Electronic Cigarettes as an Introductory Tobacco Product Among Eighth and 11th Grade Tobacco Users — Oregon, 2015

Hines, Jonas Z; Fiala, Steven C.; Hedberg, Katrina

doi:10.15585/mmwr.mm6623a2

Cited by 10 publications

(9 citation statements)

References 4 publications

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“…These findings support a growing body of literature that suggests that e-cigarette use in adolescence increases risk of future conventional smoking. 14-17,24 Though not specifically addressed in this study, prior data have shown that the majority of e-cigarette users are using flavoring only, not nicotine with last use. 26 These data are especially compelling as the flavoring is not addictive, rather it is the behavior itself—as others have described, causing renormalization of conventional cigarette smoking.…”

Section: Discussionmentioning

confidence: 93%

“…13 Recent data suggest that e-cigarettes use in adolescents may be an introductory method to tobacco use, and potentially nicotine addiction, for teens who would not have otherwise tried tobacco products. 14-17 Additionally, studies of students in California and Hawaii have demonstrated an increased rate of drug and alcohol use in e-cigarette users compared with nonusers. 18,19…”

Section: Introductionmentioning

confidence: 99%

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Trends and Substance Use Associations With E-Cigarette Use in US Adolescents

Curran

Burk

Pitt

et al. 2018

Clin Pediatr (Phila)

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Concerns exist that e-cigarette use may introduce adolescents to drugs. This study explores trends and associations of inhaled tobacco use with drug use. We performed a secondary data analysis on the National Youth Risk Behavior Survey examining the inhaled tobacco and drug use patterns among US teens. Adjusted odds ratios were calculated using bivariate and multivariate analyses between inhaled tobacco use with other drug use, adjusting for age, race/ethnicity, and gender. When adjusting for gender, age, and race/ethnicity, teens who use only e-cigarettes had a higher odds than peers who do not use any inhaled tobacco products to have ever tried marijuana or alcohol, currently use marijuana or alcohol, have lifetime drug use, and misused prescription medications. Drug risk behavior appears stratified with type of inhaled tobacco used, with generally exclusive e-cigarette use linked to lowest risk and conventional and e-cigarette use associated with highest risk of drug use.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Trends and Substance Use Associations With E-Cigarette Use in US Adolescents

Curran

Burk

Pitt

et al. 2018

Clin Pediatr (Phila)

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“…In addition to potential toxicant exposure from e-cigarette constituents, e-cigarette use raises other concerns especially for youth. Data suggest that e-cigarettes are often the first tobacco product tried by youth [69,70], and youth who are exposed to nicotine through these devices are at risk for nicotine addiction [71,72] and progression to other substance use, including combustible tobacco products [73,74]. Nicotine is highly addictive, and nicotine dependence can develop quickly in adolescents [75].…”

Section: Use Among Youthmentioning

confidence: 99%

E-Cigarettes: Tobacco Policy and Regulation

Bold

Krishnan‐Sarin

2019

Curr Addict Rep

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Purpose of the review: The purpose of this review is to describe current trends in e-cigarette use, provide an overview of the potential health risks and benefits, and discuss tobacco policy and regulatory considerations. Recent Findings: E-cigarette use is popular among youth and adults, despite limited evidence about the long-term risks or benefits. Internationally there is wide variability in how e-cigarettes are classified, which has also led to large differences in regulations on these products. Regulatory policies that strike a balance between the potential benefit of these devices for adult smokers who are trying to quit smoking with reducing the appeal and addictive potential for youth are critically needed. Summary: Continued research on the health effects and consequences of e-cigarette use will be essential to inform e-cigarette product standards and tobacco regulatory policies as scientific research strives to keep pace with the ever-changing landscape of e-cigarette technology.

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“…Department of Health and Human Services, 2014), e-cigarette use is increasing at alarming rates among youth (Centers for Disease Control andPrevention, 2015a, 2015b), young adults (Agaku et al, 2014;Schoenborn & Gindi, 2015), and adults (Ayers, Ribisl, & Brownstein, 2011;Regan, Promoff, Dube, & Arrazola, 2013;Schoenborn & Gindi, 2015). As a result, recent literature (Hines, Fiala, & Hedberg, 2017;Singh et al, 2016) indicates that the increased popularity and use of e-cigarettes has offset the substantial declines in cigarette and other conventional tobacco use among youth over the past few decades. The National Youth Tobacco Survey (NYTS) reports that in 2016, 20.2% of high school students and 7.2% of middle school students were tobacco users, with nearly half of them using more than two tobacco products.…”

Section: Introductionmentioning

confidence: 99%

Impact of School Tobacco-Free Policy and Tobacco Risk Education on Youth Cigarette and E-Cigarette Use

Heboyan

Riggs

2020

JGPHA

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Background: Smoking rates have declined over the last half-century, however, e-cigarette use has more than tripled in the recent years. Tobacco-risk education and tobacco-free policies are critical policy instruments to help prevent youth tobacco use. This study evaluates the impact of these policies on youth cigarette and e-cigarette use. Methods: Data from the 2013/2015 Georgia Youth Tobacco Survey (GYTS) is used to test for statistical differences in tobacco use status across school-based tobacco control policies and estimate their impact on cigarette and e-cigarette use. Data includes 5,285 participants representing 2013 middle school (n=2,099), 2013 high school (n=1,775), and 2015 high school (n=1,411). Current cigarette and e-cigarette use is measured as having used them in the past month. Students were asked if their school has a tobacco-free policy and if they were taught in classes about why they should not use tobacco. Multivariate logistic regression and Chi-squared tests are used to analyze data. Results. The use of cigarettes among high school students has decreased, however the use of e-cigarettes has increased. Strong statistical associations exist between tobacco-use behavior and tobacco-control policies, however, these associations were not consistent across all cohorts. Smoking disparities exist where males, White and Hispanic students smoked at much higher rates. Conclusions. The rise of e-cigarette popularity may have significant health effects and become a gateway to smoking cigarettes. The positive impact of tobacco-free policies on youth cigarette use is counter-intuitive and may be the result of adoption of tobacco-free policies by the schools where tobacco use is of a significant concern, hence, higher smoking rates. Future research should examine the effects of these policies, their enforcement, and length of existence in detail to provide more evidence into the effectiveness of these policies.

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Electronic Cigarettes as an Introductory Tobacco Product Among Eighth and 11th Grade Tobacco Users — Oregon, 2015

Cited by 10 publications

References 4 publications

Trends and Substance Use Associations With E-Cigarette Use in US Adolescents

Trends and Substance Use Associations With E-Cigarette Use in US Adolescents

E-Cigarettes: Tobacco Policy and Regulation

Impact of School Tobacco-Free Policy and Tobacco Risk Education on Youth Cigarette and E-Cigarette Use

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