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. 2019 Jan 7;173(3):282–284. doi: 10.1001/jamapediatrics.2018.4595

Table. Changes in Flavored Tobacco Use Among Current Tobacco Users, NYTS 2014-2017.

Characteristic Weighted % (95% CI)
Flavored Tobacco Use Among Current Tobacco Usersa Change Across Years
2014 (n = 3822) 2015 (n = 3072) 2016 (n = 2814) 2017 (n = 2501) 2016 vs 2014 P Valueb 2017 vs 2016 P Valuec
Overall 69.4 (66.5 to 72.3) 61.7 (59.1 to 64.3) 57.7 (54.6 to 60.7) 63.6 (60.6 to 66.5) −11.7 (−16.0 to −7.5) <.001d 5.9 (1.7 to 10.1) .007d
Product-specific flavor use
Cigarettese 53.6 (47.9 to 59.2) 51.7 (45.6 to 57.7) 47.8 (41.1 to 54.5) 48.6 (43.5 to 53.8) −5.8 (−14.9 to 3.4) .21 0.9 (−7.8 to 9.5) .84
E-cigarettesf 63.3 (59.8 to 66.8) 41.9 (37.8 to 46.1) 51.4 (47.8 to 55.1) 58.7 (54.3 to 63.2) −11.9 (−17.0 to −6.8)f <.001d 7.3 (1.5 to 13.1) .01d
Cigarsg 63.5 (59.3 to 67.6) 61.1 (56.8 to 65.4) 51.3 (47.2 to 55.5) 49.0 (43.7 to 54.2) −12.1 (−17.9 to −6.3) <.001d −2.4 (−9.2 to 4.4) .49
Hookahh 60.6 (56.8 to 64.4) 70.5 (65.6 to 75.5) 37.4 (31.8 to 43.0) 30.6 (24.5 to 36.6) −23.2 (−30.0 to −16.4) <.001d −6.8 (−15.1 to 1.5) .11
Smokelessi 63.5 (58.9 to 68.2) 47.2 (42.1 to 52.3) 46.8 (42.1 to 51.4) 44.5 (38.3 to 50.7) −16.8 (−23.6 to −10.0) <.001d −2.3 (−10.1 to 5.6) .57
Sex
Male 68.9 (65.6 to 72.2) 60.5 (57.4 to 63.7) 56.1 (52.5 to 59.6) 63.6 (59.1 to 68.0) −12.8 (−17.8 to −7.9) <.001d 7.5 (1.9 to 13.2) .01d
Female 70.0 (66.4 to 73.6) 63.8 (59.9 to 67.7) 60.1 (55.8 to 64.3) 63.7 (59.8 to 67.7) −10.0 (−15.4 to −4.5) <.001d 3.7 (−2.1 to 9.5) .21
Grade
Middle school 55.5 (47.1 to 63.9) 51.7 (46.6 to 56.8) 47.7 (43.0 to 52.5) 54.6 (49.1 to 60.1) −7.8 (−17.4 to 1.8) .12 6.9 (−0.3 to 14.1) .06
High school 72.8 (70.3 to 75.2) 64.1 (61.4 to 66.8) 60.3 (57.1 to 63.6) 65.4 (62.0 to 68.9) −12.4 (−16.5 to −8.4) <.001d 5.1 (0.4 to 9.8) .03d
Race/ethnicity
non-Hispanic white 74.6 (71.7 to 77.5) 65.8 (61.9 to 69.6) 61.2 (57.6 to 64.9) 68.3 (64.2 to 72.4) −13.4 (−18.0 to −8.7) <.001d 7.1 (1.6 to 12.6) .01d
non-Hispanic black 54.0 (47.7 to 60.3) 59.0 (53.4 to 64.7) 46.8 (41.3 to 52.3) 47.8 (41.2 to 54.5) −7.2 (−15.5 to 1.1) .14 1.0 (−7.8 to 9.8) .82
Hispanic 66.0 (61.2 to 70.7) 57.6 (54.0 to 61.2) 54.9 (49.9 to 59.8) 61.9 (57.3 to 66.4) −11.1 (−18.0 to −4.2) .002d 7.0 (0.1 to 13.9) .045d
Others 64.9 (57.5 to 72.3) 47.8 (40.7 to 55) 52.8 (42.3 to 63.3) 44.1 (29.4 to 58.8) −12.1 (−24.8 to 0.7) .07d −8.8 (−26.1 to 8.6) .34
No. of tobacco products currently used
1 52.7 (48.9 to 56.4) 42.0 (38.7 to 45.3) 42.3 (38.5 to 46.1) 51.4 (46.8 to 56.0) −10.4 (−15.8 to −5.0) <.001d 9.2 (3.1 to 15.2) .003d
2 80.4 (77.2 to 83.6) 74.6 (71.2 to 78.0) 63.0 (56.9 to 69.0) 68.9 (62.5 to 75.2) −17.4 (−24.3 to −10.5) <.001d 5.9 (−3.0 to 14.8) .19
≥3 92.4 (90.5 to 94.3) 88.1 (84.1 to 92.1) 84.2 (80.9 to 87.6) 84.3 (79.9 to 88.7) −8.2 (−12.0 to −4.4) <.001d 0.1 (−5.3 to 5.4) .98

Abbreviations: e-cigarette, electronic cigarette; NYTS, National Youth Tobacco Survey.

a

Students who reported using menthol cigarettes or any flavored noncigarette tobacco product(s) were categorized as flavored tobacco users.

b

Logistic regression was performed to detect a linear trend from 2014 to 2016.

c

Logistic regression was performed to detect the difference from 2016 to 2017.

d

Indicates a statistically significant difference (P < .05).

e

The proportion of current cigarette smokers reported using menthol cigarettes in the past 30 days.

f

The proportion of current e-cigarette users reported using flavored e-cigarettes in the past 30 days. Flavored e-cigarette use significantly decreased from 2014 to 2015 (difference, −21.4%; 95% CI, −26.7% to −16.0%; P < .001) and significantly increased from 2015 to 2017 (difference, 16.8%; 95% CI, 10.6%-20.0%; P < .001).

g

The proportion of current cigar (ie, cigars, cigarillos, or little cigars) users reported using flavored cigars in the past 30 days.

h

The proportion of current hookah users reported using flavored hookahs in the past 30 days.

i

The proportion of current smokeless tobacco (ie, chewing tobacco, snuff, or dip) users reported using flavored smokeless tobacco in the past 30 days.