Kathleen R Case1, Melissa B Harrell2, Adriana Pérez3, Alexandra Loukas4, Anna V Wilkinson5, Andrew E Springer6, MeLisa R Creamer7, Cheryl L Perry8. 1. The University of Texas Health Science Center at Houston (UTHealth), School of Public Health in Austin, United States. Electronic address: Kathleen.R.Case@uth.tmc.edu. 2. The University of Texas Health Science Center at Houston (UTHealth), School of Public Health in Austin, United States. Electronic address: Melissa.B.Harrell@uth.tmc.edu. 3. The University of Texas Health Science Center at Houston (UTHealth), School of Public Health in Austin, United States. Electronic address: Adriana.Perez@uth.tmc.edu. 4. Department of Kinesiology and Health Education, University of Texas at Austin, United States. Electronic address: Alexandra.Loukas@austin.utexas.edu. 5. The University of Texas Health Science Center at Houston (UTHealth), School of Public Health in Austin, United States. Electronic address: Anna.V.Wilkinson@uth.tmc.edu. 6. The University of Texas Health Science Center at Houston (UTHealth), School of Public Health in Austin, United States. Electronic address: Andrew.E.Springer@uth.tmc.edu. 7. The University of Texas Health Science Center at Houston (UTHealth), School of Public Health in Austin, United States. Electronic address: MeLisa.R.Creamer@uth.tmc.edu. 8. The University of Texas Health Science Center at Houston (UTHealth), School of Public Health in Austin, United States. Electronic address: Cheryl.L.Perry@uth.tmc.edu.
Abstract
INTRODUCTION: Sensation seeking is strongly associated with cigarette use in adolescents. However, few studies have investigated its relationship with adolescent e-cigarette use. This study examined cross-sectional and longitudinal associations between sensation seeking and a variety of e-cigarette use behaviors among Texas adolescents. METHODS: This study utilized two waves of data collected 6months apart through the Texas Adolescent Tobacco and Marketing Surveillance System (TATAMS) in 2014-2015 (n=2,488/N=461,069). TATAMS employs a complex probability-sampling design and is representative of students in 6th, 8th and 10th grades from five counties surrounding the four largest cities in Texas (Houston, Dallas/Ft. Worth, San Antonio, Austin). Weighted multivariable logistic regression was used to examine the cross-sectional and longitudinal associations between sensation seeking and susceptibility to e-cigarette use, ever e-cigarette use, and current (past 30day) e-cigarette use. RESULTS: In the cross-sectional analyses, higher mean sensation seeking scores were associated with higher odds of both susceptibility to e-cigarette use and ever e-cigarette use (AOR=1.25, 95% CI=1.07, 1.47; AOR=1.24, 95% CI=1.08, 1.43, respectively). For the longitudinal analyses, only the association between higher mean sensation seeking scores and transition to ever e-cigarette use remained statistically significant (AOR=1.45, 95% CI=1.01, 2.08). There were no significant associations between sensation seeking and current e-cigarette use in either the cross-sectional or longitudinal analyses. CONCLUSIONS: Higher sensation seeking scores were consistently and significantly related to experimentation with e-cigarette use among Texas adolescents. Future interventions (e.g., communication campaigns) should target high sensation seeking adolescents to reduce initiation of e-cigarette use among this population.
INTRODUCTION: Sensation seeking is strongly associated with cigarette use in adolescents. However, few studies have investigated its relationship with adolescent e-cigarette use. This study examined cross-sectional and longitudinal associations between sensation seeking and a variety of e-cigarette use behaviors among Texas adolescents. METHODS: This study utilized two waves of data collected 6months apart through the Texas Adolescent Tobacco and Marketing Surveillance System (TATAMS) in 2014-2015 (n=2,488/N=461,069). TATAMS employs a complex probability-sampling design and is representative of students in 6th, 8th and 10th grades from five counties surrounding the four largest cities in Texas (Houston, Dallas/Ft. Worth, San Antonio, Austin). Weighted multivariable logistic regression was used to examine the cross-sectional and longitudinal associations between sensation seeking and susceptibility to e-cigarette use, ever e-cigarette use, and current (past 30day) e-cigarette use. RESULTS: In the cross-sectional analyses, higher mean sensation seeking scores were associated with higher odds of both susceptibility to e-cigarette use and ever e-cigarette use (AOR=1.25, 95% CI=1.07, 1.47; AOR=1.24, 95% CI=1.08, 1.43, respectively). For the longitudinal analyses, only the association between higher mean sensation seeking scores and transition to ever e-cigarette use remained statistically significant (AOR=1.45, 95% CI=1.01, 2.08). There were no significant associations between sensation seeking and current e-cigarette use in either the cross-sectional or longitudinal analyses. CONCLUSIONS: Higher sensation seeking scores were consistently and significantly related to experimentation with e-cigarette use among Texas adolescents. Future interventions (e.g., communication campaigns) should target high sensation seeking adolescents to reduce initiation of e-cigarette use among this population.
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