{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T19:10:43Z","timestamp":1778699443836,"version":"3.51.4"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T00:00:00Z","timestamp":1670198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","award":["T32 GM132494"],"award-info":[{"award-number":["T32 GM132494"]}],"id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aims to identify adolescent patterns of polytobacco use and measure transitions between patterns over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Longitudinal analysis using data derived from waves 1\u20134 (2013\u201318) of the Population Assessment of Tobacco and Health (PATH) study. Transitions in tobacco use patterns were examined via latent transition analysis, and then, socio\u2010demographic characteristics were used to predict transitions via logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Participants included 975 adolescents who used at least one tobacco product at any wave (W1 mean age\u00a0<jats:italic>=<\/jats:italic>\u00a013.29, standard deviation\u2009=\u20090.86; W4 54.2% male; 54.5% white, 25.9% Hispanic).<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Measurements included past 30\u2010day use of cigarettes, electronic cigarettes (e\u2010cigs), traditional cigars, cigarillos, filtered cigars, snus, smokeless tobacco (SLT) or hookah.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Six latent classes were identified. Cigarette users (43.5\u201358.8%) and SLT users (50.8\u201379.6%) tended to persist in their use over time. E\u2010cig users began to probably transition to non\u2010users (80.0%), but became more likely to persist in this use over time (31.1%). Non\u2010users at a given wave were most likely to transition to e\u2010cig users (8.5\u201343.7%) or cigarette users (6.7\u201328.6%). Cigarillo\/poly\u2010users and hookah\/poly\u2010users displayed more variable transition patterns. Adolescents were more likely to transition to non\u2010use (versus become\/remain e\u2010cig users) if they were older (cigarette users, SLT users), younger (e\u2010cig users), other race (SLT users), male (SLT users) or had less\u2010educated parents (SLT users) compared with their counterparts. Hispanic (versus white) cigarette users were more likely to transition to non\u2010users than to persist in this use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among adolescents in the United States, patterns of tobacco use characterized by the use, mainly, of single, specific products appear to be stable, particularly by late adolescence. In contrast, patterns characterized by polytobacco use appear to be more variable and may represent experimentation without specialization.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.16095","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T13:58:16Z","timestamp":1668866296000},"page":"727-738","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Longitudinal transitions in adolescent polytobacco use across waves 1\u20134 of the Population Assessment of Tobacco and Health study"],"prefix":"10.1111","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5965-7224","authenticated-orcid":false,"given":"Melissa D.","family":"Blank","sequence":"first","affiliation":[{"name":"Department of Psychology West Virginia University  Morgantown WV USA"},{"name":"West Virginia Prevention Research Center, Department of Social and Behavioral Sciences, School of Public Health West Virginia University  Morgantown WV USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katelyn F.","family":"Romm","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health George Washington University  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret G.","family":"Childers","sequence":"additional","affiliation":[{"name":"Department of Psychology West Virginia University  Morgantown WV USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley E.","family":"Douglas","sequence":"additional","affiliation":[{"name":"Department of Psychology West Virginia University  Morgantown WV USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geri","family":"Dino","sequence":"additional","affiliation":[{"name":"West Virginia Prevention Research Center, Department of Social and Behavioral Sciences, School of Public Health West Virginia University  Morgantown WV USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethany C.","family":"Bray","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Policy The University of Illinois at Chicago  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"OlsonW.Hookah bars and lounges on the rise in the Hudson Valley. 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