A Breath of Knowledge: Overview of Current Adolescent E-cigarette Prevention and Cessation Programs

Liu, Jessica; Gaiha, Shivani Mathur; Halpern‐Felsher, Bonnie

doi:10.1007/s40429-020-00345-5

Cited by 74 publications

(57 citation statements)

References 73 publications

(68 reference statements)

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“…Our finding that use of tobacco- and mint/menthol-flavored JUUL and tobacco-flavored other e-cigarettes differed significantly by race/ethnicity requires further investigation. Further, evidence-based e-cigarette prevention and cessation programs should highlight the harmful effects and addictiveness of JUUL and improve refusal self-efficacy in an effort to prevent and stop youth use of these products ( Office of the Surgeon General, 2016 , Liu et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

JUUL and other e-cigarettes: Socio-demographic factors associated with use and susceptibility in California

Gaiha

Halpern‐Felsher

Feld

et al. 2021

Preventive Medicine Reports

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This study examined which socio-demographic factors are associated with susceptibility (lack of commitment to avoid future use), past-12-month and past-30-day use of JUUL and other e-cigarettes, and reasons for and against using JUUL. An online survey of 3,075 Californians ages 15–29, including 24.3% who identified as LGBTQ, were recruited via social media in January-March 2019. Multi-level weighted logistic regression models suggest that LGBTQ participants were more likely to be susceptible to JUUL [AOR = 2.11 (1.60, 2.79) (parentheses include 95% Confidence Intervals)] and other e-cigarettes [AOR = 2.31 (1.75, 3.05)], and more likely to use JUUL [AOR = 1.27 (1.02, 1.58)] and other e-cigarettes [AOR = 1.66 (1.35, 2.05)] in the past 12 months. Susceptibility to using JUUL was more likely among adolescents (ages 15–17) [AOR = 1.72 (1.30, 2.28)] and young adults (ages 18–20) [AOR = 1.26 (1.00,1.58)] than adults (ages 21–29). At the community level, living in jurisdictions with higher median household income was associated with a higher likelihood of being susceptible to using JUUL and other e-cigarettes. Compared to non-Hispanic Whites, Asian/Pacific Islanders were less likely to use JUUL [AOR = 0.68 (0.54, 0.86)] and other e-cigarettes [AOR = 0.60 (0.48, 0.76)] in the past 12 months. Past-30-day JUUL use was more likely among males than females [AOR = 1.44 (1.11, 1.88)]. Common reasons for using JUUL were: friends’ use, flavors, “safer” than cigarettes, no one will notice, and nicotine rush is greater than other devices. Common reasons against using JUUL were: harmful to self/others, contains nicotine and is addictive. E-cigarette prevention and cessation efforts should include tailored messaging for people who identify as LGBTQ and reinforce reasons for not vaping nicotine.

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Section: Discussionmentioning

confidence: 99%

JUUL and other e-cigarettes: Socio-demographic factors associated with use and susceptibility in California

Gaiha

Halpern‐Felsher

Feld

et al. 2021

Preventive Medicine Reports

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“…Creative interventions around stress management and wellness can be designed to address some of the findings regarding why youth use certain tobacco products, especially for relaxation 37 . Robust school-based tobacco education should be supported to address adolescents’ misperceptions, rather than expecting tobacco companies to inform adolescents of the harms of their new products 38 , 39 . Ultimately, it is important to empower adolescents and equip them with the decision-making skills to better navigate away from situations in which product appeal, social influences, and conflicting information are encouraging them to use tobacco products.…”

Section: Discussionmentioning

confidence: 99%

Inside the adolescent voice: A qualitative analysis of the appeal of different tobacco products

2021

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INTRODUCTION While cigarette use has decreased, adolescents’ overall use of tobacco (e.g. e-cigarettes, cigars, and hookah) has increased. The purpose of this qualitative study is to highlight the decision-making process of adolescents to use certain products over others and why certain tobacco products appeal to them. METHODS Twenty-five participants were recruited from a larger study surveying adolescents’ perceptions and tobacco use (772 high school students). The participants were involved in one-on-one semi-structured phone interviews on the appeal of different tobacco products. Interviews were recorded, transcribed verbatim, and analyzed by identifying relevant codes and themes. RESULTS Participants for this study had a mean age of 16.4 (SD=1.2) years; over half (14/25) were female. Three major themes emerged from the interviews: 1) social context and circumstances to use, including using and sharing with peers, and reducing boredom; 2) importance of flavors, smell, taste, smoke tricks, and accessibility of products; and 3) misperceptions and misinformation of product risks. CONCLUSIONS The findings that emerged showed why participants favored certain tobacco products, especially e-cigarettes, over others. The results support areas for future research and practice, and inform how interventions can better address the appeal of different tobacco products to ultimately prevent adolescent use.

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“…Most of these programs have shown promising results at changing adolescent perceptions and behavior about e-cigarette use. 45 However, the effectiveness of these programs among SGM groups remains unknown. In 2016, the US Food and Drug Administration (FDA) launched “This Free Life” campaign through out-of-home advertising (e.g., billboards, print media, and events), social media platforms and influencers to prevent and reduce tobacco consumption among SGM adults aged 18–24.…”

Section: Discussionmentioning

confidence: 99%

Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas

Tamí-Maury

Chen

Sumbe

et al. 2021

Nicotine &Amp; Tobacco Research

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Introduction Early-onset of Electronic Nicotine Delivering Systems (ENDS) use puts users at higher risk of developing a regular ENDS use pattern and/or transitioning to combusted tobacco products. Previous studies on ENDS use among adolescents have not considered sexual orientation as a fluid trait that can change over time. Our objective was to evaluate whether ENDS initiation differed by sexual orientation in a longitudinal, population-based cohort of adolescents transitioning into young adulthood in Texas. Methods Sample (n = 1712) was drawn from the Texas Adolescent Tobacco and Marketing Surveillance System (waves 5–11) and stratified into three groups, representing sexual orientation: (1) respondents who reported being heterosexuals at each wave (straight), (2) those who consistently self-identified as lesbian, gay or bisexual individuals (LGB), and (3) subjects who reported sexual orientation mobility across waves (mobile). Nonparametric models for interval-censored data were used to estimate the cumulative distribution of age at ENDS initiation by sexual orientation group. Cox models for interval-censored data were used to evaluate whether ENDS initiation varied by sexual orientation group after adjusting for sex assigned at birth, race/ethnicity, cohort, and socioeconomic status. Results Compared to Straight adolescents, the risk of earlier-onset of ENDS use was higher among mobile individuals (HR = 1.43, 95% CI: 1.12 to 1.83) and LGB individuals (HR = 1.49, 95% CI: 1.13 to 1.98), respectively, after adjusting for sociodemographic risk factors. Differences between Straight adolescents and LGB/mobile individuals became more pronounced with increasing age. Conclusion Analyzing sexual mobility overtime is necessary for understanding the risk associated with youth ENDS initiation and subsequent use. Implications Future research should use more accurate sexual orientation assessments to explore further the relationship between sexual orientation mobility and early-onset Electronic Nicotine Delivering Systems (ENDS) use. Understanding the implications of sexual orientation mobility on ENDS initiation will be critical for developing inclusive public health programs aimed at preventing or delaying ENDS use and for providing practical recommendations at state and local levels.

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A Breath of Knowledge: Overview of Current Adolescent E-cigarette Prevention and Cessation Programs

Cited by 74 publications

References 73 publications

JUUL and other e-cigarettes: Socio-demographic factors associated with use and susceptibility in California

JUUL and other e-cigarettes: Socio-demographic factors associated with use and susceptibility in California

Inside the adolescent voice: A qualitative analysis of the appeal of different tobacco products

Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas

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