E-cigarette use among high school students in the United States prior to the COVID-19 pandemic: Trends, correlates, and sources of acquisition

Mirbolouk, Mohammadhassan; Boakye, Ellen; Obisesan, Olufunmilayo H.; Osei, Albert D.; Dzaye, Omar; Osuji, Ngozi; Erhabor, John; Stokes, Andrew; El-Shahawy, Omar; Rodríguez, Carlos J.; Hirsch, Glenn A.; Benjamin, Emelia J.; DeFilippis, Andrew P.; Robertson, Rose Marie; Bhatnagar, Aruni; Blaha, Michael J.

doi:10.1016/j.pmedr.2022.101925

Cited by 9 publications

(5 citation statements)

References 36 publications

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“…The alcohol and smoking were measured through single item questions, which have been applied in previous research ( 34 ), that how many days did participants have at least one drink of alcohol or smoke cigarettes during the past 30 days.…”

Section: Methodsmentioning

confidence: 99%

Cross-sectional associations between screen time and the selected lifestyle behaviors in adolescents

Fan

Jin

Yang

et al. 2022

Front. Public Health

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BackgroundIn adolescents, excessive screen time leads to many adverse health outcomes and is associated with a variety of lifestyle behaviors. This study was conducted to investigate the associations between the two types of screen time and a variety of lifestyle behaviors in American adolescents.MethodsBased on the Youth Risk Behavior Surveillance System, this cross-sectional study was conducted. With the help of data collectors, participants self-reported screening time, lifestyle behaviors, and demographic data via well-validated tools.Results19% and 43.4% of the participants spent more than two hours a day watching television and using the computer, respectively, while the prevalence of physical inactivity and insufficient sleep was 75.1 and 74.4% respectively. Furthermore, 11.9, 7.3, 14.3, and 21.3% of the participants reported skipping fruits, vegetables, breakfast and milk, respectively. Moreover, the prevalence of alcohol and tobacco consumption and sexual activity was 26.8, 5.3, and 23.5% respectively. More than two hours of television time was significantly associated with high risks of fewer frequency for eating fruit (OR = 1.605, 95%CI: 1.308–1.970), vegetables (OR = 1.389, 95%CI: 1.029–1.873), and smoking (OR = 1.465, 95%CI: 1.088–1.972). Computer/video time for more than two hours was significantly associated with high risks of physical inactivity (OR = 1.724, 95%CI: 1.531–1.941), insufficient sleep (OR = 1.354, 95%CI: 1.151–1.592), and not eating fruit (OR = 1.434, 95%CI: 1.179–1.745).ConclusionIncreased screen time may be associated with specific unhealthy lifestyle behaviors in adolescents. Furthermore, the associations between different types of screen time and various lifestyle behaviors varied.

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Section: Methodsmentioning

confidence: 99%

Cross-sectional associations between screen time and the selected lifestyle behaviors in adolescents

Fan

Jin

Yang

et al. 2022

Front. Public Health

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“…The implementation of these policies, which were designed to reduce e-cigarette initiation and use among young people, were met with some success. From 2015 to 2019, the proportion of young people who reported buying e-cigarettes from retail stores decreased from 22.0% to 16.6% [4].…”

Section: Introductionmentioning

confidence: 99%

Underage Youth Continue to Obtain E-Cigarettes from Retail Sources in 2022: Evidence from the Truth Continuous Tracking Survey

Elizabeth

Aarvig

Donovan

et al. 2023

IJERPH

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(1) Background: This study aims to describe the primary sources of e-cigarettes among young people and to explore how these sources may differ by individual-level characteristics. (2) Methods: Data were obtained from a cross-sectional, continuous tracking survey of participants. The analytic sample includes current e-cigarette users (aged 15–20 years) surveyed from January to August 2022 (N = 1296). Respondents provided information on e-cigarette source of acquisition, device type, and flavors used, as well as sociodemographic and residential characteristics. Chi-square tests were used to determine differences in source of acquisition by age, gender, race/ethnicity, United States (US) census region, urban-rural classification, flavors used, and device type. (3) Results: Although most current e-cigarette users obtained their devices through a social source (56.9%), a considerable proportion obtained e-cigarettes from a retail source (43.1%). The primary retail sources of e-cigarette acquisition were vape shops (22.0%) and gas station/convenience stores (15.9%). Source of e-cigarette acquisition differed by age, gender, US census region, flavors used, and device type, such that a lower proportion of those who were younger, female, residing in the West, and used vape pens had reported obtaining e-cigarettes via retail sources. (4) Conclusions: Results indicate that a significant proportion of youth report obtaining e-cigarettes from retail sources, despite the federal, state, and local policies that prohibit the sale of any tobacco products to those under the age of 21. Comprehensive retail regulations to help restrict tobacco product access are needed to reduce e-cigarette use among young people.

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“… 49 , 50 , 51 , 52 The YRBSS and NSDUH also ask questions on mental health and psychosocial stressors such as bullying and sexual assault and can therefore be used to assess the association of youth e-cigarette use with psychosocial stressors. 53 It is crucial to identify stressors that may lead to initiation and continued use of e-cigarettes among youth and other vulnerable populations, as mitigating such stressors may reduce tobacco use among vulnerable populations. 54 …”

Section: Discussionmentioning

confidence: 99%

“…Therefore, data from these surveys can be used to study the changing sources of e-cigarette acquisition among different population subgroups. 53 Such data, particularly among youth, can be used to inform policies and regulatory approaches that further limit youth access to e-cigarettes.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive review of the national surveys that assess E-cigarette use domains among youth and adults in the United States

Boakye

Erhabor

Obisesan

et al. 2023

The Lancet Regional Health - Americas

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E-cigarette use among high school students in the United States prior to the COVID-19 pandemic: Trends, correlates, and sources of acquisition

Cited by 9 publications

References 36 publications

Cross-sectional associations between screen time and the selected lifestyle behaviors in adolescents

Cross-sectional associations between screen time and the selected lifestyle behaviors in adolescents

Underage Youth Continue to Obtain E-Cigarettes from Retail Sources in 2022: Evidence from the Truth Continuous Tracking Survey

Comprehensive review of the national surveys that assess E-cigarette use domains among youth and adults in the United States

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