JUUL electronic cigarette use patterns, other tobacco product use, and reasons for use among ever users: Results from a convenience sample

Leavens, Eleanor L S; Stevens, Elise M.; Brett, Emma I.; Hébert, Emily T.; Villanti, Andrea C.; Pearson, Jennifer; Wagener, Theodore L.

doi:10.1016/j.addbeh.2019.02.011

Cited by 58 publications

(47 citation statements)

References 22 publications

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“…Other notable findings include the high proportion of usual JUUL users who also reported current cigarette smoking, which is consistent with previous research [7,10,11]. This study adds to the extant literature by demonstrating that, even compared with other ENDS product users, a higher proportion of usual JUUL users report cigarette smoking.…”

Section: Discussionsupporting

confidence: 88%

“…Although ENDS have been proposed as a harm reduction strategy for smokers [8,9], current evidence suggests that JUUL users are not using these products in place of cigarettes [7,10,11]. Alarmingly, the limited research on JUUL use behaviors indicates that dual use of cigarettes and JUUL is high; Leavens et al found that 42% of current JUUL users reported current use of cigarettes [10]. The dual use of ENDS and cigarettes raises health concerns because of potential exposure to high levels of potentially harmful constituents found in both ENDS products and cigarettes.…”

mentioning

confidence: 99%

“…The limited research on JUUL use suggests that (1) young adults (aged 18e24 years) report a higher prevalence of ever use of JUUL compared with adolescents (aged 15e17 years) [13] and (2) JUUL users report a high level of dual/polytobacco use [7,10,11]. In a study of adolescents and young adults, JUUL users reported using the product on more days in the past 30 days compared with other ENDS users and compared with cigarette users [11].…”

mentioning

confidence: 99%

“…To date, however, most of the JUUL studies have examined a limited number of factors, including demographic characteristics, and other ENDS/tobacco use behaviors. Furthermore, most of the literature has been descriptive in nature [10,11,13,14] and has not examined correlates of JUUL use after controlling for important covariates including demographic characteristics.…”

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confidence: 99%

“…In one of the first studies to examine reasons to use among JUUL users, Leavens et al found that adult JUUL users (mean age ¼ 33.2 years) reported that the most commonly endorsed reasons to use were friend use, curiosity, and similar "hit" as cigarettes [10]. Importantly, these items were asked among ever JUUL users, who may have different reasons for using JUUL than current or usual JUUL users.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Who is JUULing and Why? An Examination of Young Adult Electronic Nicotine Delivery Systems Users

Case

Hinds

Creamer

et al. 2020

Journal of Adolescent Health

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Purpose: The purpose of this study was to compare characteristics of usual JUUL users versus other electronic nicotine delivery systems (ENDS) users, examine differences in reasons for use and perceptions across ENDS user groups, and identify significant correlates of usual JUUL use. Methods: This study used data from 510 young adult ENDS users (ages 18e29 years) from Wave 7 (Spring 2018) of the Marketing and Promotions Across Colleges in Texas Project (Project M-PACT). Chi-Square analyses, independent t-tests, and mixed-effects logistic regression analyses were conducted to identify factors associated with usual JUUL use. Four separate regression analyses were conducted based on independent variables of interest; all models included demographics and ENDS/other tobacco use behaviors as covariates. Results: Compared with other ENDS users, usual JUUL users were more likely to be male, younger, smoke cigarettes, reported a higher socioeconomic status (SES), used ENDS on more days in the past 30 days, and reported nicotine "hit" as a reason for use. Usual JUUL users had a higher prevalence of perceiving JUUL/pod vapes as addictive compared with other ENDS users, although perceived addictiveness was not significant in the multivariable models nor were the cessation and dependence measures different between ENDS user groups. Conclusions: Results highlight concerns about the dual use of JUUL and cigarettes and raise additional concerns about the high nicotine concentration of JUUL. Future longitudinal research is needed to determine if usual JUUL users are more likely to develop symptoms of nicotine dependence compared with other ENDS users.

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Section: Discussionsupporting

confidence: 88%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Who is JUULing and Why? An Examination of Young Adult Electronic Nicotine Delivery Systems Users

Case

Hinds

Creamer

et al. 2020

Journal of Adolescent Health

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Prevalence of Electronic Cigarette Use Among Adolescents in New Jersey and Association With Social Factors

2020

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IMPORTANCE Use of electronic cigarettes (e-cigarettes) is high among adolescents, but the extent to which the JUUL e-cigarette brand accounts for the high prevalence has not been explored using population-based surveys. OBJECTIVE To examine e-cigarette and JUUL use among adolescents in New Jersey. DESIGN, SETTING, AND PARTICIPANTS Survey study using data from the 2018 New Jersey Youth Tobacco Survey, a cross-sectional statewide representative survey of tobacco use. The survey was school based and sampled New Jersey students in grades 9 to 12. EXPOSURES Use of tobacco products; JUUL as first tobacco product tried; exposure to JUUL at school; number of friends perceived as JUUL users; liking or following a tobacco brand on social media; and buying or receiving tobacco-branded merchandise. MAIN OUTCOMES AND MEASURES Prevalence ratio (PR) for current and frequent e-cigarette use, inclusive of JUUL. RESULTS In this sample of 4183 adolescents, respondents were 49.6% female and 49.6% non-Hispanic white. Students were evenly distributed across grades 9 through 12. Overall, the estimate for current use of e-cigarettes inclusive of JUUL was higher (24.2%; 95% CI, 22.5%-25.9%) compared with current use assessed by use of e-cigarettes only (17.8%; 95% CI, 16.4%-19.4%) or JUUL use only (21.3%; 95% CI, 19.7%-23.0%). Divergence in e-cigarette use estimates was higher for certain subgroups, including female respondents and non-Hispanic black respondents. Also, 88.8% (95% CI, 86.6%-91.1%) of current e-cigarette users reported JUUL as a brand they used. Hispanic students (PR, 0.78; 95% CI, 0.69-0.89) and non-Hispanic students of other races (PR, 0.64; 95% CI, 0.51-0.81) were significantly less likely than non-Hispanic white students to be current e-cigarette users, and students in 12th grade were more likely than those in 9th grade to be current users (PR, 1.29; 95% CI, 1.11-1.48). Current e-cigarette use was positively associated with current use of other tobacco products (PR, 2.57; 95% CI, 2.24-2.95), endorsing a tobacco brand on social media (PR, 1.43;

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Vaping during the COVID‐19 pandemic: NOT GOOD!!

Harrill

2020

Laryngoscope Investig Oto

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JUUL electronic cigarette use patterns, other tobacco product use, and reasons for use among ever users: Results from a convenience sample

Cited by 58 publications

References 22 publications

Who is JUULing and Why? An Examination of Young Adult Electronic Nicotine Delivery Systems Users

Who is JUULing and Why? An Examination of Young Adult Electronic Nicotine Delivery Systems Users

Prevalence of Electronic Cigarette Use Among Adolescents in New Jersey and Association With Social Factors

Vaping during the COVID‐19 pandemic: NOT GOOD!!

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