Flavored electronic cigarette use and smoking among youth

Hongying Dai, Jianqiang Hao

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVE: Flavored electronic cigarettes (e-cigarettes) are not prohibited in the United States, and e-cigarette flavors proliferate on the market. This study sought to examine flavored e-cigarette use and its association with smoking among youth. METHODS: Estimates of flavored e-cigarette use from the 2014 National Youth Tobacco Survey were investigated. A logistic regression model was used to assess whether flavored e-cigarette use was associated with (1) intention to initiate cigarette use among neversmoking youth (n = 16 471), (2) intention to quit tobacco use among current-smoking youth (n = 1338), and (3) perception of tobacco's danger among all respondents (n = 21 491). RESULTS: A total of 2017 respondents reported using e-cigarettes in the last 30 days, of whom 1228 (60.9%) reported using flavored e-cigarettes. Among never-smoking youth, 55.6% (288) of current e-cigarette users reported using flavored e-cigarettes. Among current smokers, 68.4% (495) of current e-cigarette users reported using flavored e-cigarettes. Compared with not using e-cigarettes in the past 30 days, using flavored e-cigarettes was associated with higher odds of intention to initiate cigarette use among neversmoking youth (adjusted odds ratio [aOR] = 5.7; P <.0001), lower odds of intention to quit tobacco use among current-smoking youth (aOR = 0.6; P =.006), and a lower prevalence of perception of tobacco's danger among all respondents (aOR = 0.5; P <.0001). CONCLUSIONS: Flavored e-cigarette use is associated with increased risks of smoking among youth. Comprehensive tobacco control and prevention strategies that address flavored e-cigarette products are critically needed to reduce tobacco use among youth.

Original languageEnglish (US)
Article numbere20162513
JournalPediatrics
Volume138
Issue number6
DOIs
StatePublished - Dec 2016

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Smoking
Tobacco
Tobacco Use
Odds Ratio
Electronic Cigarettes
Tobacco Products
Logistic Models
Surveys and Questionnaires

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Flavored electronic cigarette use and smoking among youth. / Dai, Hongying; Hao, Jianqiang.

In: Pediatrics, Vol. 138, No. 6, e20162513, 12.2016.

Research output: Contribution to journalArticle

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abstract = "BACKGROUND AND OBJECTIVE: Flavored electronic cigarettes (e-cigarettes) are not prohibited in the United States, and e-cigarette flavors proliferate on the market. This study sought to examine flavored e-cigarette use and its association with smoking among youth. METHODS: Estimates of flavored e-cigarette use from the 2014 National Youth Tobacco Survey were investigated. A logistic regression model was used to assess whether flavored e-cigarette use was associated with (1) intention to initiate cigarette use among neversmoking youth (n = 16 471), (2) intention to quit tobacco use among current-smoking youth (n = 1338), and (3) perception of tobacco's danger among all respondents (n = 21 491). RESULTS: A total of 2017 respondents reported using e-cigarettes in the last 30 days, of whom 1228 (60.9{\%}) reported using flavored e-cigarettes. Among never-smoking youth, 55.6{\%} (288) of current e-cigarette users reported using flavored e-cigarettes. Among current smokers, 68.4{\%} (495) of current e-cigarette users reported using flavored e-cigarettes. Compared with not using e-cigarettes in the past 30 days, using flavored e-cigarettes was associated with higher odds of intention to initiate cigarette use among neversmoking youth (adjusted odds ratio [aOR] = 5.7; P <.0001), lower odds of intention to quit tobacco use among current-smoking youth (aOR = 0.6; P =.006), and a lower prevalence of perception of tobacco's danger among all respondents (aOR = 0.5; P <.0001). CONCLUSIONS: Flavored e-cigarette use is associated with increased risks of smoking among youth. Comprehensive tobacco control and prevention strategies that address flavored e-cigarette products are critically needed to reduce tobacco use among youth.",
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