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. Author manuscript; available in PMC: 2018 Jul 1.
Published in final edited form as: J Adolesc Health. 2018 Mar 2;62(6):750–753. doi: 10.1016/j.jadohealth.2017.12.017

Table 1.

Prevalence and Correlates of Harm Perceptionsa Towards Intermittent Tobacco Product Use among U.S. Youth – National Youth Tobacco Survey 2016

Weighted % (95% CI)

Characteristic n
(unweighted)
No
Harm
Little
Harm
Some
Harm
A Lot
of Harm
CIGARETTES

Overall 20009 3.7 (3.1–4.3) 6.0 (5.5–6.6) 32.9 (31.7, 34.2) 57.4 (56.2, 58.5)
Sex
  Male 9876 2.5 (2.0 – 3.0) 5.4 (4.7 – 6.3) 33 (31.6 – 34.4) 59.1 (57.6 – 60.6)
  Female 10016 4.9 (4.1 – 5.8) 6.6 (6.0 – 7.3) 32.9 (31.3 – 34.5) 55.6 (54.1 – 57.1)
Race/Ethnicity
  White, non-Hispanic 8836 2 (1.6 – 2.5) 5.9 (5.3 – 6.6) 35.4 (33.6 – 37.2) 56.7 (55.1 – 58.4)
  Black, non-Hispanic 3096 6 (4.9 – 7.4) 6.2 (5.2 – 7.2) 26.3 (24.2 – 28.5) 61.5 (58.9 – 64.1)
  Hispanic 5571 5.6 (4.6 – 6.8) 6.6 (5.4 – 8.0) 31.9 (30.2 – 33.6) 56 (54.5 – 57.4)
  Other, non-Hispanic 1629 4.6 (3.0 – 6.9) 4.7 (3.6 – 6.0) 31.8 (28.9 – 34.9) 58.9 (55.5–58.9)
School Level
  Middle School 9340 3.4 (2.7 – 4.2) 5.5 (4.8 – 6.2) 32 (30.2 – 33.7) 59.2 (57.5 – 60.8)
  High School 10587 3.9 (3.1 – 4.8) 6.4 (5.7 – 7.2) 33.6 (32.0 – 35.3) 56 (54.4 – 57.6)
Number of days smoked cigarettes within past 30 days
  0 days 18703 3 (2.5 – 3.6) 5.1 (4.7 – 5.6) 32.7 (31.5 – 33.9) 59.2 (58.1 – 60.3)
  1–5 days 452 7.9 (5.0–12.1) 22.8 (18.3–28.0) 38.7 (32.7–45.0) 30.7 (25.3 – 36.7)
  6–19 days 194 8.7 (4.9– 15.1) 21.4 (15.1– 29.4) 47.2 (38.8 – 55.8) 22.7 (17.2– 29.4)
  20–30 days 267 21.5 (15.5 – 29.1) 13.6 (8.9 – 20.1) 33.1 (24.4 – 43.2) 31.8 (24.7– 39.8)
Other (past 30-day) Tobacco Product Useb
  Yes 2512 8.7 (6.9 – 10.9) 13.9 (12.0 – 16.0) 34.7 (31.7 – 37.8) 42.7 (39.9 – 45.6)
  No 17466 2.9 (2.5 – 3.5) 4.8 (4.4 – 5.2) 32.6 (31.4 – 33.9) 59.6 (58.4 – 60.8)
Any Tobacco Use by Others in Householdc
  Yes 7043 4.6 (3.8 – 5.5) 8.0 (7.1 – 8.9) 34.6 (33.0 – 36.2) 52.9 (51.1 – 54.6)
  No 12046 2.9 (2.3 – 3.5) 4.8 (4.2 – 5.5) 32.2 (30.7 – 33.8) 60.1 (58.6 – 61.6)

SMOKELESS TOBACCO (Chewing, Snuff, Dip, Snus)

Overall 19981 3.9 (3.3–4.5) 8.1 (7.4–8.8) 34.4 (33.1–35.7) 53.7 (52.3–55.1)
Sex
  Male 9871 2.4 (1.9 – 3.0) 6.3 (5.6 – 7.2) 34.4 (33.0 – 35.9) 56.8 (55.3 – 58.3)
  Female 9993 5.3 (4.6 – 6.3) 9.8 (8.9 – 10.8) 34.4 (32.7 – 36.1) 50.5 (48.7 – 52.3)
Race/Ethnicity
  White, non-Hispanic 8825 2.7 (2.2 – 3.3) 8.9 (8.0 – 9.8) 37.6 (35.9 – 39.4) 50.8 (48.9 – 52.7)
  Black, non-Hispanic 3091 5.2 (4.2 – 6.5) 6.3 (5.2 – 7.6) 27.6 (24.7 – 30.7) 60.9 (57.6 – 64.0)
  Hispanic 5560 5.3 (4.3 – 6.4) 7.7 (6.8 – 8.8) 32.1 (30.8 – 33.5) 54.9 (53.4 – 56.4)
  Other, non-Hispanic 1627 3.8 (2.3 – 6.1) 6.5 (5.0 – 8.5) 31.2 (28.0 – 34.5) 58.5 (54.5 – 62.3)
School Level
  Middle School 9325 3.5 (2.7 – 4.4) 7.7 (6.8 – 8.8) 33.4 (31.5 – 35.3) 55.5 (53.1 – 57.8)
  High School 10574 4.2 (3.4 – 5.1) 8.3 (7.6 – 9.1) 35.2 (33.6 – 36.8) 52.3 (50.6 – 54.0)
Number of days used smokeless tobacco within past 30 days
  0 days 19268 3.2 (2.7 – 3.8) 7.2 (6.6 – 7.8) 34.5 (33.2 –35.8) 55.1 (53.7 – 56.4)
  1–5 days 248 12.7 (8.5 – 18.7) 33.5 (27.5 – 40.2) 38.8 (27.5 – 40.2) 14.9 (11.0 – 19.8)
  6–19 days 75 25.5 (15.3 – 39.3) 38.5 (28.1 – 50.0) 22.6 (13.5 – 35.2) 13.5 (6.7 – 25.1)
  20–30 days 177 36.7 (28.5 – 45.6) 23.6 (16.3 – 32.7) 23.8 (16.2 – 33.4) 16 (11.6 – 21.6)
Other (past 30-day) Tobacco Product Use
  Yes 2539 9.5 (7.8 – 11.5) 16.2 (14.7 – 17.8) 33.1 (30.6 – 35.6) 41.3 (38.8 – 43.8)
  No 17424 3.0 (2.5 – 3.6) 6.8 (6.2 – 7.5) 34.6 (33.2 – 35.9) 55.6 (54.1 – 57.0)
Any tobacco product use by others in household
  Yes 7042 4.8 (4.0 – 5.7) 10.8 (9.7 – 12.1) 35.6 (34.0 – 37.3) 48.8 (46.8 – 50.7)
  No 12033 3.1 (2.5 – 3.7) 6.4 (5.8 – 7.0) 33.9 (32.3 – 35.5) 56.7 (55.2 – 58.1)

HOOKAH/WATERPIPE

Overall 19981 5.3 (4.7–6.0) 13.4 (12.8–14.1) 35.5 (34.1–36.9) 45.8 (44.3–47.3)
Sex
  Male 9801 4.4 (3.7 – 5.2) 13.4 (12.5 – 14.3) 36.8 (35.4 – 38.1) 45.5 (43.9 – 47.0)
  Female 9906 6.2 (5.5 – 7.1) 13.5 (12.6 – 14.4) 34.2 (32.4 – 36.1) 46.1 (44.2 – 48.0)
Race/Ethnicity
  White, non-Hispanic 8761 3.3 (2.8 – 4.0) 13.1 (12.1 – 14.1) 37.5 (35.5 – 39.5) 46.1 (44.2 – 48.0)
  Black, non-Hispanic 3060 9 (8.0 – 10.2) 15.2 (13.8 – 16.7) 30.2 (28.4 – 32.0) 45.7 (43.1 – 48.2)
  Hispanic 5526 7.6 (6.5 – 8.9) 15 (13.8 – 16.2) 35 (33.1 – 36.9) 42.4 (40.4 – 44.5)
  Other, non-Hispanic 1614 5.2 (3.4 – 7.8) 8.7 (7.1 – 10.6) 33 (30.7 – 35.4) 53 (49.9 – 56.1)
School Level
  Middle School 9237 4.2 (3.6 – 5.0) 9.5 (8.8 – 10.2) 31.7 (29.7 – 33.9) 54.5 (52.3 – 56.8)
  High School 10508 6.1 (5.2 – 7.2) 16.5 (15.5 – 17.5) 38.4 (36.7 – 40.7) 38.9 (37.2 – 40.7)
Number of days used hookah/waterpipe within past 30 days
  0 days 18715 4.4 (3.8 – 5.0) 12.6 (12.0 – 13.3) 36 (34.6 – 37.5) 46.9 (45.5 – 48.4)
  1–5 days 461 20 (16.3 – 24.2) 37.9 (32.1 – 44.1) 28.8 (23.9 – 34.2) 13.4 (10.1 – 17.5)
  6–19 days 123 19.3 (12.6 – 28.3) 32.3 (24.1 – 41.6) 33.4 (25.4 – 42.4) 15.1 (8.9 – 24.5)
  20–30 days 116 52.5 (40.3 – 64.3) 22.2 (14.6 – 32.4) 11.8 (5.9 – 22.5) 13.5 (7.5 – 23.0)
Other (past 30-day) tobacco product use
  Yes 2456 13.4 (11.3 – 15.8) 25.8 (23.7 – 28.0) 34.9 (32.4 – 37.5) 26 (23.6 – 28.5)
  No 17342 4.1 (3.5 –4.7) 11.5 (10.9 – 12.2) 35.6 (34.1 – 37.1) 48.8 (47.3 – 50.3)
Any tobacco product use by others in household
  Yes 7007 6.7 (5.8 – 7.8) 16.6 (15.3 – 18.0) 36.2 (34.2 – 38.2) 40.5 (38.0 – 43.0)
  No 11987 4.2 (3.6 – 4.9) 11.7 (10.9 – 12.5) 35.3 (33.6 – 37.0) 48.9 (47.2 – 50.5)

E-CIGARETTES

Overall 19911 9.8 (9.0–10.7) 27.7 (26.7–28.8) 36.4 (35.4–37.5) 26.0 (24.8–27.3)
Sex
  Male 9853 6.7 (5.9 – 7.6) 24.7 (23.6 – 25.8) 40.8 (39.4 – 42.2) 27.9 (26.4 – 29.3)
  Female 9953 13 (11.9 – 14.0) 30.8 (29.2 – 32.3) 32.2 (30.8 – 33.7) 24.1 (22.6 – 25.6)
Race/Ethnicity
  White, non-Hispanic 8797 7.9 (7.1 – 8.7) 29.6 (28.0– 31.2) 38 (36.9 – 39.2) 24.5 (22.7 – 26.4)
  Black, non-Hispanic 3074 14.2 (12.6 – 16.0) 25.6 (23.3 – 28.0) 31.3 (29.1 – 33.6) 28.9 (26.6 – 31.4)
  Hispanic 5547 12 (10.4 – 13.9) 26.3 (24.7 – 27.8) 36.1 (34.3 – 38.0) 25.6 (24.2 – 27.0)
  Other, non-Hispanic 1621 7.9 (6.0 – 10.3) 23.5 (20.8 – 26.4) 36.9 (34.3 – 39.5) 31.8 (28.7 – 34.9)
School Level
  Middle School 9283 9 (7.9 – 10.1) 24 (22.4 – 25.6) 35.8 (34.0 – 37.6) 31.3 (29.8 – 32.8)
  High School 10548 10.4 (9.3 – 11.7) 30.6 (29.0–32.3) 37.1 (35.7 – 38.5) 21.9 (20.0 – 23.9)
Number of days used e-cigarettes within past 30 days
  0 days 18239 7.9 (7.1 – 8.7) 26 (25.0 –27.1) 38.2 (37.0 – 39.4) 27.9 (26.7 – 29.2)
  1–5 days 918 25 (21.6 – 28.8) 51.4 (48.1 – 54.7) 18.8 (16.1 – 21.8) 4.7 (3.3 – 6.8)
  6–19 days 281 33.4 (27.4 – 40.1) 44.7 (38.2 – 51.3) 17.7 (13.2 – 23.2) 4.2 (2.3 – 7.7)
  20–30 days 252 49.2 (40.4 – 58.0) 33 (25.1 – 41.9) 11.1 (6.6 – 18.1) 6.8 (4.1 – 10.9)
Other (past 30-day) tobacco product use
  Yes 1904 22.9 (20.6 – 25.5) 42.9 (40.4 – 45.6) 23.8 (21.5 – 26.3) 10.3 (8.6 – 12.4)
  No 17600 8 (7.3 – 8.8) 26 (24.9 – 27.1) 38.2 (37.0 – 39.3) 27.9 (26.6 – 29.2)
Any tobacco product use by others in household
  Yes 7028 13.2 (12.0 – 14.5) 34.8 (33.4 – 36.2) 33.9 (32.6 – 35.2) 18.1 (16.7 – 19.6)
  No 12015 7.5 (6.7 – 8.5) 23.8 (22.5 – 25.1) 38.0 (36.7 – 39.3) 30.7 (29.1 – 32.3)
a

Respondents were asked the following separate questions: “How much do you think people harm themselves when they [smoke cigarettes; use chewing tobacco, snuff, dip, or snus; use e-cigarettes; smoke tobacco in a hookah or waterpipe] some days but not every day?” Responses for each of the four products assessed included: ‘no harm’, ‘little harm’, ‘some harm’, and ‘a lot of harm’.

b

Refers to past 30-day use of other tobacco product types separate from the primary tobacco product categories of interest. The universe of products assessed in NYTS comprised the following product types: cigarettes; chewing tobacco; snuff or dip; snus; hookah/waterpipe; e-cigarettes; cigars, cigarillos or little cigars; bidis; roll-your own; pipe tobacco; dissolvables.

c

Respondents were asked “Does anyone who lives with you now…?” and provided with the following response options: “smoke cigarettes”; “smoke cigars, cigarillos or little cigars”; “use chewing tobacco, snuff, or dip”; “use cigarettes; smokes tobacco in a hookah or waterpipe”; “smokes pipes filled with tobacco; snus”; “use dissolvable tobacco products”; “smoke bidis”; and “no one who lives with me now uses any form of tobacco”. Those who selected any response other than “no one who lives with me now uses any form of tobacco” were considered to have a household member use tobacco.