Kenneth P Tercyak1, Lilianna Phan2, Katia Gallegos-Carrillo3, Darren Mays2, Janet Audrain-McGovern4, Kathryn Rehberg2, Yameng Li2, Francisco Cartujano-Barrera3, A Paula Cupertino5. 1. Lombardi Comprehensive Cancer Center, Georgetown University, 3300 Whitehaven St., NW, Suite 4100, Washington, DC 20007, United States. Electronic address: tercyakk@georgetown.edu. 2. Lombardi Comprehensive Cancer Center, Georgetown University, 3300 Whitehaven St., NW, Suite 4100, Washington, DC 20007, United States. 3. John Theurer Cancer Center, Hackensack Meridian Health, 40 Prospect Ave., Hackensack, NJ 07601, United States. 4. Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd., Philadelphia, PA 19104, United States. 5. Lombardi Comprehensive Cancer Center, Georgetown University, 3300 Whitehaven St., NW, Suite 4100, Washington, DC 20007, United States; John Theurer Cancer Center, Hackensack Meridian Health, 40 Prospect Ave., Hackensack, NJ 07601, United States.
Abstract
INTRODUCTION: The prevalence of e-cigarette use among US adolescents is increasing. However, there is limited research on the prevalence and correlates of e-cigarette use among adolescents in low income and under resourced communities. We report on their e-cigarette susceptibility and use behaviors, and perceived risks of harm and addiction. METHODS: Students in grades 7, 9, and 11 from a Title I school district in the northeastern US completed an online survey during a class period. Lifetime e-cigarette use and its correlates were tested in bivariate and logistic regression models. RESULTS: Most students were of Latino ethnicity (66%), and 36% identified as Black/African American. Overall, 55% of the full sample were considered 'susceptible' to e-cigarette use: 19% were lifetime e-cigarette users while 6% were lifetime smokers. Students in 11th grade were more likely (OR = 2.5) to have ever used e-cigarettes compared to students in 7th grade. Those that were more curious (OR = 11.8), intended to use e-cigarettes in the next 12 months (OR = 2.8), and would use the product if it was offered by a friend (OR = 2.4) had greater odds of lifetime e-cigarette use. By contrast, students who perceived at least moderate risks of health harm (OR = 0.44) were less likely to have used e-cigarettes. CONCLUSIONS: Adolescents from marginalized communities are susceptible to and are using e-cigarettes. Prevention efforts targeting underserved areas may benefit from e-cigarette health education messages that reduce curiosity, interrupt social aspects of initiation, and emphasize health harms.
INTRODUCTION: The prevalence of e-cigarette use among US adolescents is increasing. However, there is limited research on the prevalence and correlates of e-cigarette use among adolescents in low income and under resourced communities. We report on their e-cigarette susceptibility and use behaviors, and perceived risks of harm and addiction. METHODS: Students in grades 7, 9, and 11 from a Title I school district in the northeastern US completed an online survey during a class period. Lifetime e-cigarette use and its correlates were tested in bivariate and logistic regression models. RESULTS: Most students were of Latino ethnicity (66%), and 36% identified as Black/African American. Overall, 55% of the full sample were considered 'susceptible' to e-cigarette use: 19% were lifetime e-cigarette users while 6% were lifetime smokers. Students in 11th grade were more likely (OR = 2.5) to have ever used e-cigarettes compared to students in 7th grade. Those that were more curious (OR = 11.8), intended to use e-cigarettes in the next 12 months (OR = 2.8), and would use the product if it was offered by a friend (OR = 2.4) had greater odds of lifetime e-cigarette use. By contrast, students who perceived at least moderate risks of health harm (OR = 0.44) were less likely to have used e-cigarettes. CONCLUSIONS: Adolescents from marginalized communities are susceptible to and are using e-cigarettes. Prevention efforts targeting underserved areas may benefit from e-cigarette health education messages that reduce curiosity, interrupt social aspects of initiation, and emphasize health harms.
Authors: Francisco Cartujano-Barrera; Chiamaka Azogini; Scott McIntosh; Maansi Bansal-Travers; Deborah J Ossip; Ana Paula Cupertino Journal: J Particip Med Date: 2021-11-23
Authors: Francisco Cartujano-Barrera; Ruthmarie Hernández-Torres; Rafael H Orfin; Arlette Chávez-Iñiguez; Olga Alvarez Lopez; Chiamaka Azogini; Diana Bermudez; Evelyn Arana-Chicas; Xueya Cai; Scott McIntosh; Deborah J Ossip; Ana Paula Cupertino Journal: Children (Basel) Date: 2022-06-22
Authors: Francisco Cartujano-Barrera; Ruthmarie Hernández-Torrez; Xueya Cai; Rafael H Orfin; Chiamaka Azogini; Arlette Chávez-Iñiguez; Edgar Santa Cruz; Maansi Bansal-Travers; Karen M Wilson; Scott McIntosh; Deborah J Ossip; Ana Paula Cupertino Journal: Int J Environ Res Public Health Date: 2022-08-14 Impact factor: 4.614