Financial strain and electronic nicotine delivery systems use among U.S. young adults: A longitudinal panel analysis, 2013–2018

Han, Daehee; Seo, Dong-Chul

doi:10.1016/j.addbeh.2020.106716

Cited by 5 publications

(7 citation statements)

References 46 publications

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“…Escalated ENDS use was computed by subtracting the number of days of ENDS use within the past 30 days at wave

1

from that at wave

and coded as 1 = escalated if the value was greater than zero (otherwise, coded as 0 = not escalated). We defined current established ENDS use as those who said ‘yes’ to both questions: ‘Have you ever used electronic nicotine products fairly regularly?’ and ‘Do you currently use every day or some days?’ [ 20 ]. This measure was a time‐lagged regressor (i.e.…”

Section: Methodsmentioning

confidence: 99%

“…Variables that measured mental health conditions were assessed according to the Global Appraisal of Individual Needs–short screener (GAIN‐SS) [ 28 ]. Following established literature [ 17 , 20 , 29 ], we assessed two mental health subscales: internalizing and externalizing symptoms. Internalizing problems were assessed using four items (i.e.…”

Section: Methodsmentioning

confidence: 99%

“…and 'Do you currently use every day or some days?' [20]. This measure was a timelagged regressor (i.e.…”

Section: Ends Use Behaviors and Characteristicsmentioning

confidence: 99%

“…Evidence suggests that having internalizing and externalizing problems is associated with an increased likelihood of initiating ENDS use [ 16 , 17 ]. Many of the ENDS‐using young people are experimenters or light users whose use does not persist over time [ 20 ]. Not surprisingly, past research has shown that the vast majority of ENDS experimenters do not keep using ENDS in subsequent years [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…Many of the ENDS‐using young people are experimenters or light users whose use does not persist over time [ 20 ]. Not surprisingly, past research has shown that the vast majority of ENDS experimenters do not keep using ENDS in subsequent years [ 20 ]. This clearly illustrates that commonly used metrics of ENDS use in young people, such as any ENDS use or the number of days of ENDS use within the past 30 days [ 21 ], not only overestimate current ENDS use prevalence by classifying experimental use into current use [ 20 , 22 , 23 ] but also fail to adequately discern patterns of ENDS use and its association with other substances.…”

Section: Introductionmentioning

confidence: 99%

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Within‐person associations of escalated electronic nicotine delivery systems use with cigarette, alcohol, marijuana and drug use behaviors among US young adults

et al. 2022

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Aims Most extant evidence has addressed between‐person differences, short‐term or cross‐sectional associations of electronic nicotine delivery systems (ENDS) use with other substance use, the majority focusing on current rather than escalated use. The present study aimed to examine within‐person changes in escalated ENDS use and their associations with individual and combined substance use over a 6‐year period. Design, Setting and Participants This study used a longitudinal cohort design with US young adults. A generalized linear mixed‐model approach was employed to fit a series of weighted logistic regression models. Data were drawn from waves 1–5 of the Population Assessment of Tobacco and Health (PATH) study in the United States. Of the 9110 young adults at baseline, aged 18–24 years, a total of 5042 individuals had matched data across all five waves of assessments. Measurements Escalated ENDS use was computed by subtracting the number of days of ENDS use within the past 30 days at wave w−1 from that at wave w and coded as 1 = escalated, if the value was greater than zero (otherwise, coded as 0 = not escalated). Findings Escalated ENDS use gradually decreased over time, with the lowest prevalence at wave 4 (4.0%) but sharply increasing at wave 5 (8.4%). Escalated ENDS use was associated with increased odds of using each substance (binge drinking, marijuana use, marijuana vaping, prescription and illicit drugs) and different combinations of polysubstance use between cigarette smoking, binge drinking and marijuana use (Ps < 0.05). In addition, sweet/fruit flavor use (versus menthol/mint) was associated with increased likelihood of reporting co‐use of cigarettes and marijuana. Conclusions In the United States, the prevalence of young adults using electronic nicotine delivery systems appears to have increased steadily between 2013 and 2019, although the rate of increase may have started to accelerate in recent years. Escalated electronic nicotine delivery systems use and time‐lagged established electronic nicotine delivery systems use appear to be prospectively associated with individual and combined substance use, particularly between cigarettes, alcohol and marijuana. Among established electronic nicotine delivery systems users, sweet/fruit flavor appears to be associated with increased risk of co‐using cigarettes and marijuana.

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“…Escalated ENDS use was computed by subtracting the number of days of ENDS use within the past 30 days at wave