Harm Perceptions of Intermittent Tobacco Product Use Among U.S. Youth, 2016

Wang, Teresa W.; Trivers, Katrina F.; Marynak, Kristy; O’Brien, Erin Keely; Persoskie, Alexander; Liu, Sherry T.; King, Brian A.

doi:10.1016/j.jadohealth.2017.12.017

Cited by 21 publications

(16 citation statements)

References 8 publications

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“…Our findings differ from those of Wang, Trivers, et al (2018a) . They used National Youth Tobacco Survey (NYTS) data and found three nonlinear decreases in adolescents’ tobacco use: (1) a decrease in the use of any nicotine/tobacco product, (2) a decrease in the use of two or more nicotine/tobacco products, and (3) a decrease in the use of any combustible tobacco product.…”

Section: Discussioncontrasting

confidence: 99%

“…We found some sociodemographic differences with Black youth having relatively lower prevalence of nicotine/tobacco use compared to other racial or ethnic groups and this is consistent with other studies by Wang and colleagues ( Wang et al, 2018a , Wang et al, 2018b ). However, our trajectories provided a more nuanced characterization.…”

Section: Discussionsupporting

confidence: 92%

“…There is a general belief that e-cigarettes are healthier ( Schneller et al, 2019 ) and presumably less addictive than combustible cigarettes ( Raven, 2018 , Wang et al, 2018a ). To characterize the nicotine content in the pods, Goniewicz and colleagues (2019) studied youth ( n = 22) who only reported past 30-day use of pods (e.g., JUUL, Bo, Phix) and denied using combustible tobacco products.…”

Section: Introductionmentioning

confidence: 99%

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Latent class trajectories: U.S. adolescents’ nicotine use and its association with nicotine dependence

Boyd

Veliz

Eisman

et al. 2020

Addictive Behaviors Reports

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Highlights Youth’s 30-day nicotine/tobacco use increased across three waves of PATH: 2013–2017. Cigarette use associated with greater nicotine/tobacco dependence than e-cigarettes. LCA revealed variability in youths’ nicotine/tobacco use & dependence trajectories. Findings have relevance for prevention messages with high-risk youth.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Latent class trajectories: U.S. adolescents’ nicotine use and its association with nicotine dependence

Boyd

Veliz

Eisman

et al. 2020

Addictive Behaviors Reports

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“…Within the clinical setting, critical talking points include that not (re)initiating smoking is the ideal health behavior, with even intermittent or low‐intensity smoking problematic (38). This proves particularly relevant as AYA who smoke often believe smoking risks are exaggerated (26) (i.e., low risk of harm; surgical: 12 of 26, 46.2%, nonsurgical: 10 of 18, 55.6%). MBS providers are challenged to balance an acknowledgement of the possibility of weight (re)gain while conveying the overwhelming health benefits of quitting (39).…”

Section: Discussionmentioning

confidence: 99%

Cigarette Use and Adolescent Metabolic and Bariatric Surgery

Zeller

Kidwell

Reiter‐Purtill

et al. 2021

Obesity

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Objective This study aimed to track conventional cigarette smoking behaviors and associated correlates in adolescents with severe obesity who did or did not undergo metabolic and bariatric surgery to 4 years after surgery/baseline. Methods Utilizing a prospective controlled design, surgical (n = 153; mean BMI = 52) and nonsurgical (n = 70; mean BMI = 47) groups that completed assessments before surgery/at baseline and at Years 2 and 4 post surgery (Year 4: n = 117 surgical [mean BMI = 38]; n = 56 nonsurgical [mean BMI = 48]) were compared. Separate logistic regression models tested correlates of Year 4 current smoking. Results More than half of participants (surgical: 55%; nonsurgical: 60%) had ever smoked a cigarette, with current smoking increasing with time. Groups did not differ in Year 4 current smoking (surgical: 23%; nonsurgical: 33%), with ≈ 50% meeting criteria for “heavy” smoking (≥ half pack/day) and ≈ 40% smoking their first cigarette before ninth grade. Factors associated with higher odds of Year 4 current smoking included dysregulation (P < 0.001), internalizing symptoms (P = 0.01), alcohol use (P = 0.04), caregiver smoking (P < 0.001), friend smoking (P = 0.001), and perceiving low harm (P = 0.02), plus greater percent weight loss (P = 0.03) in the surgical group. Conclusions Smoking is a clinical health challenge for adolescents and young adults with severe obesity, including those who have undergone metabolic and bariatric surgery. Upstream identification, monitoring, and intervention to prevent smoking uptake and escalation in youth with obesity across settings should be prioritized.

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“…E‐cigarette devices have grown in popularity over the last decade. Common reasons for adolescents to start e‐cigarette use include experimentation, attraction to flavorings, and the low risk perception of e‐cigarettes 5,6 . E‐cigarette users can use either premade cartridges or fill their devices with an “e‐juice,” both of which can contain a combination of nicotine, THC oil, CBD oil, flavorings, and/or other substances.…”

Section: Introductionmentioning

confidence: 99%

E‐cigarette or vaping product use‐associated lung injury (EVALI) features and recognition in the emergency department

et al. 2020

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Since August 2019, the pulmonary disease termed e‐cigarette or vaping product‐use associated lung injury (EVALI), has resulted in 2758 hospitalizations and 64 deaths in the United States. EVALI is considered in patients who have vaped or dabbed within 90 days of symptom onset, and have abnormal lung imaging in the absence of any pulmonary infection. The majority of EVALI patients are otherwise healthy adolescents and young adults. The leading etiology of EVALI is contamination of delta‐9‐tetrahydrocannabinoid (THC) e‐liquids with vitamin E acetate. Although the exact pathophysiology of vitamin E acetate‐induced lung injury is unknown, vitamin E acetate may lead to pulmonary lipid accumulation and/or interfere with surfactant functioning. EVALI symptoms are vague but consist of a constellation of constitutional, pulmonary, and gastrointestinal symptoms. Patients often present multiple times to healthcare facilities as their clinical condition worsens with a considerable mortality risk. The diagnosis of EVALI hinges on obtaining history leading to the recognition of vaping/dabbing. Physicians need to be persistent, but nonjudgmental, in obtaining vaping histories, especially in THC‐prohibited states. Radiographical findings of nonspecific bilateral ground‐glass infiltrates are best detected on computed tomography. Management for EVALI requires a multidisciplinary approach focused on supportive respiratory care and ruling‐out infectious causes. Corticosteroids may be of benefit. Most patients who are hypoxic, have comorbidities, or lack appropriate follow‐up within 24–48 hours should be admitted for monitoring. Patients may benefit from substance abuse counseling and should be instructed to avoid vaping. As the outbreak continues, cases should be reported to local health departments and poison control centers.

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Harm Perceptions of Intermittent Tobacco Product Use Among U.S. Youth, 2016

Cited by 21 publications

References 8 publications

Latent class trajectories: U.S. adolescents’ nicotine use and its association with nicotine dependence

Latent class trajectories: U.S. adolescents’ nicotine use and its association with nicotine dependence

Cigarette Use and Adolescent Metabolic and Bariatric Surgery

E‐cigarette or vaping product use‐associated lung injury (EVALI) features and recognition in the emergency department

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