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Recent Publications and Presentations

Publications

College Students' Polytobacco Use, Cigarette Cessation, and Dependence

Publication date: 2016

Synopsis: This study examined patterns of tobacco and electronic cigarette (e-cigarette) use among college students 5468 18-29 year-old students from 24 colleges in Texas who completed an online survey. Findings indicate that multiple-product use was more prevalent than single-product use. Conclusions: Using multiple products does not seem to aid or deter college students' smoking cessation attempts. Longitudinal research is needed given that transitions in tobacco/e-cigarette use continue throughout young adulthood.

Systematically Improving Tobacco Cessation Patient Services Through Electronic Medical Record Integration

Publication date: 2016

Synopsis: This article provides an overview and evaluation of the development of an electronic tobacco cessation protocol (the eTobacco protocol), into an electronic medical record (EMR) system. Findings indicate that, in spite of several barriers, implementation of the protocol resulted in increased referrals to the quitline from 7 patients the year prior to implementation to 1,254 patients after the implementation of the electronic solution. 

Using Cognitive Interviewing to Better Assess Young Adult E-cigarette Use

Publication date: 2016
Synopisis: In this study cognitive interviews are used to modify a young adult survey and improve assessment of quantity and frequency of ENDS use, as well as reasons for initiation and use of ENDS products. Accurate assessment of ENDS products proved challenging, but cognitive interviews provided valuable insight into survey interpretation that was otherwise inaccessible to researchers. 

Differences Between Dual Users of Cigarettes and Snus and Other Tobacco Users in the United States: An Examination of Adolescent Males
Publication date: 2015
Synopisis: This study compared adolescent dual users with snus users, cigarette users, and non-users of snus and cigarettes, on various intrapersonal and interpersonal factors. Compared with cigarette users and non-users of either cigarettes or snus, adolescent male dual users scored higher on the study variables; there were few differences between dual users and snus users.

Prevalence and Harm Perceptions of Various Tobacco Products Among College Students. Nicotine and Tobacco Research.
Publication date: 2013
Synopsis: The results of this study indicated that the use of non-cigarette alternatives is concentrated among smokers. College students who smoke and use at least one other tobacco or nicotine product (i.e., polytobacco users), believe non-cigarette alternatives are less dangerous than their peers. These findings are concerning because polytobacco use can lead to escalated use and prolonged addiction. 

Who Uses Snus? A Study of Texas Adolescents. Nicotine and Tobacco Research.
Publication date: 2011
Synopsis: This brief report examined 1) differences between adolescent snus users and non–snus users on a variety of demographic, behavioral, and intrapersonal factors and 2) prevalence of snus use among current tobacco users versus non-tobacco users. Results indicated that current users of cigarettes, chewing tobacco, and cigars had a higher prevalence of snus use than their peers who did not use the respective products.

Presentations

Tobacco Marketing: Point-of-Sale Advertising Differences by Store Type. (2017, March) Poster Presentation at National Conference on Tobacco or Health, Austin, TX by Kreitzberg, D., Pasch, K., Perez, A., Loukas, A., Harrell, M., & Perry, C.

Peers Against Tobacco: A Coordinated, Peer-Led Tobacco Prevention Program Aimed at Texas College Students. (2017, March)  Poster Presentation at National Conference on Tobacco or Health, Austin, TX by Latimer, L., Skinner, D., Karn, S., Loukas, A., & Sharp, B.

Effect of electronic cigarette use on transition in cigarette smoking among college students: A Markov model. (2017, March) Oral Presentation at National Conference on Tobacco or Health, Austin, TX by Li, X., Loukas, A., Holahan, C., & Perry, C.

Predicting Cigarette Initiation among Young Adults: A Survival Analysis Examining the Influence of E-cigarette Use. (2017, March) Oral Presentation at National Conference on Tobacco or Health, Austin, TX. by Loukas, A., Marti, N., & Perry, C.

Receptivity of young adult hookah users to health warning labels. (2017, March)  Oral Presentation at National Conference on Tobacco or Health, Austin, TX. by Ly, C., Nicksic, N., Prokhorov, A., Loukas, A., & Perry, C.

Use of E-Cigarettes for Cessation Among Texas College Students: 6- and 12-month Cigarette, E-Cigarette, and Dual Use Behaviors. (2017, March) Oral Presentation at National Conference on Tobacco or Health, Austin, TX. by Mantey, D., Cooper, M., Loukas, A., & Perry, C.

Symptoms of Nicotine Dependence Among Youth and Young Adult E-Cigarette, Cigarette, And Dual Users. (2017, March)  Poster Presentation at National Conference on Tobacco or Health, Austin, TX by Mantey, D., Kelder, S., Loukas, A., Harrell, M., Prokhorov A, Perry C.

Exposure to Point-of-Sale Marketing and Product Displays of Cigarettes and E-Cigarettes as a Predictor of Smoking Cessation. (2017, March) Oral Presentation at National Conference on Tobacco or Health, Austin, TX by Mantey, D., Pasch, Keryn., Loukas, A., & Perry, C.

First flavor used and location of using hookah among first time hookah users: the Marketing and Promotions across colleges In Texas (M-Pact) study. (2017, March) Poster Presentation at National Conference on Tobacco or Health, Austin, TX by Matthews, K., Perez, A., Garza, N., Loukas, A., Creamer, M., & Perry, C.

Hookah Use and Perceptions among Young Adults in Texas. (2017, March) Poster Presentation at National Conference on Tobacco or Health, Austin, TX. by Nicksic, N., Ly, C., Loukas, A., & Perry, C. 

 

Examining Alcohol and Marijuana Use in Young Adult Dual Users of Cigarettes and E-Cigarettes (March, 2016) email for slides

Society for Research on Nicotine and Tobacco, Chicago, IL. by Chow, S., Loukas, A., Pasch, K.E., Harrell, M.B., & Perry, C.L.

SynopsisThis study examined differences between 3 user groups: current e-cigarette only users, current cigarette only smokers, and current dual users of e-cigarettes and cigarettes on demographics, current alcohol binge drinking, current marijuana use, risk-taking tendency of impulsivity, and sensation seeking. Dual users had the highest odds of binge drinking and marijuana use, and there was no difference in risk-taking impulsivity and sensation seeking between the 3 user groups. Additional research should focus on the patterns and transitions of product use over time and their association with subsequent risk behaviors and personality traits.

Light smoking among college students: A potential gateway to risky contexts and alternative tobacco use (March, 2016) email for copies

Society for Research on Nicotine and Tobacco, Chicago, IL. by Li, X., Loukas, A., & Perry, C. 

Synopsis: The purpose of this study is to examine alcohol-related social contexts and alternative tobacco product use (e.g., e-cigarettes, cigars, hookah) among a sample of light and heavier current smoking college students.

 

Impulsivity and mental health outcomes among users of cigarettes and cigars (March, 2016) email for copies

Society for Research on Nicotine and Tobacco, Chicago, IL. by Hinds, J.T., Li, X., Loukas, A., Perry, C. 

Synopsis: Dual users of cigarettes and cigars reported higher odds of greater impulsivity scores and depressive symptoms. Cigarette-only users were indistinguishable from these dual users, while cigar-only users reported the lowest likelihood for high impulsivity scores and depressive symptoms. Differences between cigarette/dual users and cigar-only users are likely due to cigar type chosen. Cigar-only users primarily smoked traditional large cigars while dual users reported using mostly cigarillos. Additional research is needed to further explore differences related to cigar choice and other health outcomes.

Dual cigarette and e-cigarette use: Examining peer tobacco use and tobacco use attitudes (March, 2016) email for copies

Society for Research on Nicotine and Tobacco, Chicago, IL. by Agarwal, D., Loukas, A., & Perry, C.L.

Synopsis: This study examined differences among young adult cigarette only users, Electronic Nicotine Delivery System (ENDS) only users, and dual users of ENDS and cigarettes on peer tobacco use, inclination to date someone who uses tobacco, social acceptability of tobacco, and home tobacco use environment. 

 

 

Systems Change for Sustainable Tobacco Cessation with Provider Referrals (March 2015)

Presented at the World Conference on Tobacco or Health, Abu Dhabi, United Arab Emerates.

Synopsis: This presentation described the implementation of the eTobacco Protocol, tobacco cessation referral embedded in the electronic medical records of Texas healthcare systems. The presentation also discussed the lessons learned and implications of those lessons for more widespread implementation of this and similar projects.

 

Challenges of Assessing ENDS Use Among College Students: Results From Cognitive Interviews (February 2015)

Presented at the Society for Research on Nicotine and Tobacco annual meeting, Philadelphia, Pennsylvania.

Synopsis: The purpose of this study was to determine if existing quantity and frequency measures appropriately capture electronic nicotine delivery systems (ENDS) use among college students.

Assessing Tobacco Use Among College Students: Importance of Specifying the Content of Non-Cigarette Alternative Products (February 2015)

Presented at the Society for Research on Nicotine and Tobacco annual meeting, Philadelphia, Pennsylvania.

Synopsis: This presentation examined comprehension error presented by exclusion of clarifying details on survey questions regarding the content of 4 primary cigarette alternative products.

College Students’ Opinions on Tobacco Control Policies on College Campuses (February 2015)

Presented at the Society for Research on Nicotine and Tobacco annual meeting, Philadelphia, Pennsylvania.

Synopsis: This study assessed 1) college students’ support of campus tobacco control policies for various tobacco and alternative tobacco products, and 2) differences between current smokers and non-smokers on the level of support for those tobacco control policies.

The Association Between Social Norms and E-Cigarette Use Among College Students (February 2015)

Presented at the Society for Research on Nicotine and Tobacco annual meeting,Philadelphia, Pennsylvania.

Synopsis: This presentation examined the unique roles of perceived friend and peer norms on college students’ current e-cigarette use.

Assessing Change in Use of Cigarettes and Emerging Non-Cigarette Alternatives Among College Students (February 2014)
Presented at the 20th Society for Research on Nicotine and Tobacco Annual Meeting, Seattle, WA
Synopsis: This study 1) examined change in use of cigarettes and emerging non-cigarette alternative products in college students across a one-year period of time and 2) assessed factors contributing to change in use.

Systems Change, Integration and Partnerships to Strengthen Cessation Protocols Within Healthcare Settings (November 2013)
Presented at the North American Quitline Consortium, Scottsdale, AZ

Synopsis: This study 1) described a tobacco cessation protocol and 2) discussed the barriers to implementation of the protocol and lessons learned.

Promoting a Tobacco Cessation Protocol in Health Systems with Electronic Health Records (March 2012)
Presented at the American Academy of Health and Behavior, Austin, TX

Synopsis: This study described a tobacco cessation project including the logic model and focus group findings. The presentation discussed the barriers to implementation of the protocol, feedback from healthcare providers and lessons learned .

Electronic Health Records and Tobacco Cessation Protocol: Monitoring Outcomes in Clinical Practice (August 2012)
Presented at National Conference on Tobacco or Health, Kansas City, MO
Synopsis: The presentation aims 1) to identify healthcare providers’ perceived barriers of protocol implementation, and 2) to provide lessons learned for future protocol integration and implementation within health systems with EHRs.