Julia Cen Chen1, Babita Das2, Erin L Mead3, Dina L G Borzekowski4. 1. Candidate, University of Maryland College Park, School of Public Health, Department of Behavioral and Community Health, College Park, MD. 2. Postdoctoral Fellow, University of Maryland College Park, School of Public Health, Tobacco Center of Regulatory Science, College Park, MD. 3. Postdoctoral Fellow, University of Maryland College Park, School of Public Health, Tobacco Center of Regulatory Science, College Park, MD; and Instructor (in residence), University of Connecticut Health Center, Department of Medicine, Farmington, CT. 4. Research Professor, University of Maryland College Park, School of Public Health, Department of Behavioral and Community Health, College Park, MD.
Abstract
OBJECTIVES: Research indicates youth e-cigarette use may lead to the use of conventional cigarettes, but the specific effects of flavored e-cigarettes-which greatly appeal to youth-are unknown. Therefore, this study examines how flavored e-cigarette use predicts cigarette smoking susceptibility among youth non-smokers. METHODS: We used 2014 National Youth Tobacco Survey to explore the relationship between current e-cigarette use (non-use, flavored and plain e-cigarette use) and smoking susceptibility among 18,392 youth non-smokers (ages 11-18 years). RESULTS: Overall, 2.2% and 2.1% of non-smoking youth currently used plain and flavored e-cigarettes. Compared to 30.0% of non-users, 61.1% and 74.1% of plain and flavored e-cigarette users reported smoking susceptibility. Flavored e-cigarette users were more likely to be susceptible than plain e-cigarette users (AOR=1.7, p< .001) and non-users (AOR=3.8, p< .0001). The magnitude of the relationship between flavored e-cigarette use and smoking susceptibility was significantly higher for females (AOR=6.5, p< .01) than males (AOR=2.5, p< .01). CONCLUSIONS: Flavored more so than plain e-cigarette use is strongly associated with smoking susceptibility among non-smoking youth. Flavored e-cigarettes are recruiting females and those with low smoking-risk profile to experiment conventional cigarettes. Legislative efforts to ban e-cigarettes with child-friendly flavors should be enhanced.
OBJECTIVES: Research indicates youth e-cigarette use may lead to the use of conventional cigarettes, but the specific effects of flavored e-cigarettes-which greatly appeal to youth-are unknown. Therefore, this study examines how flavored e-cigarette use predicts cigarette smoking susceptibility among youth non-smokers. METHODS: We used 2014 National Youth Tobacco Survey to explore the relationship between current e-cigarette use (non-use, flavored and plain e-cigarette use) and smoking susceptibility among 18,392 youth non-smokers (ages 11-18 years). RESULTS: Overall, 2.2% and 2.1% of non-smoking youth currently used plain and flavored e-cigarettes. Compared to 30.0% of non-users, 61.1% and 74.1% of plain and flavored e-cigarette users reported smoking susceptibility. Flavored e-cigarette users were more likely to be susceptible than plain e-cigarette users (AOR=1.7, p< .001) and non-users (AOR=3.8, p< .0001). The magnitude of the relationship between flavored e-cigarette use and smoking susceptibility was significantly higher for females (AOR=6.5, p< .01) than males (AOR=2.5, p< .01). CONCLUSIONS: Flavored more so than plain e-cigarette use is strongly associated with smoking susceptibility among non-smoking youth. Flavored e-cigarettes are recruiting females and those with low smoking-risk profile to experiment conventional cigarettes. Legislative efforts to ban e-cigarettes with child-friendly flavors should be enhanced.
Authors: Melanie Wakefield; Deborah D Kloska; Patrick M O'Malley; Lloyd D Johnston; Frank Chaloupka; John Pierce; Gary Giovino; Erin Ruel; Brian R Flay Journal: Addiction Date: 2004-07 Impact factor: 6.526
Authors: Giorgio Romagna; Elena Allifranchini; Elena Bocchietto; Stefano Todeschi; Mara Esposito; Konstantinos E Farsalinos Journal: Inhal Toxicol Date: 2013-05 Impact factor: 2.724
Authors: Konstantinos E Farsalinos; Giorgio Romagna; Dimitris Tsiapras; Stamatis Kyrzopoulos; Alketa Spyrou; Vassilis Voudris Journal: Int J Environ Res Public Health Date: 2013-12-17 Impact factor: 3.390
Authors: H Isabella Lanza; Adam M Leventhal; Junhan Cho; Jessica L Braymiller; Evan A Krueger; Rob McConnell; Jessica L Barrington-Trimis Journal: Drug Alcohol Depend Date: 2020-08-28 Impact factor: 4.492
Authors: Adam M Leventhal; Nicholas I Goldenson; Junhan Cho; Matthew G Kirkpatrick; Rob S McConnell; Matthew D Stone; Raina D Pang; Janet Audrain-McGovern; Jessica L Barrington-Trimis Journal: Pediatrics Date: 2019-11 Impact factor: 7.124
Authors: Raina D Pang; Nicholas I Goldenson; Matthew Kirkpatrick; Jessica L Barrington-Trimis; Junhan Cho; Adam M Leventhal Journal: Psychol Addict Behav Date: 2020-01-20
Authors: Caitlin Notley; Sarah Gentry; Sharon Cox; Martin Dockrell; Michelle Havill; Angela S Attwood; Matthew Smith; Marcus R Munafò Journal: Addiction Date: 2021-11-22 Impact factor: 7.256