Suchitra Krishnan-Sarin1, Meghan E Morean2, Deepa R Camenga3, Dana A Cavallo2, Grace Kong2. 1. Department of Psychiatry, Yale School of Medicine, New Haven, CT; Suchitra.krishnan-sarin@yale.edu. 2. Department of Psychiatry, Yale School of Medicine, New Haven, CT; 3. Department of Pediatrics, Yale School of Medicine, New Haven, CT.
Abstract
INTRODUCTION: There is limited evidence on electronic cigarette (e-cigarette) use among U.S. adolescents. METHODS: Cross-sectional, anonymous surveys conducted in 4 high schools (HS; n = 3,614) and 2 middle schools (MS; n = 1,166) in Connecticut in November 2013 examined e-cigarette awareness, use patterns, susceptibility to future use, preferences, product components used (battery type, nicotine content, flavors), and sources of marketing and access. RESULTS: High rates of awareness (MS: 84.3%; HS: 92.0%) and of lifetime (3.5% MS, 25.2 % HS) and current (1.5% MS, 12% HS) use of e-cigarettes was observed. Among those who had not tried e-cigarettes, 26.4% of MS and 31.7% of HS students reported being susceptible to future use. Males (OR = 1.70, p < .01), older students (OR = 1.39, p < .05), Caucasians (OR = 2.01, p < .001), ever cigarette smokers (OR = 13.04, p < .001), and current cigarette smokers (OR = 65.11, p < .001) were more likely to be lifetime e-cigarette users and to report greater future susceptibility (males: OR = 1.30; Caucasians: OR = 1.14; ever cigarette smokers; OR = 3.85; current cigarette smokers; OR = 9.81; ps < .01-.001). Among MS students who were lifetime e-cigarette users, 51.2% reported that e-cigarette was the first tobacco product they had tried. E-cigarettes that were rechargeable and had sweet flavors were most popular. Smokers preferred e-cigarettes to cigarettes. Current cigarette smokers were more likely to initiate with nicotine-containing e-cigarettes, and ever and never cigarette smokers to initiate with e-cigarettes without nicotine. Primary sources for e-cigarette advertisements were televisions and gas stations and, for acquiring e-cigarettes, were peers. CONCLUSIONS: Longitudinal monitoring of e-cigarette use among adolescents and establishment of policies to limit access are imperatively needed.
INTRODUCTION: There is limited evidence on electronic cigarette (e-cigarette) use among U.S. adolescents. METHODS: Cross-sectional, anonymous surveys conducted in 4 high schools (HS; n = 3,614) and 2 middle schools (MS; n = 1,166) in Connecticut in November 2013 examined e-cigarette awareness, use patterns, susceptibility to future use, preferences, product components used (battery type, nicotine content, flavors), and sources of marketing and access. RESULTS: High rates of awareness (MS: 84.3%; HS: 92.0%) and of lifetime (3.5% MS, 25.2 % HS) and current (1.5% MS, 12% HS) use of e-cigarettes was observed. Among those who had not tried e-cigarettes, 26.4% of MS and 31.7% of HS students reported being susceptible to future use. Males (OR = 1.70, p < .01), older students (OR = 1.39, p < .05), Caucasians (OR = 2.01, p < .001), ever cigarette smokers (OR = 13.04, p < .001), and current cigarette smokers (OR = 65.11, p < .001) were more likely to be lifetime e-cigarette users and to report greater future susceptibility (males: OR = 1.30; Caucasians: OR = 1.14; ever cigarette smokers; OR = 3.85; current cigarette smokers; OR = 9.81; ps < .01-.001). Among MS students who were lifetime e-cigarette users, 51.2% reported that e-cigarette was the first tobacco product they had tried. E-cigarettes that were rechargeable and had sweet flavors were most popular. Smokers preferred e-cigarettes to cigarettes. Current cigarette smokers were more likely to initiate with nicotine-containing e-cigarettes, and ever and never cigarette smokers to initiate with e-cigarettes without nicotine. Primary sources for e-cigarette advertisements were televisions and gas stations and, for acquiring e-cigarettes, were peers. CONCLUSIONS: Longitudinal monitoring of e-cigarette use among adolescents and establishment of policies to limit access are imperatively needed.
Authors: Leslie K Jacobsen; John H Krystal; W Einar Mencl; Michael Westerveld; Stephen J Frost; Kenneth R Pugh Journal: Biol Psychiatry Date: 2005-01-01 Impact factor: 13.382
Authors: Ollie Ganz; Jennifer Cantrell; Joyce Moon-Howard; Angela Aidala; Thomas R Kirchner; Donna Vallone Journal: Tob Control Date: 2014-03-11 Impact factor: 7.552
Authors: Darren Mays; Stephen E Gilman; Richard Rende; George Luta; Kenneth P Tercyak; Raymond S Niaura Journal: Pediatrics Date: 2014-05-12 Impact factor: 7.124
Authors: Jessica K Pepper; Paul L Reiter; Annie-Laurie McRee; Linda D Cameron; Melissa B Gilkey; Noel T Brewer Journal: J Adolesc Health Date: 2012-11-30 Impact factor: 5.012
Authors: Paula Lozano; Edna Arillo-Santillán; Inti Barrientos-Gutíerrez; Luz Myriam Reynales Shigematsu; James F Thrasher Journal: Health Educ Behav Date: 2019-01-04