The American journal of drug and alcohol abuse
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Am J Drug Alcohol Abuse · Nov 2017
Patterns of youth tobacco and polytobacco usage: The shift to alternative tobacco products.
Despite significant declines in youth cigarette smoking, overall tobacco usage remains over 20% as non-cigarette tobacco product usage is increasingly common and polytobacco use (using 1+ tobacco product) remains steady. ⋯ Findings are consistent with other research demonstrating shifts in adolescent tobacco product usage towards non-cigarette tobacco products. Continuous monitoring of these patterns is needed to help predict if this shift will ultimately result in improved public health.