Escalating Safety Concerns Are Not Changing Adolescent E-Cigarette Use Patterns: The Possible Role of Adolescent Mental Health

Gaiha, Shivani Mathur; Halpern‐Felsher, Bonnie

doi:10.1016/j.jadohealth.2019.10.008

Cited by 16 publications

(11 citation statements)

References 34 publications

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“…A study found that a validated nicotine dependence scale for ecigarettes (PROMIS-E) identified more than half of the study sample of adolescents as experiencing some level of nicotine dependence from using e-cigarettes [9]. Nicotine's impact on adolescent brain development can lead to additional mental health-related negative outcomes, such as depression and substance use disorder [10]. Furthermore, recent research shows a relationship between adolescent e-cigarette ever-use, dualever-use and past 30-day dual-use of e-cigarettes and cigarettes and COVID-19-related outcomes [11, 12••].…”

Section: Health Effectsmentioning

confidence: 99%

A Breath of Knowledge: Overview of Current Adolescent E-cigarette Prevention and Cessation Programs

2020

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Section: Health Effectsmentioning

confidence: 99%

A Breath of Knowledge: Overview of Current Adolescent E-cigarette Prevention and Cessation Programs

2020

Self Cite

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“…More research is needed about psychological distress and JUUL use among young populations. 20 With the recent increase in the federal minimal legal sales age of tobacco products to 21, it is unclear how to assist those <21 who are addicted to JUUL and may be experiencing stress/anxiety as they attempt to quit JUUL. Although nicotine replacement therapy (NRT) is one method adults use to quit nicotine products, not all states exempt these products from their state’s definition of tobacco.…”

Section: Discussionmentioning

confidence: 99%

College Students’ Reasons for Using JUULs

et al. 2021

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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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“…According to the National Drug Strategy Household Survey, 4.3% of 14- to 17-year-old smokers smoked e-cigarettes in 2016 (the earliest Australian figures available), but this had increased to 17.5% in 2019 (Greenhalgh et al, 2020). Based on studies from the United States, where rates of e-cigarette have increased rapidly, there is mixed evidence on the association between e-cigarette use and mental health problems with the emotional and behavioural profile of adolescents who have only used e-cigarettes situated somewhere between non-users and cigarette smokers (Gaiha and Halpern-Felsher, 2020; Leventhal et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Tobacco smoking and mental disorders in Australian adolescents

Lawrence

Johnson

Mitrou

et al. 2021

Aust N Z J Psychiatry

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Objectives: This study aimed to (1) examine the strength of the association between mental disorders/mental health problems, risk behaviours and tobacco smoking among Australian adolescents, (2) compare rates of tobacco smoking among Australian adolescents with major depressive disorder, attention-deficit/hyperactivity disorder and/or conduct disorder in 2013/14 vs 1998, and (3) identify the extent to which an association between tobacco smoking and mental health problems among adolescents can be attributed to non-mental health risk factors. Methods: The study utilised data from the first (1998) and second (2013/14) child and adolescent components of the National Surveys of Mental Health and Wellbeing. Both surveys identified nationally representative samples of Australian young people aged 4–17 years, living in private dwellings. Information was collected from parents and 13- to 17-year-olds about mental disorders, mental health problems, risk behaviours and tobacco smoking. Results: In the 2013/14 survey, the rate of current tobacco smoking among those with a mental disorder was 20% compared to 5% in those without a mental disorder. Rates were highest for young people with conduct disorder (50%), major depressive disorder (24%) and anxiety disorders (19%). In 2013/14, 38% of current tobacco smokers had a mental disorder and 32% reported self-harm and/or suicidal ideation vs 10% and 5%, respectively, among adolescents who had never smoked. Females with mental disorders or reporting self-harm or suicidal ideation had higher rates of current smoking than males. Other significant factors associated with current smoking included school-related problems, binge eating and having had more than one sexual partner. Conclusion: While smoking rates in 13- to 17-year-olds with mental disorders had declined since 1998, the strength of the association between mental disorders and smoking had increased, especially among females. Our findings highlight the need to address the tobacco smoking among adolescents with mental disorders, particularly females.

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Escalating Safety Concerns Are Not Changing Adolescent E-Cigarette Use Patterns: The Possible Role of Adolescent Mental Health

Cited by 16 publications

References 34 publications

A Breath of Knowledge: Overview of Current Adolescent E-cigarette Prevention and Cessation Programs

A Breath of Knowledge: Overview of Current Adolescent E-cigarette Prevention and Cessation Programs

College Students’ Reasons for Using JUULs

Tobacco smoking and mental disorders in Australian adolescents

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