Associations Between Early Onset of E-cigarette Use and Cigarette Smoking and Other Substance Use Among US Adolescents: A National Study

Purpose. We examine early-onset cigarette smoking and how, if at all, it is related to subsequent smoking practices.Methods. From 2004 to 2007, face-to-face interviews were conducted with 485 adult cigarette smokers residing in the Atlanta metropolitan area. Data analysis involved a multivariate analysis to determine whether age of smoking onset was related to current smoking practices when the effects of gender, age, race, marital/relationship status, income, and educational attainment were taken into account.Results. The mean age for smoking onset was 14.8, and more than one-half of all smokers had their first cigarette between the ages of 12 and 16. Most people reported an interval of less than one month between their first and second time using tobacco. Earlier onset cigarette smoking was related to more cigarette use and worse tobacco-related health outcomes in adulthood.Conclusions. Early prevention and intervention are needed to avoid early-onset smoking behaviors. Intervening after initial experimentation but before patterned smoking practices are established will be challenging, as the interval between initial and subsequent use tends to be short.

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Assessing the impact of sports and recreation facility density within school neighbourhoods on Canadian adolescents’ substance use behaviours: quasi-experimental evidence from the COMPASS study, 2015–2018

BMJ Open ◽

10.1136/bmjopen-2020-046171 ◽

2021 ◽

Vol 11 (8) ◽

pp. e046171

Author(s):

Amanda Doggett ◽

Katelyn M Godin ◽

Olena Schell ◽

Suzy L Wong ◽

Ying Jiang ◽

...

Keyword(s):

Substance Use ◽

Cigarette Smoking ◽

Binge Drinking ◽

Cannabis Use ◽

Secondary Outcome ◽

Protective Effects ◽

Cigarette Use ◽

School Students ◽

Recreation Facilities ◽

The Impact

ObjectivesThere has been relatively little exploration to date of potential protective effects within school neighbourhoods, such as those conferred by facilities that seek to promote health with respect to substance use and related harms. This study examined how the density of sports and recreation facilities in the school neighbourhood is associated with the likelihood of binge drinking, e-cigarette use, cigarette smoking and cannabis use among Canadian secondary school students.DesignLongitudinal data from the COMPASS study on Canadian youth health behaviours from 2015/2016 to 2017/2018 was linked with school neighbourhood data capturing the number of sports and recreation facilities within a 1500 m radius of schools.SettingSecondary schools and school neighbourhoods in Alberta, British Columbia, Ontario and Quebec who participated in the COMPASS study.Participants16 471 youth who participated in the COMPASS study over three school years (2015/2016–2017/2018).Primary and secondary outcome measuresBinge drinking, e-cigarette use, cigarette use, cannabis use.ResultsLogistic regression models using generalised estimating equations identified that greater density of sports and recreation facilities within the school neighbourhood was significantly associated with lower likelihood of binge drinking and e-cigarette use but was not associated with cigarette smoking or cannabis use.ConclusionsThis research can help to support evidence-informed school community-based efforts to prevent substance-related harms among youth.

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A National Study of Health Care Service Utilization and Substance Use After the 2010 Chilean Earthquake

Psychiatric Services ◽

10.1176/appi.ps.201300500 ◽

2014 ◽

Vol 65 (11) ◽

pp. 1392-1395 ◽

Cited By ~ 3

Author(s):

Dana Rose Garfin ◽

Vanessa Juth ◽

Roxane Cohen Silver ◽

Francisco Javier Ugalde ◽

Heiko Linn ◽

...

Keyword(s):

Health Care ◽

Substance Use ◽

Service Utilization ◽

Care Service ◽

Health Care Service ◽

National Study ◽

Health Care Service Utilization ◽

Chilean Earthquake

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An empirical perspective on cigarette use in substance use recovery

Psychological Medicine ◽

10.1017/s0033291721002300 ◽

2021 ◽

pp. 1-8

Author(s):

Renee D. Goodwin ◽

Melody Wu ◽

Larry Davidson

Keyword(s):

Substance Use ◽

Cigarette Use ◽

Empirical Perspective

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Sex Difference in the Association between Electronic Cigarette Use and Subsequent Cigarette Smoking among U.S. Adolescents: Findings from the PATH Study Waves 1–4

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041695 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1695

Author(s):

Zongshuan Duan ◽

Yu Wang ◽

Jidong Huang

Keyword(s):

Mental Health ◽

Cigarette Smoking ◽

Tobacco Use ◽

Mental Health Problems ◽

Cigarette Use ◽

Tobacco Products ◽

Estimation Equations ◽

Nationally Representative ◽

Prospective Association

E-cigarettes are the most-used tobacco products among U.S. adolescents. Emerging evidence suggests that adolescents using e-cigarettes are at elevated risk for initiating cigarette smoking. However, whether this risk may differ by sex remains unknown. This study analyzed data from Wave 1 to 4 of the Population Assessment of Tobacco and Health (PATH) Study, a nationally representative longitudinal survey. Generalized estimation equations (GEE) were performed to estimate the associations between baseline e-cigarette use and subsequent cigarette smoking, controlling for sociodemographic characteristics, mental health conditions, and other tobacco use. Effect modifications by sex were examined. Multivariate analyses showed that, among baseline never cigarette smokers, past-30-day e-cigarette use at baseline waves was significantly associated with past-30-day cigarette smoking at follow-up waves (aOR = 3.90, 95% CI: 2.51–6.08). This association was significantly stronger for boys (aOR = 6.17, 95% CI: 2.43–15.68) than for girls (aOR = 1.10, 95% CI: 0.14–8.33). Additionally, using other tobacco products, older age, and having severe externalizing mental health problems at baseline were significantly associated with an increased likelihood of cigarette smoking at follow-up. The prospective association between e-cigarette use and cigarette smoking differs by sex among U.S. adolescents. Sex-specific tobacco control interventions may be warranted to curb the youth tobacco use epidemic.

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Exploring Stakeholder and Parent Perspectives of a County Response to Adolescent Vaping and E-Cigarette Use

Journal of Drug Issues ◽

10.1177/0022042621993495 ◽

2021 ◽

pp. 002204262199349

Author(s):

Natasha Kurji ◽

Thomas Koza ◽

Amanda Sharp ◽

Kathleen Moore

Keyword(s):

United States ◽

Substance Use ◽

The United States ◽

Classroom Observations ◽

School Age ◽

Parent Perspectives ◽

Cigarette Use ◽

Perceived Effectiveness ◽

Tobacco Products ◽

Hillsborough County

In the United States, regular cigarette use has steadily declined over the years; however, it has been met with an increase in vaping and e-cigarette use. In Tampa, Florida, this trend has been found especially prevalent among school-aged youth. To combat issues of substance use among youth and prevent criminalization for nonviolent crimes, school-age youth cited for use and possession of tobacco products in Hillsborough County were mandated to attend the Youth Tobacco Awareness Course (YTAC). The aim of this study was to investigate YTAC for its perceived effectiveness and usefulness in mitigating adolescent e-cigarette use. Classroom observations, parent focus groups, and program stakeholder interviews were conducted to comprehensively evaluate this program. Findings from this evaluation led to a deeper understanding of the barriers and facilitators to an effective course, the needs and perceptions of program stakeholders, as well as recommendations for improved future interventions.

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Cigarette smoking and e-cigarette use among university students in Queensland, Australia and New Zealand: results of two cross-sectional surveys

BMJ Open ◽

10.1136/bmjopen-2020-041705 ◽

2021 ◽

Vol 11 (2) ◽

pp. e041705

Author(s):

Ben Wamamili ◽

Sheleigh Lawler ◽

Mark Wallace-Bell ◽

Coral Gartner ◽

David Sellars ◽

...

Keyword(s):

New Zealand ◽

Cigarette Smoking ◽

University Students ◽

Multinomial Logistic Regression ◽

Smoking Status ◽

Cigarette Use ◽

Dual Use ◽

Cross Sectional ◽

Free Spaces ◽

And Gender

ObjectivesExamine the patterns of cigarette smoking and e-cigarette use (vaping), the perceived harm of e-cigarettes compared with tobacco cigarettes, and associations between smoking and vaping with student characteristics.DesignCross-sectional studies.SettingThe University of Queensland (UQ), Australia and eight New Zealand (NZ) universities.ParticipantsStudents at UQ: 4957 (70.8% aged <25 years, 63.0% women) and NZ: 1854 (82.5% aged <25 years, 60.1% women).MethodsΧ2 tests compared smoking by age and gender, and vaping by age, gender and smoking status. Two-sided p<0.05 was considered significant and 95% CIs reported where appropriate. Multinomial logistic regression examined associations between smoking and vaping (exclusive smoking, exclusive vaping, dual use and non-use) with age, gender and student type (domestic vs international).ResultsSmoking (UQ vs NZ, 95% CI): ever 45.2% (43.8% to 46.6%) vs 50.0% (47.7% to 52.3%), current 8.9% (8.1% to 9.7%) vs 10.4% (9.1% to 11.9%) and daily 5.2% (4.6% to 5.8%) vs 5.6% (4.6% to 6.7%), and not smoking in indoor 98.3% vs 87.7% or outdoor smoke-free spaces 83.8% vs 65.3%.Vaping (UQ vs NZ, 95% CI): ever 20.9% (19.8% to 22.1%) vs 37.6% (35.4% to 39.9%), current 1.8% (1.5% to 2.2%) vs 6.5% (5.4% to 7.7%) and daily 0.7% (0.5% to 1.0%) vs 2.5% (1.9% to 3.4%), and not vaping in indoor 91.4% vs 79.6% or outdoor smoke-free spaces 84.4% vs 71.3%. Of respondents, 71.7% (70.3% to 73.2%) vs 75.3% (72.9% to 77.6%) perceived e-cigarettes as less harmful than tobacco cigarettes.Men were more likely than women to smoke and vape, and to believe that e-cigarettes are less harmful. Regression models containing all predictors for smoking and vaping were significant and the effect of gender was significant for dual use, exclusive smoking and exclusive vaping (all p<0.01). Men had higher odds for smoking, vaping or dual use.ConclusionsResults suggest significant differences in patterns of smoking and vaping of university students in Australia and NZ, and a strong influence of gender on smoking and vaping.

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Substance Use and Peers During Adolescence and the Transition to Adulthood

10.1093/oxfordhb/9780199381678.013.004 ◽

2014 ◽

Author(s):

Megan E. Patrick ◽

John E. Schulenberg ◽

Jennifer Maggs ◽

Julie Maslowsky

Keyword(s):

Substance Use ◽

Peer Relationships ◽

Social Relationships ◽

Transition To Adulthood ◽

Peer Relations ◽

Peer Groups ◽

Social Contexts ◽

Cigarette Use ◽

Developmental Transitions ◽

Wide Range

This chapter summarizes recent literature concerning the connection between peers and substance use (i.e., alcohol use, cigarette use, and illicit drug use) during adolescence and the transition to adulthood. The broad category of peers consists of a wide range of social relationships including best friends, peer groups, and crowds; important aspects include peer activities, relationships, and influence. Young people both select their friends (e.g., based on shared interests) and are influenced, or socialized, by their selected peers. When examining the dynamic periods of life that cover the transitions into, through, and out of adolescence and into the post-high school years, selection and socialization are especially important, given that many transitions involve changes in social contexts and peer relationships. The authors take a developmental perspective by focusing on the developmental transitions that occur during adolescence and the transition to adulthood and how they influence peer relations and substance use.

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Use of electronic cigarettes and secondhand exposure to their aerosols are associated with asthma symptoms among adolescents: a cross-sectional study

Respiratory Research ◽

10.1186/s12931-020-01569-9 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Abdullah Alnajem ◽

Abdullah Redha ◽

Dalal Alroumi ◽

Ahmed Alshammasi ◽

Mohamad Ali ◽

...

Keyword(s):

Cigarette Smoking ◽

Cross Sectional Study ◽

Cigarette Use ◽

Sectional Study ◽

Uncontrolled Asthma ◽

Cross Sectional ◽

Current Asthma ◽

The Past ◽

Asthma Symptoms ◽

History Of

Abstract Background Globally, a surge in electronic cigarette (e-cigarette) use has been observed in recent years, with youth being the most susceptible group. Given their recent emergence, studies assessing the health consequences of using e-cigarettes and exposure to their secondhand aerosols (SHA) are limited. Hence, this study sought to assess associations between e-cigarette use and household exposure to SHA from e-cigarettes with asthma symptoms among adolescents. Methods A school-based cross-sectional study was conducted by enrolling high school students (n = 1565; aged 16–19 years) in Kuwait. Participants self-completed a questionnaire on tobacco products use (e-cigarettes and cigarettes) and asthma symptoms. Current e-cigarette use and cigarette smoking were defined as any use in the past 30 days. Household exposure to SHA from e-cigarettes in the past 7 days was reported as none (0 days), infrequent (1–2 days), and frequent (≥ 3 days). Asthma symptoms included current (past 12 months) wheeze, current asthma (history of clinical diagnosis and current wheeze and/or medication use), and current symptoms of uncontrolled asthma (≥ 4 attacks of wheeze, ≥ 1 night per week sleep disturbance from wheeze, and/or wheeze affecting speech). Associations were assessed using Poisson regression with robust variance estimation, and adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) were estimated. Results Among the analytical study sample (n = 1345), current e-cigarette use and cigarette smoking was reported by 369 (27.4%) and 358 (26.6%) participants, respectively. Compared to never e-cigarette users and never cigarette smokers, current e-cigarette users with no history of cigarette smoking had increased prevalence of current wheeze (aPR = 1.54, 95% CI 1.01–2.45) and current asthma (aPR = 1.85, 95% CI 1.03–3.41). Moreover, the frequency of exposure to household SHA from e-cigarettes was associated with asthma symptoms. For example, compared to those with no exposure to household SHA, frequent exposure to household SHA was associated with current wheeze (aPR = 1.30, 95% CI 1.04–1.59), current asthma (aPR = 1.56, 95% CI 1.13–2.16), and current uncontrolled asthma symptoms (aPR = 1.88, 95% CI 1.35–2.62). Conclusions E-cigarette use and their household SHA exposure were independently associated with asthma symptoms among adolescents. Hence, such observations indicate that e-cigarette use and passive exposure to their aerosols negatively impact respiratory health among adolescents.

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