Trends and Substance Use Associations With E-Cigarette Use in US Adolescents

Curran, Kelly A.; Burk, Thad; Pitt, Paulette D.; Middleman, Amy B.

doi:10.1177/0009922818769405

Cited by 38 publications

(35 citation statements)

References 19 publications

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“…Of 835 potentially relevant studies identified through the database search and 4 through the gray-literature search, 158 reports appeared potentially eligible after title and abstract screening. After exclusion of 137 studies through full-text screening, including 3 studies with overlapping data sets, [28][29][30] 21 studies were found to be eligible [5][6][7]23,[31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] and were included in the qualitative and quantitative syntheses. All studies were observational; there were 3 longitudinal studies 6,7,45 representing 14 364 participants and 18 cross-sectional studies 5,23,[31][32][33][34][35][36][37][38][39][40][41][42][43][44]46,47 representing 113 863 participants in total.…”

Section: Resultsmentioning

confidence: 99%

“…Pooling of data from all studies ( Figure 1) suggested that ENDS use is associated with an increased risk of marijuana use (AOR, 3.47 [95% CI, 2.63-4.59]; I 2 , 94%). Subgroup analysis by study type ( Figure 2) revealed significantly increased odds of marijuana use in both longitudinal (3 studies 6,7,45 ; AOR, 2.43 [95% CI, 1.51-3.90]; I 2 , 73.8%) and cross-sectional studies (18 studies 5,23,[31][32][33][34][35][36][37][38][39][40][41][42][43][44]46,47 ; AOR, 3.70 [95% CI, 2.76-4.96]; I 2 , 94%).…”

Section: Resultsmentioning

confidence: 99%

“…54 The use of ENDS may sensitize the reward and pleasure center of the brain and increase the odds of using other forms of nicotine and other psychoactive substances. 5 While it is possible that youths who are substance naive and initiate substance use through ENDS would have gravitated toward other substances with the passage of time, the possibility of delaying onset of substance use by reducing use of ENDS in youths could have important benefitsnotably by decreasing the burden of substance use on a population level. 55 We found a stronger association between ENDS and marijuana use in youths with dual use of ENDS and other forms of tobacco than in youths with use of ENDS only.…”

Section: Discussionmentioning

confidence: 99%

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Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults

et al. 2019

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cigarettes (often called e-cigarettes) has increased considerably among young people in the past 5 years. Use of e-cigarettes has been associated with higher rates of marijuana use, which is associated with several adverse health outcomes in youth. OBJECTIVE To characterize and quantify the association between e-cigarette and marijuana use among youth using a meta-analysis. DATA SOURCES PubMed, Embase, and Web of Science & ProQuest Dissertations and Theses were searched from inception to October 2018. A gray-literature search was also conducted on conference abstracts, government reports, and other sources. STUDY SELECTION Included studies compared rates of marijuana use among youth aged 10 to 24 years who had used e-cigarettes vs those who had not used e-cigarettes. Two reviewers independently assessed studies for inclusion; disagreements were discussed with a third reviewer and resolved by consensus. DATA EXTRACTION AND SYNTHESIS Data were extracted by 2 independent reviewers following Meta-analyses of Observational Studies in Epidemiology (MOOSE) reporting guidelines and pooled using a random-effects analysis. The Newcastle-Ottawa Scale was used to assess data quality and validity of individual studies. MAIN OUTCOMES AND MEASURES Adjusted odds ratios (AORs) of self-reported past or current marijuana use by youth with vs without past or current e-cigarette use. RESULTS Twenty-one of 835 initially identified studies (2.5%) met selection criteria. The meta-analysis included 3 longitudinal and 18 cross-sectional studies that included 128 227 participants. Odds of marijuana use were higher in youth who had an e-cigarette use history vs those who did not (AOR, 3.47 [95% CI, 2.63-4.59]; I 2 , 94%). Odds of marijuana use were significantly increased in youth who used e-cigarettes in both longitudinal studies (3 studies; AOR, 2.43 [95% CI, 1.51-3.90]; I 2 , 74%) and cross-sectional studies (18 studies; AOR, 3.70 [95% CI, 2.76-4.96]; I 2 , 94%). Odds of using marijuana in youth with e-cigarette use were higher in adolescents aged 12 to 17 years (AOR, 4.29 [95% CI, 3.14-5.87]; I 2 , 94%) than young adults aged 18 to 24 years (AOR, 2.30 [95% CI, 1.40-3.79]; I 2 , 91%). CONCLUSIONS AND RELEVANCE This meta-analysis found a significant increase in the odds of past or current and subsequent marijuana use in adolescents and young adults who used e-cigarettes. These findings highlight the importance of addressing the rapid increases in e-cigarette use among youths as a means to help limit marijuana use in this population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults

et al. 2019

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“…Among Hawaiian adolescents, dual users had higher risk of experiencing difficulties with academics and behavioral regulation [53]. Moreover, dual users among US teens were more likely to have ever drunk alcohol, currently drink alcohol, have ever tried marijuana, currently use marijuana, and have used drugs in their lifetime [54]. This suggests the need for continued tobacco regulatory efforts toward adolescents, including multiple forms of tobacco use, with strict regulation of new and emerging products.…”

Section: Discussionmentioning

confidence: 99%

Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents

Lee

2019

PLoS ONE

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Background The tobacco industry has aggressively introduced new and diverse products in the market, including electronic cigarettes (e-cigarettes) and heat-not-burn (HNB) tobacco products, to which adolescents are readily susceptible. Conventional cigarettes have a well-established relationship with adolescent risky behaviors such as alcohol and drug use; however, no studies exist on the association between alcohol consumption and use of e-cigarettes or HNB tobacco products among Korean adolescents. This study evaluated alcohol-related behaviors and drug use in relation to whether a Korean nationally representative adolescent sample had ever used e-cigarettes and HNB tobacco products. Methods Data from the 2018 Korean Youth Risk Behavior Web-based Survey were analyzed. The final study sample comprised 60,040 adolescents. Chi-square and logistic regression were used to examine whether the ever having used e-cigarettes and HNB tobacco products was associated with alcohol-related behaviors and drug use. P-values for trends were calculated to examine the dose-response relationship for each variable. Results Respondents with higher drinking frequency, drinking quantity, alcohol intoxication, alcohol availability, and drug use were more likely to report having used e-cigarettes and HNB tobacco products, thus implying a significant relationship between substance use and novel tobacco product (P < .001). Conclusions Our findings suggest that at-risk adolescents who are engaged in other forms of risk-taking behaviors are prone to attract the experimentation with e-cigarettes or HNB tobacco products. Thus, smoking cessation programs related to substance use should be implemented, and there is an urgent need to monitor and regulate these products effectively.

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“… 23 - 27 In addition, young current vape users often have friends and family members who vape or who accept vaping, 28 and use other substances including cigarettes and marijuana. 29 - 31 …”

Section: Introductionmentioning

confidence: 99%

The Vaping Teenager: Understanding the Psychographics and Interests of Adolescent Vape Users to Inform Health Communication Campaigns

Stalgaitis¹,

Djakaria²,

Jordan³

2020

Tob Use Insights

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Background: Adolescent vaping continues to rise, yet little is known about teen vape users beyond demographics. Effective intervention requires a deeper understanding of the psychographics and interests of adolescent vape users to facilitate targeted communication campaigns. Methods: We analyzed the 2017-2018 weighted cross-sectional online survey data from Virginia high school students (N = 1594) to identify and describe subgroups of adolescents who vaped. Participants reported 30-day vape use, identification with 5 peer crowds (Alternative, Country, Hip Hop, Mainstream, Popular), social prioritization, agreement with personal values statements, social media and smartphone use, and television and event preferences. We compared vaping rates and frequency by peer crowd using a chi-square analysis with follow-up testing to identify higher-risk crowds and confirmed associations using binary and multinomial logistic regression models with peer crowd scores predicting vaping, controlling for demographics. We then used chi-square and t tests to describe the psychographics, media use, and interests of higher-risk peer crowds and current vape users within those crowds. Results: Any current vaping was the highest among those with Hip Hop peer crowd identification (25.4%), then Popular (21.3%). Stronger peer crowd identification was associated with increased odds of any current vaping for both crowds, vaping on 1 to 19 days for both crowds, and vaping on 20 to 30 days for Hip Hop only. Compared with other peer crowds and non-users, Hip Hop and Popular youth and current vape users reported greater social prioritization and agreement with values related to being social and fashionable. Hip Hop and Popular youth and current vape users reported heavy Instagram and Snapchat use, as well as unique television show and event preferences. Conclusions: Hip Hop and Popular adolescents are most likely to vape and should be priority audiences for vaping prevention campaigns. Findings should guide the development of targeted health communication campaigns delivered via carefully designed media strategies.

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Trends and Substance Use Associations With E-Cigarette Use in US Adolescents

Cited by 38 publications

References 19 publications

Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults

Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults

Association of alcohol and drug use with use of electronic cigarettes and heat-not-burn tobacco products among Korean adolescents

The Vaping Teenager: Understanding the Psychographics and Interests of Adolescent Vape Users to Inform Health Communication Campaigns

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