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National Institutes of Health: National Cancer Institute: Division of Cancer Control and Population Sciences
Grant Details

Grant Number: 5R01CA141643-04 Interpret this number
Primary Investigator: Wolfson, Mark
Organization: Wake Forest University Health Sciences
Project Title: Smokeless Tobacco Use in College Students
Fiscal Year: 2012
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Abstract

Project Summary Smokeless tobacco (SLT) use has important health consequences, including nicotine dependence, cancer, and periodontal disease, among others. Young adults aged 18-25, including both those in college and those who are not, have the highest prevalence of use of any adult age group. Smokeless tobacco companies intentionally market smokeless tobacco products to college students. New products, including snus and alternative products (lozenges, dissolvable strips, orbs, and sticks), are being marketed as ways for smokers to get nicotine in places where smoking is not permitted-a condition that is increasingly the norm on college campuses. The goal of this study is to better understand trajectories and correlates of SLT use among college students. Specific Aim 1: To measure trajectories of SLT use among undergraduate college students over the course of their college careers. To accomplish this aim, we will recruit a cohort of SLT users and non-users from 10 colleges in North Carolina and will follow this cohort using web-based surveys beginning in their freshman year and continuing throughout their college careers. Specific Aim 2: To identify environmental and individual-level correlates of trajectories of SLT use. To assess individual-level correlates, we will use data from the longitudinal web surveys of our cohort, which will assess many possible correlates of SLT use. To assess environmental-level correlates, we will conduct an annual environmental assessment of each college campus and surrounding community to measure campus and community policies related to SLT use, point-of-purchase advertising and sales, and promotional events in local bars. Specific Aim 3: To examine patterns of use of different SLT products, including chewing tobacco, dry and moist snuff (including snus and other flavored products), and alternative products (including lozenges, strips, orbs, and sticks). To accomplish this aim, we will use data from the longitudinal web-based student surveys, which will measure use and knowledge of multiple SLT products. Results from this study will contribute to understanding factors associated with SLT initiation, progression and cessation and will provide the basis for developing effective interventions and policy.

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Publications

Marijuana use trajectories and academic outcomes among college students.
Authors: Suerken C.K. , Reboussin B.A. , Egan K.L. , Sutfin E.L. , Wagoner K.G. , Spangler J. , Wolfson M. .
Source: Drug and alcohol dependence, 2016-05-01; 162, p. 137-45.
EPub date: 2016-03-19.
PMID: 27020322
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Electronic Cigarette Trial and Use among Young Adults: Reasons for Trial and Cessation of Vaping.
Authors: Biener L. , Song E. , Sutfin E.L. , Spangler J. , Wolfson M. .
Source: International journal of environmental research and public health, 2015 Dec; 12(12), p. 16019-26.
EPub date: 2015-12-17.
PMID: 26694438
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The role of smokeless tobacco use in smoking persistence among male college students.
Authors: Wolfson M. , Suerken C.K. , Egan K.L. , Sutfin E.L. , Reboussin B.A. , Wagoner K.G. , Spangler J. .
Source: The American journal of drug and alcohol abuse, 2015; 41(6), p. 541-6.
EPub date: 2015-09-16.
PMID: 26375618
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First tobacco product tried: associations with smoking status and demographics among college students.
Authors: Sutfin E.L. , Sparks A. , Pockey J.R. , Suerken C.K. , Reboussin B.A. , Wagoner K.G. , Spangler J. , Wolfson M. .
Source: Addictive behaviors, 2015 Dec; 51, p. 152-7.
EPub date: 2015-07-26.
PMID: 26265038
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The Impact of Trying Electronic Cigarettes on Cigarette Smoking by College Students: A Prospective Analysis.
Authors: Sutfin E.L. , Reboussin B.A. , Debinski B. , Wagoner K.G. , Spangler J. , Wolfson M. .
Source: American journal of public health, 2015 Aug; 105(8), p. e83-9.
EPub date: 2015-06-11.
PMID: 26066954
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K2 and Spice use among a cohort of college students in southeast region of the USA.
Authors: Egan K.L. , Suerken C.K. , Reboussin B.A. , Spangler J. , Wagoner K.G. , Sutfin E.L. , Debinski B. , Wolfson M. .
Source: The American journal of drug and alcohol abuse, 2015; 41(4), p. 317-22.
EPub date: 2015-06-01.
PMID: 26030768
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Assessing and Predicting Susceptibility to Waterpipe Tobacco Use Among College Students.
Authors: Lipkus I.M. , Reboussin B.A. , Wolfson M. , Sutfin E.L. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2015 Sep; 17(9), p. 1120-5.
EPub date: 2014-12-26.
PMID: 25542922
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Correlates of smokeless tobacco use among first year college students.
Authors: Spangler J. , Song E. , Pockey J. , Sutfin E.L. , Reboussin B.A. , Wagoner K. , Wolfson M. .
Source: Health education journal, 2014 Nov; 73(6), p. 693-701.
PMID: 25484378
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E-cigarette availability and promotion among retail outlets near college campuses in two southeastern states.
Authors: Wagoner K.G. , Song E.Y. , Egan K.L. , Sutfin E.L. , Reboussin B.A. , Spangler J. , Wolfson M. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2014 Aug; 16(8), p. 1150-5.
EPub date: 2014-05-20.
PMID: 24847099
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Prevalence of marijuana use at college entry and risk factors for initiation during freshman year.
Authors: Suerken C.K. , Reboussin B.A. , Sutfin E.L. , Wagoner K.G. , Spangler J. , Wolfson M. .
Source: Addictive behaviors, 2014 Jan; 39(1), p. 302-7.
PMID: 24455784
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First-year college students' interest in trying dissolvable tobacco products.
Authors: Wolfson M. , Pockey J.R. , Reboussin B.A. , Sutfin E.L. , Egan K.L. , Wagoner K.G. , Spangler J.G. .
Source: Drug and alcohol dependence, 2014-01-01; 134, p. 309-13.
EPub date: 2013-11-06.
PMID: 24309296
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