High School Students' Use of Electronic Cigarettes to Vaporize Cannabis

Purpose: To understand the effect of pro-tobacco marketing on electronic cigarette and combustible cigarette dual use among US middle and high school students under 18 years of age. Design: Data were derived from the 2018 National Youth Tobacco Survey, an annual self-administered school-based cross-sectional survey. Setting: The survey was administered in public and private middle and high schools across the United States. Participants: The probability sample size was 15 238 middle and high school students with complete responses who were under 18 years of age during the study period. Measures: The study measured self-reported exposure to online combustible and electronic cigarette advertisements, dual use of combustible and electronic cigarettes during the past 30 days, exposure to the Real Cost antitobacco campaign advertisements, and other sociodemographic factors (eg, race/ethnicity, gender, and grade). Analysis: Logistic regressions were used to measure pro-tobacco marketing exposure and dual use as a function of pro-tobacco marketing exposure. Results: Descriptive analyses show that 59.0% of respondents were exposed to pro-tobacco online marketing, and 2.9% were dual users. Dual users (odds ratio [OR] = 1.73) and high school students (OR = 1.43) were more likely to report exposure to online pro-tobacco marketing. Conclusions: Findings indicate that a gap in electronic cigarette pro-tobacco marketing regulatory oversight may exist. Further policy action may be warranted to protect the public health of minors and other vulnerable populations who are most susceptible to pro-tobacco marketing.

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Predictors of intentions to use cigarettes and electronic-cigarettes among high school students

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s208031 ◽

2019 ◽

Vol Volume 12 ◽

pp. 591-599 ◽

Cited By ~ 1

Author(s):

Josefina Patiño-Masó ◽

Sílvia Font-Mayolas ◽

Anna Salamó ◽

Montserrat Arboix ◽

Mark J. M. Sullman ◽

...

Keyword(s):

High School ◽

High School Students ◽

Electronic Cigarettes ◽

School Students

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E-Cigarettes and “Dripping” Among High-School Youth

10.1542/9781610022743-school_youth ◽

2017 ◽

pp. 61-66

Author(s):

Suchitra Krishnan-Sarin ◽

Meghan Morean ◽

Grace Kong ◽

Krysten W. Bold ◽

Deepa R. Camenga ◽

...

Keyword(s):

High School ◽

High School Students ◽

Odds Ratio ◽

Electronic Cigarettes ◽

Prevalence Rates ◽

Regression Analyses ◽

Substantial Portion ◽

School Students ◽

Male Adolescents ◽

School Youth

BACKGROUND Electronic cigarettes (e-cigarettes) electrically heat and vaporize e-liquids to produce inhalable vapors. These devices are being used to inhale vapors produced by dripping e-liquids directly onto heated atomizers. The current study conducts the first evaluation of the prevalence rates and reasons for using e-cigarettes for dripping among high school students. METHODS In the spring of 2015, students from 8 Connecticut high schools (n = 7045) completed anonymous surveys that examined tobacco use behaviors and perceptions. We assessed prevalence rates of ever using e-cigarettes for dripping, reasons for dripping, and predictors of dripping behaviors among those who reported ever use of e-cigarettes. RESULTS Among 1080 ever e-cigarette users, 26.1% of students reported ever using e-cigarettes for dripping. Reasons for dripping included produced thicker clouds of vapor (63.5%), made flavors taste better (38.7%), produced a stronger throat hit (27.7%), curiosity (21.6%), and other (7.5%). Logistic regression analyses indicated that male adolescents (odds ratio [OR] = 1.64), whites (OR = 1.46), and those who had tried multiple tobacco products (OR = 1.34) and had greater past-month e-cigarette use frequency (OR = 1.07) were more likely to use dripping (Ps < .05). CONCLUSIONS These findings indicate that a substantial portion (~1 in 4) of high school adolescents who had ever used e-cigarettes also report using the device for dripping. Future efforts must examine the progression and toxicity of the use of e-cigarettes for dripping among youth and educate them about the potential dangers of these behaviors.

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Prevalence of tobacco smoking and electronic cigarette use among the high school students in Novi Sad

Medicinski pregled ◽

10.2298/mpns1812349c ◽

2018 ◽

Vol 71 (11-12) ◽

pp. 349-354

Author(s):

Sonja Cankovic ◽

Snezana Ukropina ◽

Vesna Mijatovic-Jovanovic ◽

Tatjana Tamas ◽

Olja Niciforovic-Surkovic ◽

...

Keyword(s):

High School ◽

High School Students ◽

Electronic Cigarettes ◽

First Grade ◽

Control Measures ◽

World Health ◽

Public High School ◽

School Students ◽

The World ◽

Novi Sad

Introduction. Smoking is the leading preventable cause of mortality in the world. The World Health Organization estimates that annually more than seven million lives are lost worldwide due to smoking-related diseases. The aim of the study was to examine lifetime use of tobacco and electronic cigarettes, using patterns in the last 30 days, and to determine cigarette availability among the first grade high school students in Novi Sad. Material and Methods. The cross-sectional study was conducted among the first grade public high school students in Novi Sad. The study sample included 1.067 participants (587 girls and 480 boys), born in 2002. The survey used the questionnaire of the European School Project on Alcohol and other Drugs. Results. Of the examined sample, a total of 40.1% of high school students in Novi Sad have at least tried smoking cigarettes during their lifetime, girls significantly more often (p=0.001). With no gender difference, 20% of students smoked at least one cigarette in the month preceding the survey. Every seventh student (13.9%) tried their first cigarette at the age of 13 or younger, girls significantly more often (p=0.001). A little less than one fifth of the examinees (18.4%) tried electronic cigarettes. In the month preceding the survey, every twelfth examinee used electronic cigarettes (8.1%). Conclusion. Monitoring the prevalence of tobacco use in young people, especially new tobacco products, indicates the need for continuous and intensive activities in the field of health promotion with implementation of effective tobacco control measures.

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Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students — United States, 2011–2018

MMWR Morbidity and Mortality Weekly Report ◽

10.15585/mmwr.mm6745a5 ◽

2018 ◽

Vol 67 (45) ◽

pp. 1276-1277 ◽

Cited By ~ 311

Author(s):

Karen A. Cullen ◽

Bridget K. Ambrose ◽

Andrea S. Gentzke ◽

Benjamin J. Apelberg ◽

Ahmed Jamal ◽

...

Keyword(s):

United States ◽

High School ◽

High School Students ◽

Electronic Cigarettes ◽

Tobacco Product ◽

School Students

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High School Students’ Use of Electronic Cigarettes to Vaporize Cannabis

10.1542/9781610022743-high ◽

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.

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