gaps in knowledge, and discuss future health and policy needs for this growing public health concern. This paper is not meant to systemically review all published survey data, but to present clear depiction of selected ATP usage in youth populations using national survey data.

Conflict of interest statement

CONFLICT OF INTERESTS

The authors have no financial or other conflicts to declare.

Figures

Figure 1
Figure 1. Temporal Hookah Trends Over the Past 2 Years Available by Survey
Note: Values from NYTS reflect current prevalence, while MTF values reflect annual prevalence, as current prevalence values were not available.
Figure 2
Figure 2
Temporal E-cigarette Trends Over the Past 2 Years Available by Survey
Figure 3
Figure 3. Temporal Cigar Trends Over the Past 2 Years Available by Survey
Note: Values from NYTS, NSDUH and YRBSS reflect current prevalence, while MTF values reflect annual prevalence, as current prevalence values were not available.
Figure 4
Figure 4
Temporal Smokeless Tobacco Trends Over the Past 2 Years Available by Survey
Figure 5
Figure 5. Temporal Snus Trends Over the Past 2 Years Available by Survey
Note: Values from NYTS, NSDUH and YRBSS reflect current prevalence, while MTF values reflect annual prevalence, as current prevalence values were not available.
Figure 6
Figure 6. Temporal Dissolvable Tobacco Trends Over the Past 2 Years Available by Survey
Note: Values from NYTS, NSDUH and YRBSS reflect current prevalence, while MTF values reflect annual prevalence, as current prevalence values were not available.
Figure 7
Figure 7. Temporal Kretek Trends Over the Past 2 Years Available by Survey
Note: Values from NYTS reflect current prevalence, while MTF values reflect annual prevalence, as current prevalence values were not available.
Figure 8
Figure 8
Temporal Bidi Trends Over the Past 2 Years Available by Survey

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