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.

Association between e-cigarette use initiated after cigarette smoking and smoking abstinence: a cross-sectional study among adolescent established smokers in the USA

2021 ◽  
pp. tobaccocontrol-2020-055943
Author(s):  
Franziska S Saller ◽  
Israel T Agaku ◽  
Filippos T Filippidis
Keyword(s):  
High School Students ◽  
Cigarette Smoking ◽  
Electronic Cigarettes ◽  
Smoking Initiation ◽  
Sensitivity Analyses ◽  
Inverse Association ◽  
Cigarette Use ◽  
School Students ◽  
Cross Sectional ◽  
The Usa

BackgroundRecent years have seen a rapid increase in the popularity of electronic cigarettes (e-cigarettes) among adolescents in the USA. Evidence on their role in the continuation of or abstinence from cigarette smoking among young smokers remains scarce.ObjectiveTo examine the relationship between e-cigarette use initiated after cigarette smoking and abstinence from cigarette smoking among US adolescent established smokers.MethodsThe data were drawn from the 2015–2018 National Youth Tobacco Survey—a nationally representative survey of US middle and high school students. Multivariable logistic regression was used to assess the association between ever e-cigarette use and past 30-day abstinence from cigarette smoking. The analytical sample comprised ever established cigarette smokers with or without a history of e-cigarette use after smoking initiation.ResultsNeither experimental (adjusted OR 0.67, 95% CI 0.39–1.14) nor prior established (adjusted OR 1.56, 95% CI 0.96–2.56) nor current established (adjusted OR 0.65, 95% CI 0.41–1.03) e-cigarette use was statistically significantly associated with subsequent abstinence from cigarette smoking among adolescent ever established smokers. These findings were largely consistent across sensitivity analyses using alternative key definitions, although experimental and current established e-cigarette use was significantly negatively associated with past 6-month abstinence.ConclusionsWe found no evidence that e-cigarette use among US adolescents already smoking cigarettes is associated with subsequent abstinence from cigarette smoking; there was some evidence of an inverse association among experimental and current established e-cigarette users. These findings could inform future regulatory and public health efforts regarding youth e-cigarette use and the reduction of youth cigarette smoking in the USA.

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.

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.

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 US Tobacco 21 is Paving the Way for a Tobacco Endgame

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110503
Author(s):  
Samuel C J Kim ◽  
Jason E Martinez ◽  
Yanjun Liu ◽  
Theodore C Friedman
Keyword(s):  
High School Students ◽  
Electronic Cigarettes ◽  
Control Program ◽  
The United States ◽  
School Students ◽  
Tobacco Products ◽  
Tobacco Control Program ◽  
Tobacco Addiction ◽  
The Us ◽  
Minimum Age

The battle against tobacco usage is being fought on all fronts. On December 19, 2019, a measure to raise the minimum age to buy tobacco products to 21 from 18 was passed by the United States Congress and signed by President Donald Trump. This instated banning the sale of all tobacco products and electronic cigarettes to anyone in the US under the age of 21. This follows the raising of the age to buy tobacco in California to 21 in 2016. According to the California Tobacco Control Program: in 2016, roughly 10% of high-school students were smoking cigarettes, but by 2018, only 2%. The percentage of retailers selling tobacco to underaged youth dropped dramatically. These data show that the CA Tobacco 21 law was effective in decreasing the obtainability and usage of tobacco by youth. We expect that US Tobacco 21 will be similarly effective in reducing tobacco use by youth leading to less tobacco addiction in the US.

High School Students’ Use of Electronic Cigarettes to Vaporize Cannabis

2017 ◽  
pp. 154-159
Author(s):  
Meghan E. Morean ◽  
Grace Kong ◽  
Deepa R. Camenga ◽  
Dana A. Cavallo ◽  
Suchitra Krishnan-Sarin
Keyword(s):  
High School ◽  
Logistic Regression ◽  
High School Students ◽  
Odds Ratio ◽  
Electronic Cigarettes ◽  
Binary Logistic Regression ◽  
Male Students ◽  
Cigarette Use ◽  
School Students ◽  
Potential Use

BACKGROUND AND OBJECTIVES Electronic cigarette (e-cigarette) use is increasing rapidly among high abstract school (HS) students. Of concern, e-cigarettes can be used to vaporize cannabis, although use rates among adolescents are unknown. We evaluated lifetime rates of using e-cigarettes to vaporize cannabis among all lifetime e-cigarette users (27.9%), all lifetime cannabis users (29.2%), and lifetime users of both e-cigarettes and cannabis (18.8%); common means of vaporizing cannabis including hash oil, wax infused with D-9-tetrahydrocannabinol (THC), and dried cannabis; and demographic predictors of using e-cigarettes to vaporize cannabis. METHODS In the spring of 2014, 3847 Connecticut HS students completed an anonymous survey assessing e-cigarette and cannabis use. RESULTS Vaporizing cannabis using e-cigarettes was common among lifetime e-cigarette users, lifetime cannabis users, and lifetime dual users (e-cigarette 18.0%, cannabis 18.4%, dual users 26.5%). Students reported using e-cigarettes to vaporize hash oil (e-cigarette 15.4%, cannabis 15.5%, dual users 22.9%) and wax infused with THC (e-cigarette 10.0%, cannabis 10.2%, dual users 14.8%) and using portable electronic vaporizers to vaporize dried cannabis leaves (e-cigarette 19.6%, lifetime cannabis 23.1%, lifetime dual users 29.1%). Binary logistic regression indicated that male students (odds ratio [OR] = 2.05), younger students (OR = 0.64), lifetime e-cigarette users (OR = 5.27), and lifetime cannabis users (OR = 40.89) were most likely to vaporize cannabis using e-cigarettes. Rates also differed by HS attended. CONCLUSIONS Rates of vaporizing cannabis using e-cigarettes were high. These findings raise concerns about the lack of e-cigarette regulations and the potential use of e-cigarettes for purposes other than vaping nicotine.

Are e-cigarettes reviving the popularity of conventional smoking among Taiwanese male adolescents? A time-trend population-based analysis for 2004-2017

2020 ◽  
pp. tobaccocontrol-2019-055310
Author(s):  
Wayne Gao ◽  
Mattia Sanna ◽  
Enkhzaya Chuluunbaatar ◽  
Min-Kuang Tsai ◽  
David T Levy ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Cigarette Smoking ◽  
Population Based ◽  
Cigarette Use ◽  
Interrupted Time Series Analysis ◽  
School Students ◽  
Cross Sectional ◽  
Male High School

IntroductionIn Taiwan, national tobacco use surveys show that e-cigarette use has increased since 2014 among youth, while, at the same time, conventional cigarette smoking has continuously decreased. The purpose of this study is to examine whether the increased popularity of e-cigarettes has undermined this favourable declining trend for cigarette smoking.MethodsWe examined conventional cigarette and e-cigarette prevalence among male high school students (aged 16–18 years) and adults from 2004 to 2017, using data from cross-sectional nationally representative surveys. Applying interrupted time series analysis, we assessed whether there was a change in trend in 2014, when e-cigarette use started to gain popularity from long-term trends in prior years (2004–2013).ResultsE-cigarette use prevalence increased from 2.5% in 2014 to 6.4% in 2017 among male high school students but was negligible among male adults, declining from 1.4% in 2015 to 0.8% in 2017. The annual relative decline in the cigarette smoking rate after e-cigarettes started to gain popularity was greater (−10%) than the long-term trend (−2%) among high school students. Among adults, the change in trend over time after e-cigarettes started to gain popularity was not significant (ie, not significantly different from 0).ConclusionsThe increased popularity of e-cigarettes since 2014 is associated with a greater decline in youth smoking, compared with previous years. On the contrary, e-cigarette use has remained very low among Taiwanese male adults and no additional impact on the conventional smoking trend is found.

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 RELATIONSHIP INTERNET ADDICTION WITH EXTERNAL FACTORS IN ADOLESCENT AGE 15-18 YEARS AT SENIOR HIGH SCHOOL BALEENDAH

2019 ◽  
Vol 7 (3) ◽  
Author(s):  
MASDUM IBRAHIM
Keyword(s):  
High School ◽  
High School Students ◽  
Internet Addiction ◽  
Sample Selection ◽  
Academic Stress ◽  
Senior High School ◽  
External Factors ◽  
The Internet ◽  
School Students ◽  
Cross Sectional

The internet is one form of evolution in the development of communication and technology that affects humans. One result of the internet is a significant change in the pattern of primary social interactions between individuals. The convenience provided by the internet indirectly causes individuals to have high levels of addiction to the internet and tend to show symptoms of addiction. In Indonesia, internet addiction is mainly found in groups of adolescents aged 15-22 years.This study aims to determine the relationship of external factors: academic stress, family attachments and peers with internet addiction in high school adolescents aged 15-18 years.The study design was carried out using a correlational research design with a cross sectional approach. Respondents who contributed in this study were 97 senior high school students. With sample selection, random sampling is done. The statistical test used was chi-square.The results of this study prove that academic stress has a significant relationship with internet addiction value X2 = 7.91 and P = 0.019 <0.05. Family attachments did not have a relationship with internet addiction, the value of X2 = 0.046 and P  1,000> 0.05 and peers did not have a relationship with internet addiction X2 = 0.241 and P = 0.657Based on the results of this study, it can be said that the school through the school committee to share information or share about the problem of teenagers who experience academic stress, internet addiction, impact and how to overcome them also evaluate the learning process.Keywords: Academic Stress, Family Attachment, Peer Attachment, Internet Addiction, Teen Senior High School 

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