College Students’ Reasons for Using JUULs

Abstract

Purpose: To identify reasons that college students use JUUL and explore associations between reasons for using JUUL and social and behavioral (tobacco use) factors. Design: On-line, cross-sectional survey. Setting: Large southwestern university in the US. Subjects: Undergraduate students (n = 605) who owned JUUL and used it weekly. Measures: The study measured age of JUUL initiation, JUUL dependence, and use of other e-cigarettes and other tobacco products. Participants described reasons for JUUL use as brief open-ended responses. Analysis: Responses were categorized by 2 researchers using an inductive procedure. Logistic regressions examined associations between demographics and use frequency and categorized reasons for using JUUL. Results: Four reasons for using JUUL emerged: self-help (48.4%), social (30.4%), experience (42.8%), and substance use/addiction (42.3%). Daily JUUL users were 1.66 (95% CI: 1.05-2.63) times as likely to use JUUL for self-help than those who used JUUL 1-3 days/week. Those who had never tried a cigarette were twice (OR = 2.08; 95% CI: 1.22-3.54) as likely as cigarette-first users to use JUUL for social reasons. Males (OR = 1.87; 95% CI: 1.32-2.65) had higher odds of using JUUL for the experience than females, and JUUL and other e-cigarettes users were 4.37 (95% CI: 1.83-10.45) times as likely as JUUL-only users to use JUUL due to substance use/addiction. Conclusion: JUUL users report unique reasons for use (e.g., addiction) not previously reported for older models of e-cigarette devices.

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“…Variability was reported using Nagelkerke R. 2 Finally, open-ended responses were analyzed by grouping similar responses together into categories, a technique used in prior research that explored responses to an open-ended item. 32 , 33 …”

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“…(1, 2) Common used devices include JUUL, as well as Puff bar, which come with disposable pods. (3,4) When asked, users reported reasons for the use of vapes/e-cigarettes is to replace smoking, not the same as smoking, and/or being marketed as being a healthier option due to the absence of carbon monoxide production. (3) The American Thoracic Society (ATS) has reported that the measurement of Fractional of Exhaled Nitric Oxide (FeNO) is simple and can be used as a biomarker in the assessment and management of airways disease.…”

“…(3,4) When asked, users reported reasons for the use of vapes/e-cigarettes is to replace smoking, not the same as smoking, and/or being marketed as being a healthier option due to the absence of carbon monoxide production. (3) The American Thoracic Society (ATS) has reported that the measurement of Fractional of Exhaled Nitric Oxide (FeNO) is simple and can be used as a biomarker in the assessment and management of airways disease. (5) The change in FeNO due to inflammatory responses seen in the airway fluctuates from breath to breath, making repetitive sample collection crucial for accuracy, yet recent studies involving measurements of airway inflammation using FeNO with e-cigarettes have shown mixed results.…”

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“…Common reasons for using e-cigarettes among young people include but are not limited to taste, entertainment, experimentation, social influence, replacement of tobacco cigarettes, curbing cravings, and/or addiction (Evans-Polce et al, 2018;Newcombe et al, 2021;Khouja, Taylor, and Munafò, 2020). Young people may also consider e-cigarettes a good alternative to conventional tobacco cigarettes, as they are cheaper and thought to contain less toxins than tobacco cigarettes (Etter and Bullen, 2011).…”