Comparing American college and noncollege young adults on e-cigarette use patterns including polysubstance use and reasons for using e-cigarettes

Buu, Anne; Hu, Yi‐Han; Wong, Su-Wei; Lin, Hsien-Chang

doi:10.1080/07448481.2019.1583662

Cited by 43 publications

(27 citation statements)

References 39 publications

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“…Young adults are a priority population for tobacco control. 9,18,22,54 The present study adds to the literature one of the first studies of JUUL cessation-related perceptions and behaviors. Nearly half of college student JUUL users had deliberately tried to quit.…”

Section: Discussionmentioning

confidence: 76%

JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College Student JUUL E-Cigarette Users

et al. 2020

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Purpose: This study describes the frequency of JUUL e-cigarette (referred to as JUUL) quit attempts and identifies characteristics associated with confidence in quitting and perceived difficulty quitting JUUL. Design: Cross-sectional study from a self-administered online survey. Setting: Two public southern California universities. Participants: A total of 1,001 undergraduate students completed the survey from February to May 2019. Measures: Self-report measures about JUUL included use, history of quit attempts, time to first use, perceived difficulty with cessation/reduction, and confidence in quitting. Analysis: Binary logistic regressions were used to identify demographic and tobacco-related behavioral correlates of JUUL cessation-related perceptions and behaviors. Results: Nearly half of ever-JUUL users (47.8%) reported a JUUL quit attempt. Adjusting for demographic factors and other tobacco product use, shorter time to first JUUL use after waking was associated with lower confidence in quitting JUUL (aOR = 0.02, 0.00-0.13) and greater perceived difficulty in quitting JUUL (aOR = 8.08, 2.15-30.35). Previous JUUL quit attempt history was also associated with greater odds of perceived difficulty quitting JUUL (aOR = 5.97, 1.74-20.53). Conclusions: History of JUUL quit attempts among college students was common. Those who had previously tried quitting were more likely to perceive difficulty with cessation. Time to first JUUL use, a marker of dependence, was linked with greater perceived cessation difficulty and lower confidence in quitting. These findings suggest that there is a need for cessation and relapse prevention support for college student JUUL users.

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Section: Discussionmentioning

confidence: 76%

JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College Student JUUL E-Cigarette Users

et al. 2020

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“…In a study that examined the differences in vaping between college and non-college participants aged 18-24 years, Buu and colleagues reported that 15.36% of non-college and 9.61% of Open access college participants vaped in the past 30 days (p<0.001). 25 Delveno et al examined how patterns of e-cigarette use among adults differ between smokers and non-smokers using data from the 2014 National Health Interview Survey and reported that among those aged 18-24 years, 21.6% ever tried an e-cigarette, 4.3% vaped 'somedays' and 0.9% vaped daily. 3 Li and others examined e-cigarette ever and current use (current users vaped at least once a month or more frequently) among NZ adults using data from the 2014 Health and Lifestyles Survey (HLS) and found that among 18-24 year olds, 25.8% ever vaped and 0.2% currently vaped.…”

Section: Introductionmentioning

confidence: 99%

Electronic cigarette use among university students aged 18–24 years in New Zealand: results of a 2018 national cross-sectional survey

et al. 2020

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ObjectivesTo examine electronic cigarette use, reasons for use and perceptions of harm among university students.DesignCross-sectional study.SettingUniversity students across New Zealand.MethodsWe analysed data from a 2018 cross-sectional survey of university students, weighted to account for undersampling and oversampling by gender and university size. χ2 tests were used to compare e-cigarette use, reasons for use and perceptions of harm by age, gender, ethnicity and cigarette smoking.ParticipantsThe sample comprised 1476 students: 62.3% aged 18–20 years, 37.7% aged 21–24 years; 38.6% male, 61.4% female; 7.9% Māori and 92.1% non-Māori.Results40.5% of respondents (95% CI 37.9 to 43.1) reported ever, 6.1% (4.9–7.4) current and 1.7% (1.1–2.5) daily use. Regardless of frequency, 11.5% of vapers had vaped daily for ≥1 month, 70.2% of whom used nicotine-containing devices; 80.8% reported not vaping in indoor and 73.8% in outdoor smoke-free spaces. Among ever vapers, curiosity (67.4%), enjoyment (14.4%) and quitting (2.4%) were common reasons for vaping. 76.1% (73.4–78.7) of respondents believed e-cigarettes were less harmful than cigarettes.More males than females reported vaping (ever, current, daily and daily for ≥1 month), nicotine use and belief that e-cigarettes were less harmful than cigarettes. More participants aged 18–20 years reported not vaping in outdoor smoke-free spaces, vaping out of curiosity and belief that e-cigarettes were less harmful than cigarettes, while more participants aged 21–24 years vaped daily for ≥1 month and for enjoyment. More Māori than non-Māori ever vaped. More cigarette smokers than non-smokers vaped (ever, current, daily and daily for ≥1 month), used nicotine and vaped to quit, while more non-smokers did not vape in smoke-free spaces and vaped out of curiosity.ConclusionsOur results suggest high prevalence of e-cigarette ever and current use, particularly among males and smokers. Many vaped out of curiosity and perceived e-cigarettes as less harmful than cigarettes.

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“…In a recent study examining ECIG use patterns among young adults, the prevalence of past 30-day ECIG use was 10% among college students (Buu et al, 2019). This statistic is at odds with perceptions of vaping in our study, as several students believed that more than half of college students vaped.…”

Section: Discussionmentioning

confidence: 99%

“Taking Up a New Problem”: Context and Determinants of Pod-Mod Electronic Cigarette Use Among College Students

et al. 2020

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In this article, we explore the context and determinants of pod-mod electronic cigarette (ECIG) use among college students aged 18 to 24 in the United States. We conducted semi-structured interviews with 55 students ( M age = 20 years, 56% female, 65% White) on three campuses in the Northwest, Midwest, and Southeast. We performed a thematic analysis. Students described ECIG use by peers, increased ECIG exposure and prevalence in college, and school-related stress as reasons for vaping. Pod-mod features such as convenience, design, easy concealment, and flavors made vaping more appealing. Negative aspects of vaping included addiction, cost, and possible health consequences. Most viewed vaping as a college behavior and intended to quit after graduation. Our results show that the college environment plays a major role in young adult ECIG use. These findings can inform the development of targeted interventions to prevent and control uptake of ECIGs by young adults.

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Comparing American college and noncollege young adults on e-cigarette use patterns including polysubstance use and reasons for using e-cigarettes

Cited by 43 publications

References 39 publications

JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College Student JUUL E-Cigarette Users

JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College Student JUUL E-Cigarette Users

Electronic cigarette use among university students aged 18–24 years in New Zealand: results of a 2018 national cross-sectional survey

“Taking Up a New Problem”: Context and Determinants of Pod-Mod Electronic Cigarette Use Among College Students

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