Polytobacco Use Among a Nationally Representative Sample of Adolescent and Young Adult E-Cigarette Users.

Abstract Purpose Electronic nicotine delivery systems (ENDS) are adolescents' most commonly used tobacco product and young adults' second most used. Little is known about ENDS use alongside other tobacco products (polytobacco use) and whether exclusive ENDS users differ from polytobacco ENDS users....

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Published in:Journal of Adolescent Health Vol. 63; no. 4; pp. 407 - 413
Main Authors: King, Jessica L, Reboussin, David, Cornacchione Ross, Jennifer, Wiseman, Kimberly D, Wagoner, Kimberly G, Sutfin, Erin L
Format: research tables/charts Journal Article
Published: Elsevier B.V. Oct2018
Online Access:View this record in EBSCOhost
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      dt: Oct2018
      vid: 63
      iid: 4
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      pub: Elsevier B.V.
      place: New York, New York
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        132096245
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        10.1016/j.jadohealth.2018.04.010
        132096245
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        atl: Polytobacco Use Among a Nationally Representative Sample of Adolescent and Young Adult E-Cigarette Users.
      aug:
        au:
          King, Jessica L
          Reboussin, David
          Cornacchione Ross, Jennifer
          Wiseman, Kimberly D
          Wagoner, Kimberly G
          Sutfin, Erin L
        affil: Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina
      sug:
        subj:
          Electronic Cigarettes Utilization
          Tobacco Products Adverse Effects
          Human
          Adolescence
          Young Adult
          Adult
          Male
          Female
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Adolescent Health
          Nicotine Administration and Dosage
          Surveys
          United States
          Health Education
          Smoking Prevention and Control
          Logistic Regression
          Data Analysis Software
          Multivariate Analysis
          Bivariate Statistics
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Abstract Purpose Electronic nicotine delivery systems (ENDS) are adolescents' most commonly used tobacco product and young adults' second most used. Little is known about ENDS use alongside other tobacco products (polytobacco use) and whether exclusive ENDS users differ from polytobacco ENDS users. Methods In spring 2016, we surveyed a nationally representative sample of 3,517 13–25-year olds (36.9% 13–17-year olds), and examined sociodemographic and relative risk perceptions between two groups of past 30-day ENDS users: exclusive (only ENDS) and polytobacco (ENDS and at least one other tobacco product). Results 4.5% of adolescents and 10% of young adults reported past 30-day ENDS use (n = 281; analytic sample). ENDS users were 38.8% female and 70.6% white. Over half (55.9%) were polytobacco ENDS users. The most common patterns of polytobacco ENDS use were ENDS and cigarettes (11.5%), ENDS and cigars (7.7%), and ENDS, cigars, and waterpipe (5.2%). Those who perceived ENDS to be less harmful than cigarettes were more likely to be exclusive ENDS users than those who perceived ENDS to be as or more harmful than cigarettes (adjusted odds ratio = 2.6, confidence interval = 1.2, 5.7). There were no differences between ENDS groups on age, race, sex, parental education, sexual orientation, or ENDS use frequency. Conclusions Just over half of ENDS users also used other tobacco products, increasing their risk for nicotine addiction and other health harms. The Food and Drug Administration is responsible for communicating product risk to consumers and should consider common patterns of use and relative risk perceptions in its ENDS public education efforts.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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