Use and Perceived Risk of Electronic Cigarettes Among North Carolina Middle and High School Students

Giovacchini, Coral; Pacek, Lauren R.; McClernon, F. Joseph; Que, Loretta G.

doi:10.18043/ncm.78.1.7

Cited by 18 publications

(30 citation statements)

References 21 publications

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“…Relatively higher rates of e-cigarette use in southern regions have also been reported in studies among the general population, 8 which may be attributable to cultural factors, economic factors (e.g., lower taxes), or more favorable attitudes toward tobacco products. [27][28][29][30] Within the context of prior research, our results showing increased odds of e-cigarette use among whites compared to other races/ethnicities are consistent with nationally representative surveys of current smokers 31 or the general population. 20,32,33 On the other hand, prior studies have found education status to be either not associated 31 or negatively associated 20,33 with e-cigarette use, which is in contrast to our findings.…”

Section: Discussionsupporting

confidence: 84%

E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study

et al. 2019

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BACKGROUND: Primary care settings provide opportunities to identify electronic-cigarette (e-cigarette) use and to implement strategies for changing tobacco use behavior. However, a better understanding of the extent and associated characteristics of e-cigarette use among primary care patients are needed to inform such efforts. OBJECTIVE: To describe patient demographic and substance use characteristics by e-cigarette use status among a large sample of primary care patients. To examine the prevalence and correlates of e-cigarette use among tobacco users in the sample. DESIGN: Cross-sectional analysis from a multisite validation study of a substance use screening instrument. PARTICIPANTS: Adult primary care patients aged 18 and older (n = 2000) recruited across 5 primary care clinics in the Eastern USA from 2014 to 2015. MAIN MEASURES: Patients reported past 3-month e-cigarette use, sociodemographics, tobacco use, and other substance use. Current nicotine dependence and DSM-5 criteria for past-year substance use disorders were also assessed. KEY RESULTS: Among the total sample, 7.7% (n = 154) adults reported past 3-month e-cigarette use. Adults who reported e-cigarette use (vs. no use) were more likely to be younger, white, or have frequent tobacco use, nicotine dependence, or past-year illicit drug use/disorders. Among past 3-month tobacco users, 16.3% reported e-cigarette use. Adjusted logistic regression indicated that odds of e-cigarette use were greater among tobacco users who had some college education or more (vs. < high school) or were daily/almost daily tobacco users (vs. not); odds were lower among Blacks/African-Americans (vs. whites). E-cigarette use among tobacco users was associated with increased odds of current nicotine dependence or tobacco use disorder as well as more severe dependence/disorder. CONCLUSIONS: Enhanced surveillance of e-cigarette use among adult tobacco users in primary care, particularly among those who use tobacco frequently, may have implications for helping patients with tobacco cessation using established approaches including behavioral support, pharmacotherapy, or referral to specialized care.

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Section: Discussionsupporting

confidence: 84%

E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study

et al. 2019

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“…On the other hand, in a recent study, researchers have found that non-users and e-cigarette-only users had higher mean grades than the cigarette-only group, and the non-user group had higher mean grades than the dual user group ( 20 ). Age-grade : In a previous study, both increased use of e-cigarette, and e-cigarette perceived harmfulness and awareness have been delineated with advancing school grade ( 23 ). This, steady with age, increase has been demonstrated in several studies ( 20 , 22 , 29 , 32 , 38 , 40 , 43 – 45 ), highlighting the urgent need of novel research to shed further light into the age-related trajectories of e-cigarette use.…”

Section: Resultsmentioning

confidence: 99%

“…Secondly, the self-reported assessment could introduce reporting bias ( 6 , 20 – 24 , 29 – 46 , 52 ). Thirdly, findings may not be generalizable to populations outside of the samples geographical areas or other countries or regions ( 20 , 21 , 23 , 29 , 30 , 32 – 38 , 41 – 47 ).…”

Section: Discussionmentioning

confidence: 98%

E-Cigarette Use Among Adolescents: An Overview of the Literature and Future Perspectives

Perikleous

Steiropoulos

Paraskakis

et al. 2018

Front. Public Health

118

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BackgroundElectronic cigarettes (e-cigarettes) are rapidly emerging into a new trend among adolescents, signaling a new époque, that of vapers. E-cigarettes are battery-powered nicotine delivery devices that heat a typically flavoring liquid solution into an aerosol mist that users inhale, allowing them to imitate the act of conventional smoking. There are concerns about the impact of e-cigarettes at both individual and public health level.AimTo discuss the characteristics of the most vulnerable, to become e-cigarette users, group of adolescents and to further highlight their behaviors and characteristics.MethodsAn electronic search in PubMed, EMBASE, and Google Scholar databases was conducted, using combinations of the following keywords: adolescents, teenagers, e-cigarettes, vaping. The search included all types of articles written in English until August 2017. A total of 100 articles were found, and 25 were finally included in the present review.ResultsOlder age, male gender, conventional smokers, peer influence, daily smoking, and heavier smoking are the most common characteristics of adolescent e-cigarette users.ConclusionE-cigarette use is common, especially between certain subgroups in the adolescent population. Since e-cigarette use is increasing and considering that the long term health effects are still under investigation, targeted interventions towards more susceptible individuals may be an effective prevention strategy.

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“…Secondly, young people are more prone to dangerous behaviors than adults, and are less aware of health risks or attach little importance to them (because the consequences may appear much later in the future) [7,8,9,10,11]. In addition, the use of e-cigarettes can emphasize attractiveness and independence of young people and, thus, reduce the risk of criticism, as in the case of traditional cigarettes [12,13,14,15,16]. Finally, the lack of legislation or not fully developed and enforced regulations allow easy availability of these products [17,18,19].…”

Section: Introductionmentioning

confidence: 99%

Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland

Kaleta

Niedzin

Jankowska

et al. 2019

IJERPH

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Identification of the youth at risk of e-cigarette use is crucial for development of effective prevention strategies. The current study aims at evaluation of predictors of susceptibility to e-cigarette initiation and experimentation among adolescents. This cross-sectional study included 1693 students (non-current users of e-cigarettes) attending 21 schools in Piotrkowski district (a socially disadvantaged rural area in central Poland). The regression models were applied so as to study factors linked to susceptibility to e-cigarette use among never users (n = 1054) and ever users (n = 639) of e-cigarettes, with susceptibility defined as the absence of a firm decision not to use these products. A high proportion of the youth was susceptible to e-cigarette use (68% of never and 78% of ever e-cigarette users). The adjusted model confirmed the following risk factors: smoking parents and friends (never users: OR = 3.0; p < 0.001; OR = 2.0; p < 0.05; ever users: OR = 2.2; OR = 2.2; p < 0.01), alcohol consumption (never users: moderate drinking OR = 2.9; p < 0.001; binge drinking OR = 2.2; p < 0.01; ever users: moderate drinking OR = 4.2; p < 0.001), cigarette smoking (never users: OR = 14.1; ever users: OR = 11.3; p < 0.001), and perception that e-cigarettes are less harmful than traditional cigarettes (never users: OR = 1.8; p < 0.001). The youth whose mothers had a medium and high educational level (never users: OR = 2.7; p < 0.01; OR = 2.7; p < 0.05; ever users: OR = 5.4; OR = 4.4; p < 0.001), those who perceived girls who use e-cigarettes as more attractive (never users: OR = 4.1; p < 0.001; ever users: OR = 2.9; p < 0.01), and secondary school students (ever users: OR = 5.6; p < 0.001) had higher odds of susceptibility to e-cigarette use. The youth who had more money per month were less susceptible to e-cigarette experimentation (OR = 0.4; p < 0.001). A multi-level intervention approach, considering vulnerable populations, is required to prevent the youth from e-cigarette initiation and experimentation.

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Use and Perceived Risk of Electronic Cigarettes Among North Carolina Middle and High School Students

Cited by 18 publications

References 21 publications

E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study

E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study

E-Cigarette Use Among Adolescents: An Overview of the Literature and Future Perspectives

Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland

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