{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T05:24:08Z","timestamp":1782797048004,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,25]],"date-time":"2024-02-25T00:00:00Z","timestamp":1708819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R21DA051628"],"award-info":[{"award-number":["R21DA051628"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>This study examined young adults\u2019 tobacco use transitions based on their past 30\u2010day use states, and identified factors associated with their transitions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants (<jats:italic>N<\/jats:italic>\u2009=\u200912377) were young adults aged 18\u201029 years at Wave 1 of the Population Assessment of Tobacco and Health (PATH) study. Self\u2010reported tobacco use states were categorized by the number of past\u2010month use days (0, 1\u20134, 5\u20138, 9\u201312, 13\u201330 days) for cigarettes, electronic cigarettes [e\u2010cigarettes], traditional cigars, filtered cigars, cigarillos, smokeless tobacco (SLT), and hookah. Multistate Markov models examined transitions between use states across Waves 1\u20135 of unweighted PATH data and multinomial logistic regressions examined predictors of transitions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most young adults remained nonusers across adjacent waves for all products (88%\u201399%). Collapsed across waves, transitioning from use at any level to nonuse (average 46%\u201367%) was more common than transitioning from nonuse to use at any level (average 4%\u201310%). Several factors that predicted riskier patterns of use (i.e., transitioning to use and\/or remaining a user across adjacent waves) were similar across most products: male, Black, Hispanic, lower education levels, and lower harm perceptions. In contrast, other factors predicted riskier patterns for only select products (e.g., e\u2010cigarette and SLT use among Whites).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Few sampled young adults escalated their tobacco use over time, and escalations for many products were predicted by similar factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>Prevention and regulatory efforts targeted towards adolescents should continue, but also be expanded into young adulthood. These same efforts should consider both shared and unique factors that influence use transitions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.13524","type":"journal-article","created":{"date-parts":[[2024,2,25]],"date-time":"2024-02-25T10:19:48Z","timestamp":1708856388000},"page":"409-422","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors associated with transitions in tobacco product use states among young adults aged 18\u201329 years"],"prefix":"10.1111","volume":"33","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 West Virginia USA"},{"name":"West Virginia Prevention Research Center, Department of Social and Behavioral Sciences, School of Public Health West Virginia University Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A.","family":"Turiano","sequence":"additional","affiliation":[{"name":"Department of Psychology West Virginia University Morgantown West Virginia USA"},{"name":"West Virginia Prevention Research Center, Department of Social and Behavioral Sciences, School of Public Health West Virginia University Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany C.","family":"Bray","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Policy University of Illinois at Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea R.","family":"Milstred","sequence":"additional","affiliation":[{"name":"Department of Psychology West Virginia University Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Childers","sequence":"additional","affiliation":[{"name":"Department of Psychology West Virginia University Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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 West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9552-0732","authenticated-orcid":false,"given":"Katelyn F.","family":"Romm","sequence":"additional","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"},{"name":"Department of Pediatrics University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7111a1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182413092"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.2817"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2020-055625"},{"key":"e_1_2_7_6_1","unstructured":"Substance Abuse and Mental Health Services Administration. 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