Characteristics of e-Cigarette Use Behaviors Among US Youth, 2020

Wang, Teresa W.; Gentzke, Andrea S.; Neff, Linda J.; Glidden, Emily; Jamal, Ahmed; Park-Lee, Eunice; Ren, Chunfeng; Cullen, Karen A.; King, Brian A.; Hacker, Karen

doi:10.1001/jamanetworkopen.2021.11336

Cited by 85 publications

(76 citation statements)

References 18 publications

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“…Prior to the COVID-19 pandemic, the U.S. was engulfed in an epidemic of e-cigarette use among youth and young adults, 9 and EVALI (e-cigarette and vaping associated lung injury) cases were emerging across the U.S. 10 However some studies have shown declines in e-cigarette use among youth and young adults since the start of the COVID-19 pandemic, which may be due to a number of factors including greater perceived risk of e-cigarette use and diminished access to e-cigarettes. 11 - 13 Yet, these same studies show that e-cigarette use remains prevalent, and despite declines in use, some youth and young adults have increased their use, too, amid COVID-19. 11 - 13 …”

Section: Introductionmentioning

confidence: 98%

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Stress, Dependence, and COVID-19–related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults

Clendennen

Case²,

Sumbe

et al. 2021

Tob Use Insights

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Background Studies show smoking and vaping behaviors increase risk of contracting and worse symptoms of COVID-19. This study examines whether past 30-day youth and young adult users of marijuana, e-cigarettes, and cigarettes self-reported changes in their use of these substances due to the COVID-19 pandemic; and cross-sectional associations between perceived stress, nicotine or marijuana dependence, and COVID-19–related changes in use. Methods Participants were 709 past 30-day self-reported substance users from the Texas Adolescent Tobacco and Marketing Surveillance study (TATAMS; mean age = 19; 58% female; 38% Hispanic, 35% white). Multiple logistic regression models assessed cross-sectional associations between perceived stress and dependence and increased, decreased, or sustained past 30-day use of marijuana, e-cigarettes, and cigarettes due to COVID-19 (e.g., “Has your marijuana use changed due to the COVID-19 outbreak?”). Covariates included age, race/ethnicity, socio-economic status (SES), dependence (exposure: stress), and stress (exposure: dependence). Results Most participants reported sustained (41%, 43%, 49%) or increased (37%, 34%, 25%) use of marijuana, e-cigarettes, and cigarettes due to COVID-19, respectively. Participants who reported symptoms of dependence were significantly more likely than their non-dependent peers to report increasing their marijuana (AOR: 1.66; 95% CI: 1.15–2.39) and e-cigarette (AOR: 2.57; 95% CI: 1.38–4.77) use. Those who reported higher perceived stress were significantly more likely to report increasing their marijuana use (AOR: 1.55; 95% CI: 1.01–2.42). Conclusions Most youth and young adults did not decrease their substance use amid a global, respiratory disease pandemic. Health messaging and interventions that address the health effects of smoking and vaping as well as factors like stress and dependence that may be barriers to decreasing use are vital in curbing the COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 98%

“… 11 - 13 Yet, these same studies show that e-cigarette use remains prevalent, and despite declines in use, some youth and young adults have increased their use, too, amid COVID-19. 11 - 13 …”

Section: Introductionmentioning

confidence: 98%

Stress, Dependence, and COVID-19–related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults

Clendennen

Case²,

Sumbe

et al. 2021

Tob Use Insights

View full text Add to dashboard Cite

show abstract

“…Among current users, more than 8 in 10 reported using e-cigarettes that contain flavoring and flavoring agents. Although the use of fruit-flavored e-cigarettes was common among e-cigarette users in 2020, the findings from studies in the US also highlight the prominence of menthol e-cigarette use, which accounted for nearly half of flavored, pre-filled pod or cartridge users and a quarter of flavored disposable product users 8 , 9 .…”

Section: Introductionmentioning

confidence: 99%

An analysis of e-cigarette and polysubstance use patterns of adolescents in Bangkok, Thailand

Thepthien¹,

Tinn

Ofuchi³

et al. 2021

Tob. Induc. Dis.

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“…Further, the majority of study participants reported either no change, or more vaping since the COVID-19 outbreak, which suggests that these findings are still applicable even in the context of the pandemic. At the time of the pandemic, adolescents and young adults frequently interacted with friends in social gatherings in some communities (25), where they could obtain e-cigarettes from friends -the most common source among US Youth (12,26).…”

Section: Discussionmentioning

confidence: 99%

E-Cigarette Dependence and Weight-Related Attitudes/Behaviors Associated With Eating Disorders in Adolescent Girls

et al. 2021

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Background: Although numerous motivations for vaping have been identified in adolescents, no study to date has examined a possible link between vaping and attitudes/behaviors that are associated with eating disorders in adolescent females. Examining this question in adolescent females is especially relevant given the higher prevalence of eating disorders in adolescent girls and women compared to adolescent boys and men.Methods: We recruited 299 girls (between 13 to 17 years old) via Facebook advertisement to complete a REDCap survey, which included the Electronic Cigarette Dependence Index (ECDI), Minnesota Eating Behavior Survey (MEBS), and demographic questions. Data were analyzed using nonparametric Spearman rank correlation test in R.Results: Electronic Cigarette Dependence Index (ECDI) scores were correlated with weight preoccupation (WP), binge eating (BE) and compensatory behavior (CB), but not body dissatisfaction (BD). The following were the results of Spearman correlation tests: (1) WP: rho = 0.13, p = 0.02; (2) BD: rho = 0.06, p = 0.28; (3) BE: rho = 0.15, p = 0.0095; (4) CB: rho = 0.021, p = 0.00027.Conclusion: The present study adds to the current literature examining motivations for e-cigarette use in adolescent girls. As eating disorders and e-cigarette dependence are significant public health concerns, our results highlight the need for intervention development.

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Characteristics of e-Cigarette Use Behaviors Among US Youth, 2020

Cited by 85 publications

References 18 publications

Stress, Dependence, and COVID-19–related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults

Stress, Dependence, and COVID-19–related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults

An analysis of e-cigarette and polysubstance use patterns of adolescents in Bangkok, Thailand

E-Cigarette Dependence and Weight-Related Attitudes/Behaviors Associated With Eating Disorders in Adolescent Girls

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