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

Kava, Christine M.; Soule, Eric K.; Seegmiller, Laura; Gold, Emily; Snipes, William; Westfield, Taya; Wick, Noah; Afifi, Rima

doi:10.1177/1049732320971236

Cited by 7 publications

(5 citation statements)

References 47 publications

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“…Kava et al (2021) found a similar result of the college experience being a factor influencing college students to use e-cigarettes; they conducted a qualitative descriptive study with 55 college students (18–24 years old) who were recruited from three college campuses in the Northwest, Midwest, and Southeast. However, what this current study found with most participants that was not found previously in the literature was uncovered using the theoretical framework of RAM, which looks at the environment and how the college student adapts or maladapts to their environment.…”

Section: Discussionmentioning

confidence: 92%

“…The first theme encompassed the college experience: Most college students faced pressure and anxiety from dealing with COVID at this time as well as learning to deal with challenges of growing into adulthood, becoming independent, assuming a new identity in college, and balancing essential roles. Kava et al (2021) found a similar result of the college experience being a factor influencing college students to use e-cigarettes; they conducted a qualitative descriptive study with 55 college students (18-24 years old) who were recruited from three college campuses in the Northwest, Midwest, and Southeast. However, what this current study found with most participants that was not found previously in the literature was uncovered using the theoretical framework of RAM, which looks at the environment and how the college student adapts or maladapts to their environment.…”

Section: Discussionmentioning

confidence: 92%

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Electronic Cigarette Use and Anxiety Among College Students

Stanley,

Frederickson,

Pokhrel

2024

UJAN

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Introduction Electronic cigarette use is the most prevalent form of tobacco among young college adults between 18 and 25 years old. In addition, during the young adult years, mental health issues surface, such as anxiety. As a result of these factors, it is imperative to describe the experience of electronic cigarettes among college students to better understand the cycle of addiction among electronic cigarette users. Objective This study aims to explore and describe the experience of electronic cigarette use among college students who report feelings of anxiety. Methods A qualitative descriptive study design with the Roy Adaptation Model as the theoretical framework was used to describe the experience. The setting was at one medium-sized private university on the east coast of the United States. Twenty participants met the study inclusion criteria of traditional undergraduate students aged 18–25 years. Data were collected using a demographic questionnaire, a smoking status questionnaire, a self-report feelings of anxiety questionnaire, and a semistructured interview guide. Results Data analysis synthesized three themes: the perfect storm, the power of ripping the nic, and trapped in that cycle. It was found through interviews that feelings of anxiety and the vape culture, along with the college experience, led to the powerful draw to electronic cigarette use among this population. Conclusion This study reflects findings that the college life experience, the vape culture, and the feelings of anxiety contribute to electronic cigarette use and, finally, lead to intense addiction.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 92%

Electronic Cigarette Use and Anxiety Among College Students

Stanley,

Frederickson,

Pokhrel

2024

UJAN

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“…For young adults who attend college, college's unique social environment may promote substance use, including e-cigarette use, through social network influence 3 and (mis)perceived norms of substance use among peers 4 . Indeed, college students report that friends influence their e-cigarette initiation 5 , report commonly using e-cigarettes with others and at social occasions 6 , and perceive high acceptability of e-cigarette use among peers 5,7,8 .…”

Section: Introductionmentioning

confidence: 99%

E-cigarettes in college: Associations between mental health and e-cigarette use with other substances

Kava,

Watkins,

Gilbert

et al. 2024

Tob. Prev. Cessation

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INTRODUCTION College students are a priority population for substance use prevention, and other studies have reported associations between mental health and e-cigarette use. This study described the association of mental health to e-cigarette and other substance use (ECIG+ use) among US college students. METHODS We used Fall 2018 and Spring 2019 National College Health Assessment data among undergraduate students aged 18-24 years (n=55654) at 138 institutions. We characterized substance use patterns and used multinomial regression to model adjusted odds of past 30-day ECIG use type [no substance use (reference); sole e-cigarette use; e-cigarette use and other substance use (ECIG+ use); no e-cigarette use but other substance use] by mental health characteristics, past 12-month diagnosis/treatment and psychological distress, individual characteristics, and college characteristics.RESULTS Alcohol was the most prevalent substance (58%) used, followed by cannabis (23%) and e-cigarettes (15%). Nearly all (95%) students who used e-cigarettes reported using another substance. Adjusted odds of ECIG+ use (vs no substance use) were higher among students with past 12-month mental health diagnosis/ treatment (AOR=1.5; 95% CI: 1.4-1.6) and higher psychological distress (AOR=1.1; 95% CI: 1.1-1.2). Other characteristics significantly associated with ECIG+ use included gender identity, sexual orientation, race and ethnicity, self-rated health, year in school, cumulative grade average, fraternity/sorority membership, and current residence. CONCLUSIONS Most students who used e-cigarettes also reported other substance use, and this pattern of use was associated with poorer mental health outcomes than no substance use. Clarifying the relationship between mental health and ECIG+ use may enhance health interventions for college students.

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“…Work conducted to date suggests that many adolescent and young adult e-cigarette users report an interest in quitting vaping (43-85%) and have attempted to do so (25-67%) [19][20][21][22][23][24][25][26]. Several factors have been found to be associated with quitting-related intentions and behaviour among young people, including (i) perceiving e-cigarette use to be harmful to health and likely to lead to dependence [20,21,27], (ii) being concerned about the health and addiction risks associated with e-cigarette use [22,23,[28][29][30][31], (iii) disapproval of use by important others [22,31,32], (iv) absence of use among family and friends [20,27], (v) having limited access to e-cigarettes [29],…”

Section: Introductionmentioning

confidence: 99%

“…Work conducted to date suggests that many adolescent and young adult e‐cigarette users report an interest in quitting vaping (43–85%) and have attempted to do so (25–67%) [19–26]. Several factors have been found to be associated with quitting‐related intentions and behaviour among young people, including (i) perceiving e‐cigarette use to be harmful to health and likely to lead to dependence [20, 21, 27], (ii) being concerned about the health and addiction risks associated with e‐cigarette use [22, 23, 28–31], (iii) disapproval of use by important others [22,31,32], (iv) absence of use among family and friends [20, 27], (v) having limited access to e‐cigarettes [29], (vi) device cost [22, 28, 30, 31, 33] and (vii) exposure to anti‐vaping messages [21,34]. Results relating to gender are mixed, with some studies finding that men are more likely than women to report intentions to quit [20, 21] and others finding no difference [19, 25, 35].…”

Section: Introductionmentioning

confidence: 99%

Quitting intentions and behaviours among young Australian e‐cigarette users

Jongenelis,

Gill,

Lawrence

et al. 2024

Addiction

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Background and aimsWith the prevalence of e‐cigarette use among Australian youth increasing significantly in recent years, greater attention is being paid to encouraging and supporting cessation. However, research to inform such efforts is lacking. The present study sought to (i) measure desire to quit e‐cigarette use and actual quitting attempts among young Australians and (ii) explore correlates of quitting‐related cognitions and behaviours.Design, setting and participantsThis was a cross‐sectional on‐line survey conducted in Australia. The participants were 14−25‐year‐old e‐cigarette users (n = 602; 53% women).MeasurementsDesire to quit vaping and attempts to quit vaping were the primary dependent variables. The independent variables included several individual (e.g. harm perceptions, perceived appeal of vapes), social (descriptive norms) and environmental (e.g. ease of e‐cigarette access) factors.FindingsA majority of respondents (61%) expressed a desire to quit vaping, and just over half (55%) had made a quit attempt. Finding vapes easy to access was associated with both a lack of desire [odds ratio (OR) = 0.71] and attempts to quit (OR = 0.77), while self‐reported addiction to vaping (OR = 1.42 and OR = 3.11) and perceiving vaping to be associated with mental health risks (OR = 1.30 and OR = 1.40) were positively correlated with these variables. Perceiving that vaping is common among people of one’s age (OR = 0.82) and finding vapes appealing (OR = 0.55) were associated with a lack of desire to quit, while perceiving vaping to have physical health risks was positively associated with quitting desire (OR = 1.58). School‐based education on vaping was associated with reporting an attempt/s to quit (OR = 0.47).ConclusionsThis survey of young Australian e‐cigarette users suggests a high level of desire to quit using e‐cigarettes and attempts to quit. Increasing knowledge regarding the physical and mental health risks associated with e‐cigarette use may assist with promoting quitting‐related intentions. Changing social norms, reducing the accessibility of e‐cigarettes and reducing the appeal of the products also constitute potential means of increasing the desire to quit.

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

Cited by 7 publications

References 47 publications

Electronic Cigarette Use and Anxiety Among College Students

Electronic Cigarette Use and Anxiety Among College Students

E-cigarettes in college: Associations between mental health and e-cigarette use with other substances

Quitting intentions and behaviours among young Australian e‐cigarette users

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