E-cigarette use among US adolescents: Perceptions of relative addiction and harm

2016 ◽  
Vol 76 (3) ◽  
pp. 293-301 ◽  
Author(s):  
Page Daniel Dobbs ◽  
Bart Hammig ◽  
Leah Jean Henry
Keyword(s):  
High School Students ◽  
Grade Level ◽  
Regression Models ◽  
Cigarette Use ◽  
Multivariate Logistic Regression ◽  
School Students ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Cross Sectional Design ◽  
People’S Perceptions

Objective: Between 2013 and 2014, past 30-day use of e-cigarettes increased from 4.5% to 13.4% among US high school students aged 9–19 years. We sought to examine the influence of perceived addiction and harm of e-cigarettes on e-cigarette use among adolescents. Design: Self-reported use and perception of harm of e-cigarettes were assessed using a cross-sectional design. Setting: Data were collected from the 2014 National Youth Tobacco Survey. Method: Multivariate logistic regression models were employed regressing lifetime e-cigarette use and past 30-day use on established covariate factors. Results: Perceiving e-cigarettes as less harmful than conventional cigarettes increased students’ odds of lifetime use (odds ratio [ OR] = 2.40, 95% confidence interval [ CI] = 1.98–2.90) and past 30-day use ( OR = 2.18, 95% CI = 1.63–2.92) of e-cigarettes. Perceiving e-cigarettes as less addictive than conventional cigarettes also increased students’ odds of lifetime use ( OR = 2.11, 95% CI = 1.82–2.45) and past 30-day use ( OR = 1.93, 95% CI = 1.57–2.38) of e-cigarettes; however, perceiving e-cigarettes as more addictive than conventional cigarettes also increased students’ odds of lifetime use ( OR = 1.85, 95% CI = 1.37–2.49) and past 30-day use ( OR = 2.68, 95% CI = 1.84–3.90) of e-cigarettes. Other influencing factors of e-cigarette use among youth included race, grade level, living with a smoker and lifetime use of regular cigarettes. Conclusion: The perception that e-cigarettes are less addictive and harmful than their conventional counterparts may be an important risk factor for the use of e-cigarettes. Factors influencing young people’s perceptions need to be examined further.

Temporal Changes in the Correlates of U.S. Adolescent Electronic Cigarette Use and Utilization in Tobacco Cessation, 2011 to 2013

2016 ◽  
Vol 44 (2) ◽  
pp. 254-261 ◽  
Author(s):  
Adam M. Lippert
Keyword(s):  
High School Students ◽  
Tobacco Cessation ◽  
Multinomial Logistic Regression ◽  
Temporal Changes ◽  
Cigarette Use ◽  
School Students ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Quit Attempts ◽  
Demographic Subgroups

Objective. To examine temporal changes in the correlates of experimental and current e-cigarette use and associations with tobacco quit attempts. Method. Repeated cross-sectional analyses of data from the 2011 ( n = 17,741), 2012 ( n = 23,194), and 2013 ( n = 16,858) National Youth Tobacco Surveys—a nationally representative sample of U.S. middle and high school students. Respondents were asked about lifetime and past-month e-cigarette use, conventional cigarette use, and number of quit attempts made in the prior year among current smokers. Results. Multinomial logistic regression models indicate higher odds of experimental or current e-cigarette use versus abstinence in the 2012 and 2013 survey years (vs. 2011). Respondents in the 2013 survey were more likely to use e-cigarettes in 2012, and they were significantly more likely to be current versus experimental users. Temporal increases in past-month e-cigarette use were uneven across demographic subgroups. Among current smokers of conventional cigarettes, fully adjusted models show that across all survey years the probability of past-month e-cigarette use was not significantly different for those who attempted to quit using tobacco in the past year from those who did not. Conclusions. Adolescent e-cigarette use has become more common between 2011 and 2013 and shows signs of becoming increasingly characterized by current rather than experimental use. Temporal patterns suggest that recent population increases were initially driven by select subgroups (e.g., Whites), with other subgroups contributing to the increase more recently (e.g., Black). Tobacco cessation has remained unrelated to current e-cigarette use over time, suggesting that e-cigarette use may be contributing to increased nicotine use.

scholarly journals E-cigarette use among students and e-cigarette specialty retailer presence near schools

2016 ◽  
Author(s):  
Georgiana Bostean
Keyword(s):  
High School ◽  
High School Students ◽  
Middle School Students ◽  
Regression Models ◽  
Environmental Influence ◽  
School Level ◽  
Cigarette Use ◽  
School Students ◽  
Logistic Regression Models ◽  
Individual Level

Objective. This study examined the association between presence of e-cigarette specialty retailers near schools and e-cigarette use among middle and high school students in Orange County (OC), CA.Methods. The OC subsample of the 2013-2014 California Healthy Kids Survey (N=67,701) was combined with geocoded e-cigarette retailers to determine whether a retailer was present within one-quarter mile of each public school in OC. Multilevel logistic regression models evaluated individual-level and school-level e-cigarette use correlates among middle and high school students.Results. Among middle school students, the presence of an e-cigarette retailer within one-quarter mile of their school predicted lifetime e-cigarette use (OR = 1.70, 95% CI=1.02, 2.83), controlling for confounders but no effect for current use. No significant effect was found for high school students.Conclusions. E-cigarette specialty retailers clustered around schools may be an environmental influence on student e-cigarette experimentation.

scholarly journals Influence of the interaction between parental myopia and poor reading and writing habits on prevalence of myopia in school students in Urumqi, China

2021 ◽  
Author(s):  
Haonan Shi ◽  
Jing Fu ◽  
Xiaojing Liu ◽  
Yingxia Wang ◽  
Xianting Yong ◽  
...  
Keyword(s):  
Regression Models ◽  
Unconditional Logistic Regression ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Poor Reading ◽  
Reading And Writing ◽  
Multiplicative Interaction ◽  
Logistic Regression Models ◽  
Lying Down

Abstract Background: To evaluate the prevalence of myopia in school students in Urumqi, China, and explore the influence of the interaction between parental myopia and poor reading and writing habits on myopia to identify the at-risk population and provide evidence to help school students avoid developing myopia.Methods: A cross-sectional survey was conducted with 6,883 school students aged 7–20 years in Urumqi in December 2019. The Standard Eye Chart and mydriatic optometry were used to determine whether students had myopia. Falconer’s method was used to calculate the heritability of parental myopia. Multivariate unconditional logistic regression models were used to analyze the risk factors for myopia and the additive and multiplicative interaction of parental myopia and poor reading and writing habits.Results After standardizing the age of the 6,883 students, the overall prevalence rate of myopia was 47.50%. The heritability of parental myopia was 66.57% for boys, 67.82% for girls, 65.02% for the Han group, and 52.71% for other ethnicities. There were additive interactions between parental myopia and poor reading and writing habits; among them, parental myopia and poor reading and writing habits (1) (the distance between the eyes and book is less than 30 cm when reading and writing, fingers block the sight of one eye while holding the pen, and leaning one’s body when reading and writing) increased the risk of myopia by 10.99 times (odds ratio [OR]=10.99, 95% confidence interval [CI]=8.33–14.68), parental myopia and poor reading and writing habits (2) (reading while lying down, walking, or in the car) increased the risk of myopia by 5.92 times (OR=5.92, 95% CI=4.84–7.27). There was no multiplicative interaction between parental myopia and poor reading and writing habits (1) or (2) (OR=0.69, 95% CI=0.44–1.08; OR=0.89, 95% CI=0.66–1.21, respectively).Conclusion The prevalence of myopia among students in Urumqi, Xinjiang is relatively high. The risk of developing myopia is affected by parental myopia and poor reading and writing habits. In addition, parental myopia amplifies the harm caused by poor reading and writing habits, thereby increasing the risk of myopia. Students with parents who have myopia should be targeted during myopia prevention efforts.

scholarly journals A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

2020 ◽  
Vol 135 (2) ◽  
pp. 220-229 ◽  
Author(s):  
Steven H. Kelder ◽  
Dale S. Mantey ◽  
Duncan Van Dusen ◽  
Kathleen Case ◽  
Alexandra Haas ◽  
...  
Keyword(s):  
Middle School ◽  
High School Students ◽  
Middle Schools ◽  
Cognitive Theory ◽  
The United States ◽  
School Level ◽  
Cigarette Use ◽  
School Students ◽  
Cross Sectional

Objectives: From 2017 to 2018, electronic cigarette (e-cigarette) use increased 78% among high school students and 48% among middle school students in the United States. However, few e-cigarette prevention interventions have been evaluated. We determined the feasibility and initial effectiveness of “CATCH My Breath,” an e-cigarette prevention program, among a sample of middle schools in central Texas. Methods: Twelve middle schools in Texas (6 intervention schools and 6 control schools) participated in the CATCH My Breath pilot program during 2016-2017. CATCH My Breath is rooted in social cognitive theory, consists of 4 interactive in-class modules, and is collaboratively administered via classroom and physical education teachers, student–peer leaders, and social messaging (eg, school posters). We collected 3 waves of data: baseline (January 2017), 4-month follow-up (May 2017), and 16-month follow-up (May 2018). Using school as the unit of analysis, we tested a repeated cross-sectional, condition-by-time interaction on e-cigarette ever use, psychosocial determinants of use, and other tobacco use behaviors. Analyses controlled for school-level sociodemographic characteristics (eg, sex, race/ethnicity, and percentage of students eligible for free or reduced-price lunch). Results: From baseline to 16-month follow-up, increases in ever e-cigarette use prevalence were significantly lower among intervention schools (2.8%-4.9%) than among control schools (2.7%-8.9%), controlling for covariates ( P = .01). Intervention schools also had significantly greater improvements in e-cigarette knowledge (β = 0.71; 95% confidence interval [CI], 0.21-1.21; P = .008) and perceived positive outcomes (β = –0.12; 95% CI, –0.23 to –0.02; P = .02) than control schools, controlling for covariates from baseline to 16-month follow-up. Conclusion: Ever e-cigarette use was lower among middle schools that implemented the CATCH My Breath program than among those that did not. Replication of findings among a larger sample of schools, using a group-randomized, longitudinal study design and a longer follow-up period, is needed.

Ownership and Use of Mobile Devices Among Adolescents in Indonesia

2019 ◽  
Vol 48 (3) ◽  
pp. 356-384 ◽  
Author(s):  
Ahmad R. Pratama ◽  
Lori L. Scarlatos
Keyword(s):  
High School Students ◽  
Mobile Devices ◽  
Mobile Technology ◽  
Regression Models ◽  
Multiple Correspondence Analysis ◽  
Mobile Apps ◽  
Primary Data ◽  
School Students ◽  
Mobile Games ◽  
Logistic Regression Models

This article offers insights into the ownership and use of mobile devices (smartphones and tablets) among Indonesian middle and high school students. The study is based on primary data collected from a survey of 1,157 students at two middle schools and two high schools from two different regions in Indonesia. Data analysis includes multiple correspondence analysis and logistic regression models. The findings show that both ownership and use of mobile devices varies significantly among students of different sex, age, location, and most importantly socioeconomic status. This article also reports the use of mobile apps in three separate categories (i.e., educational apps, social media, and mobile games), showing some differences in duration and frequency of mobile apps use between different group of students. These findings can serve as a foundation for further research on how mobile technology can be used to improve educational attainment in Indonesia and other developing countries.

Exposure to advertising and perception, interest, and use of e-cigarettes among adolescents: findings from the US National Youth Tobacco Survey

2017 ◽  
Vol 137 (6) ◽  
pp. 322-325 ◽  
Author(s):  
Jia Pu ◽  
Xiao Zhang
Keyword(s):  
High School Students ◽  
Electronic Cigarettes ◽  
The Internet ◽  
Retail Stores ◽  
Cigarette Use ◽  
School Students ◽  
Cross Sectional ◽  
The Us ◽  
Advertising Exposure ◽  
Different Sources

Objective: US adolescents are exposed to high levels of advertisements for electronic cigarettes (e-cigarettes). This study aimed to examine the associations between exposure to e-cigarette advertisements and perception, interest, and use of e-cigarettes among US middle school and high school students. Methods: Data from the 2014 cross-sectional National Youth Tobacco Survey were used. Logistic regressions were conducted to model four outcomes, including perception of reduced harmfulness compared to regular cigarettes, perception of reduced addictiveness, intention to use, and current use of e-cigarettes. Main predictors were exposure to e-cigarette advertisements via four sources, including Internet, newspaper/magazines, retail stores, and TV. Results: When all the four sources of e-cigarette advertisements exposure were evaluated jointly, exposure via the Internet was associated with elevated likelihood of reporting all four outcomes related to e-cigarettes, while exposure via retail stores was associated with higher likelihood of current e-cigarette use and perception of reduced harmfulness of e-cigarettes compared to regular cigarettes ( p < .05). However, exposure via newspaper/magazines and TV was associated with lower likelihood of perceiving e-cigarettes to be less harmful or addictive ( p < .05). Conclusion: Exposure to e-cigarette advertisements via the Internet and retail stores may play a significant role in adolescents’ use and perception of e-cigarettes. The results call for more research on the influence of different sources of advertising exposure on e-cigarette use to help public health programmes curtail the fast growing use of e-cigarette products among youth.

scholarly journals Determinants of e-cigarette use among a sample of high school students in Jakarta, Indonesia

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Mouhamad Bigwanto ◽  
Mochamad Iqbal Nurmansyah ◽  
Elizabeth Orlan ◽  
Yoli Farradika ◽  
Tri Bayu Purnama
Keyword(s):  
High School ◽  
High School Students ◽  
Cross Sectional Study ◽  
Cigarette Use ◽  
School Students ◽  
Enabling Factors ◽  
Multivariate Statistical ◽  
Cross Sectional ◽  
Potential Health ◽  
Reinforcing Factors

Abstract Objectives The aim of this study was to determine the predisposing, enabling and reinforcing factors associated with electronic cigarette (e-cigarette) use among high school students in Jakarta, Indonesia. Methods This cross-sectional study took place in eight high schools in Jakarta, Indonesia. A total of 767 students were recruited by multistage cluster random sampling. Bivariate and multivariate statistical analyses were employed to determine the associations between socio-demographic, predisposing, reinforcing and enabling factors and e-cigarette use. Results Respondents were 54.1% male and the mean age was 16 years old [standard deviation (SD): 1.02]. In this sample, 32.2% of students (n = 247) had ever used e-cigarettes and 11.8% of students were e-cigarette users (n = 90). Several measured factors were positively associated with e-cigarette use, including: current smoking of conventional cigarettes [odds ratio (OR): 2.06]; perception that e-cigarettes are less addictive than conventional cigarettes (OR: 1.98); perception that e-cigarettes do not cause cancer (OR: 2.38); parental acceptance of e-cigarette use (OR: 3.80); and having enough money to buy e-cigarettes (OR: 3.24). The only variable found that was negatively associated with e-cigarette use was teacher’s use of e-cigarettes (OR: 0.34). Conclusions This study found that student social influences, perceptions about and accessibility to e-cigarettes were significantly positively associated with e-cigarette use among high school students in Jakarta, Indonesia. This study highlights the importance of educating students, their parents and teachers regarding safety and potential health hazards of using e-cigarettes. Efforts to implement and enforce youth access restrictions on e-cigarettes in Indonesia are crucial to preventing further uptake of these products.

scholarly journals Musculoskeletal Disorder pada Ekstremitas Atas akibat Penggunaan Telepon Cerdas secara Aktif pada Remaja Pelajar SMA

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Arondino P. Darmawan ◽  
Diana V. D. Doda ◽  
Ivony M. Sapulete
Keyword(s):  
High School ◽  
High School Students ◽  
Musculoskeletal Disorder ◽  
Technological Development ◽  
Upper Extremities ◽  
School Students ◽  
Cross Sectional ◽  
Demographic Questionnaire ◽  
Body Map ◽  
Cross Sectional Design

Abstract: Advances in technological development have led to increased use of smartphones. To date, the prevalence of musculoskeletal disorder (MSD) of the upper extremities is increasing and according to previous studies one of the MSD causes is the continued use of smart phones by high school students. This study was aimed to determine the prevalence of MSD of the upper extremities experienced in the last 7 days and to evaluate the relationship between MSD complaints and smartphone usage among adolescent high school students. This was an analytical study with a cross-sectional design. The instruments in this study were demographic questionnaire, smartphone usage, and modified Nordic Body Map Questionaire. Data were analyzed by using the Spearman Rho correlation test. There were 170 respondents (N = 170) involved in this study. Most of the MSD complaints were in the neck (n = 73; 42.9%), followed by in the shoulder (n = 61; 35.9%), and finger (n = 49; 28.8%). Most of the pain was categorized as mild pain. The Spearman Rho test showed significant correlations, as follows: between MSD in the neck and gaming as well as chat frequency (p=0.040); between MSD in the upper arm and one sesion gaming duration (p=0.005); and between MSD in the fingers and gaming duration in one sesion (p=0.007) and in a day (p=0.042). In conclusion, among adolescent high school students, frequency as well as duration of smartphone usage could influence the occurrence of MSD in the upper extremities.Keywords: musculoskeletal disorder, smartphone, duration of usage, frequency of usage, gaming Asbtrak: Kemajuan perkembangan teknologi menyebabkan peningkatan penggunaan telepon cerdas. Prevalensi musculoskeletal disorder (MSD) dari ekstremitas atas meningkat dan menurut penelitian salah satu penyebabnya ialah akibat penggunaan berkelanjutan dari telepon cerdas oleh remaja. Penelitian ini bertujuan untuk mengetahui prevalensi MSD pada ekstremitas atas yang dialami dalam 7 hari terakhir dan mengevaluasi hubungan antara keluhan MSD dengan penggunaan smartphone pada remaja pelajar SMA. Jenis penelitian ialah analitik dengan desain potong lintang. Penelitian ini menggunakan kuesioner demografi, smartphone, dan modifikasi dari Nordic Body Map Questionnaire. Analisis statistik menggunakan tes korelasi Spearman Rho. Hasil penelitian mendapatkan 170 responden (N=170). Keluhan MSD paling sering dirasakan pada leher (n=73; 42,9%), bahu (n=61; 35,9%), dan jari tangan (n=49; 28,8%). Karakteristik keparahan nyeri yang dirasakan sebagian besar merupakan nyeri ringan. Uji korelasi Spearman Rho mendapatkan korelasi bermakna antara: keluhan MSD pada leher yang dialami dalam 7 hari terakhir dengan frekuensi gaming dan frekuensi chatting (p=0,040); keluhan MSD pada lengan atas dengan durasi gaming satu sesi (p=0,005); dan keluhan MSD pada jari tangan dengan durasi gaming dalam satu sesi (p=0,007) dan dalam sehari (p=0,042). Simpulan penelitian ini ialah frekuensi dan durasi penggunaan telepon cerdas berpengaruh terhadap timbulnya keluhan MSD ekstremitas atas pada remaja pelajar SMA.Kata kunci: musculoskeletal disorder, telepon cerdas, durasi, frekuensi, gaming

scholarly journals Kurang Energi Kronik (KEK) Remaja Putri Pelajar SMU/SMK dI Kabupaten Karangasem Propinsi Bali

2020 ◽  
Vol 15 (1) ◽  
pp. 41-51
Author(s):  
Imade Suarjana
Keyword(s):  
Body Image ◽  
High School Students ◽  
School Students ◽  
Chi Square ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
High Prevalence ◽  
Cross Sectional Design ◽  
Vegetables And Fruits

The chronic energy deficiency (CED) for reproductive women in Bali is high prevalence. This is a serious problem because they will greatly determine the quality of human resources in the next generations. The purpose study is to determine the risk factors for The CED problem of senior high school students in Karangasem Regency. This study is an observational with a cross sectional design and uses statistical Mantel Haentzel chi square method to determine the significance of risk factors.The results found from fifteen factors suspected of triggering CED in girl teenagers, there were five significant factors, namely the energy intake (OR=2,101; 95% CI=1,295 - 3,409) and protein (OR=0,394; 95% CI=0.241 - 0.644); perceptions of nutrition (OR = 1,942; 95% CI = 1,197 - 3,151); physical activity (1,83; 95% CI =1,029-3,252) and body image (OR = 1,863; 95% CI = 1,133 - 3,062). The prevention of CED need to be intensified by an emphasis on healthy living behaviors that form positive body image. Efforts should also be made to improve diet by increasing the consumption of vegetables and fruits which are the main sources of micronutrient which greatly supports the metabolic processes which are known to run very fast in the period of adolescent growth.

scholarly journals Problematic shopping and self-injurious behaviors in adolescents

2021 ◽  
Vol 9 (4) ◽  
pp. 1068-1078
Author(s):  
Norman R. Greenberg ◽  
Zu Wei Zhai ◽  
Rani A. Hoff ◽  
Suchitra Krishnan-Sarin ◽  
Marc N. Potenza
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
High School Students ◽  
Sensation Seeking ◽  
Regression Models ◽  
Behavioral Addictions ◽  
School Students ◽  
Chi Square ◽  
Logistic Regression Models ◽  
Health Functioning

AbstractBackground and aimsSelf-injurious behaviors (SIBs) and problematic shopping (PS) are both prevalent in adolescents. These behaviors have been proposed as behavioral addictions and linked to impulsivity (Imp) and sensation-seeking (SS). They are also associated with negative mental health and psychosocial measures. This study examined relationships between PS and SIB in adolescents. It also examined how PS and SIB relate to Imp and SS, and interactions between PS and SIB in relation to health/functioning measures.MethodsSurvey data from 2,624 Connecticut high-school students were evaluated using chi-square analyses. Next, logistic regression models were used to assess relationships between PS and measures of SIB. T-tests compared Imp and SS in adolescents with and without PS and SIB. Interaction analyses assessed effects of PS on relationships between SIB and health/functioning measures.ResultsAdolescents with PS had 3.43-fold higher odds of endorsing lifetime SIB than those without PS, and were more likely to exhibit severe SIB and disruption due to SIB. PS and SIB were associated with elevated Imp and SS. Interaction analyses revealed that in adolescents with PS, the relationships between SIB and substance use was weaker than in adolescents without PS. This suggests PS accounts for variance in relationships between SIB and substance use.Discussion and conclusionsPS is strongly related to SIB prevalence, severity, and impairment in adolescents, and weakens associations between SIB and substance use. PS should therefore be considered for prevention efforts for SIB. Further research should investigate mechanisms connecting PS and SIB and explore possible interventions targeting associated features like Imp and SS.

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