Rehab Auf1,2, Mary Jo Trepka3,4, Mazen Selim5, Ziyad Ben Taleb3, Mario De La Rosa4,6, Elena Bastida7, Miguel Ángel Cano3,4. 1. Department of Health, Human Performance, and Leisure (HHPL), College of Arts and Science (COAS), Howard University, Washington, DC, 20059, USA. r.auf@outlook.com. 2. Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, 33199, USA. r.auf@outlook.com. 3. Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, 33199, USA. 4. Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Florida International University, Miami, FL, 33199, USA. 5. Jackson South Community Hospital, Miami, FL, 33176, USA. 6. School of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, 33199, USA. 7. Department of Health Promotion, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, 33199, USA.
Abstract
OBJECTIVES: To examine whether tobacco initiation via e-cigarettes increases the likelihood of subsequent tobacco use among a large representative sample of US adolescents. METHODS: This study is a retrospective longitudinal analysis from a representative sample of US middle and high school students (n = 39,718) who completed the 2014 and 2015 National Youth Tobacco Survey. The adjusted odds ratios of lifetime and current use of tobacco use were estimated by logistic regression analysis while controlling for important socio-ecological factors associated with tobacco use. RESULTS: E-cigarette initiators were more likely to report current use of cigarettes (AOR 2.7; 1.9-4.0, p < 0.001), cigars (AOR 1.7; 1.2-2.4, p < 0.01), or smokeless tobacco (AOR 3.1; 2.2-5.4, p < 0.001), and lifetime use of the same products as well. Also, lifetime and current use of e-cigarettes significantly increased the likelihood of cigarettes, cigars, and smokeless tobacco use. CONCLUSIONS: Initiation of tobacco via e-cigarette, lifetime, and current use of e-cigarettes are associated with higher odds of lifetime and current use of cigarettes, cigars, and smokeless tobacco. Collectively this suggests e-cigarettes may lead to an increased use of tobacco among adolescents.
OBJECTIVES: To examine whether tobacco initiation via e-cigarettes increases the likelihood of subsequent tobacco use among a large representative sample of US adolescents. METHODS: This study is a retrospective longitudinal analysis from a representative sample of US middle and high school students (n = 39,718) who completed the 2014 and 2015 National Youth Tobacco Survey. The adjusted odds ratios of lifetime and current use of tobacco use were estimated by logistic regression analysis while controlling for important socio-ecological factors associated with tobacco use. RESULTS: E-cigarette initiators were more likely to report current use of cigarettes (AOR 2.7; 1.9-4.0, p < 0.001), cigars (AOR 1.7; 1.2-2.4, p < 0.01), or smokeless tobacco (AOR 3.1; 2.2-5.4, p < 0.001), and lifetime use of the same products as well. Also, lifetime and current use of e-cigarettes significantly increased the likelihood of cigarettes, cigars, and smokeless tobacco use. CONCLUSIONS: Initiation of tobacco via e-cigarette, lifetime, and current use of e-cigarettes are associated with higher odds of lifetime and current use of cigarettes, cigars, and smokeless tobacco. Collectively this suggests e-cigarettes may lead to an increased use of tobacco among adolescents.
Authors: Beomyoung Cho; Jana L Hirschtick; Bukola Usidame; Rafael Meza; Ritesh Mistry; Stephanie R Land; David T Levy; Theodore Holford; Nancy L Fleischer Journal: J Adolesc Health Date: 2021-01-09 Impact factor: 5.012
Authors: Julia Chen-Sankey; Jennifer B Unger; Edward Bernat; Jeff Niederdeppe; Maansi Bansal-Travers; Kelvin Choi Journal: Tob Control Date: 2021-07-22 Impact factor: 6.953