Young adult social smokers: Their co-use of tobacco and alcohol, tobacco-related attitudes, and quitting efforts
Menée à San Diego (Etats-Unis) à partir d'enquêtes réalisées entre 2010 et 2011 auprès d'un échantillon de 537 jeunes fumeurs clients de bars (âge : de 21 à 26 ans), cette étude analyse la relation entre le fait de fumer principalement ou uniquement en société, la consommation d'alcool, les comportements liés au tabagisme et les tentatives d'arrêter de fumer
Objective : Young adults frequently report social smoking. This study examined the relationship between different social smoking definitions and the co-use of cigarettes and alcohol, tobacco-related attitudes, and quitting efforts. Method : Cross-sectional data were collected at bars using randomized time location sampling among young adults aged 21–26 in San Diego, California from 2010 to 2011 (73% response rate). Multivariable logistic regression examined if current smoking and quit attempts were associated with tobacco-related attitudes, and whether social smoking self-identification or behavior was associated with cigarette-and-alcohol co-use, tobacco-related attitudes, quit attempts, or quitline use. Results : Among 537 current smokers, 80% self-identified and 49% behaved as social smokers. Social smoking self-identification was positively associated with cigarette-and-alcohol co-use, and quit attempts. Social smoking behavior was negatively associated with tobacco marketing receptivity, quit attempts, and quitline use. Tobacco-related attitudes were associated with smoking but did not generally differ by social smoking status. Conclusion : Identification and behavior as a social smoker have opposing associations with co-use of cigarettes and alcohol and quit attempts. Tobacco cessation programs for self-identified social smokers should address co-use. Interventions denormalizing the tobacco industry or emphasizing the health effects of temporary smoking/secondhand smoke may address smoking among young adult bar patrons regardless of social smoking status.