The Influence of Friends on Teen Vaping: A Mixed-Methods Approach

Groom, Allison; Vu, Thanh Huyen T.; Landry, Robyn L.; Kesh, Anshula; Hart, Joy L.; Walker, Kandi L.; Wood, Lindsey A.; Robertson, Rose Marie; Payne, Thomas J.

doi:10.3390/ijerph18136784

Cited by 29 publications

(16 citation statements)

References 24 publications

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“…Results showed that dual use days and exclusive ENDS use days were both predicted by greater exposure to peers vaping on that day. Adolescents may be in uenced by peer ENDS users to engage in both vaping and smoking behaviors due to social pressure or social access (i.e., the social nature of vaping and smoking, sharing of devices and cigarettes, and increased access when with peers) (41,42). In addition, research among young adults shows that exposure to ENDS use increases the desire for both ENDS and combustible tobacco cigarettes (43), so that is also a plausible explanation, although we did not assess craving or dependence in this study.…”

Section: Discussionmentioning

confidence: 99%

Contextual and community factors associated with daily exclusive ENDS use and dual use with tobacco cigarettes among adolescent vapers: an ecological momentary assessment study

Abadi

Shamblen

Thompson

et al. 2022

Preprint

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Background Adolescents who dual use ENDS with tobacco cigarettes are more likely to have an increased risk of developing dependence. Yet, little is understood about the factors driving dual use among adolescents. The current study sought to reveal the day-to-day contextual and community factors associated with adolescents’ use of electronic nicotine delivery systems (ENDS), and how these factors predict dual use with tobacco cigarettes. Methods We collected ecological momentary assessments (EMA) from a sample of 50 adolescent past two-week vapers (ages 14–17 years old) over 14 days. Daily EMA data were collected on ENDS and tobacco cigarette use, as well as a range of contextual (i.e., motivations to vape, location of vaping, who with when vaping) and community factors (i.e., exposure to peers vaping, to adults vaping, to ENDS advertising, to ENDS warning messages). Our primary analyses were multilevel regressions, accounting for daily observations nested within individuals (N = 700 observations). Results Participants used ENDS exclusively on 44% of days and dual used ENDS and tobacco cigarettes on 8% of the days. Dual use days (versus exclusive ENDS use days) were associated with vaping because tobacco use was prohibited (OR = 34.65, p < .05). Also, dual use days (versus no use days) were associated with greater exposure to adults vaping (OR = 5.59, p < .05), peers vaping (OR = 7.48, p < .05), and (c) ENDS advertisements or promotions (OR = 2.12, p < .01), whereas exclusive use days (versus no use days) were only associated with greater exposure to peers vaping (OR = 2.58, p < .01). Conclusions Results showed that exposure to peers and adults vaping and exposure to ENDS marketing were associated with same day dual use behaviors. And, that adolescents who dual used were motivated to use ENDS because they were easy to conceal. Findings support stricter regulation of ENDS marketing and for smoke-free air laws that include ENDS. In addition, these findings support prioritizing family- and school-based prevention programming that effectively communicates risk associated with ENDS use, including heightened risk of dual use and dependence. Such efforts can reduce the number of adolescents who use ENDS as well as the number who transition to tobacco cigarette use.

show abstract

Section: Discussionmentioning

confidence: 99%

Contextual and community factors associated with daily exclusive ENDS use and dual use with tobacco cigarettes among adolescent vapers: an ecological momentary assessment study

Abadi

Shamblen

Thompson

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Results showed that dual use days and exclusive ENDS use days were both predicted by greater exposure to peers vaping on that day. Adolescents may be influenced by peer ENDS users to engage in both vaping and smoking behaviors due to social pressure or social access (i.e., the social nature of vaping and smoking, sharing of devices and cigarettes, and increased access when with peers) [ 41 , 42 ]. In addition, research among young adults shows that exposure to ENDS use increases the desire for both ENDS and combustible tobacco cigarettes [ 43 ], so that is also a plausible explanation, although we did not assess craving or dependence in this study.…”

Section: Discussionmentioning

confidence: 99%

Socio-temporal contextual and community factors associated with daily exclusive ENDS use and dual use with tobacco cigarettes among adolescent vapers: an ecological momentary assessment study

et al. 2022

View full text Add to dashboard Cite

Background Adolescents who dual use ENDS with tobacco cigarettes are more likely to have an increased risk of developing dependence. Yet, little is understood about the factors driving dual use among adolescents. The current study sought to reveal the day-to-day socio-temporal contextual and community factors associated with adolescents’ use of electronic nicotine delivery systems (ENDS), and how these factors predict dual use with tobacco cigarettes. Methods We collected ecological momentary assessments (EMA) from a sample of 50 adolescent past two-week vapers (ages 14–17 years old) over 14 days. Daily EMA data were collected on ENDS and tobacco cigarette use, as well as a range of contextual (i.e., motivations to vape, location of vaping, who with when vaping) and community factors (i.e., exposure to peers vaping, to adults vaping, to ENDS advertising, to ENDS warning messages). Our primary analyses were multilevel regressions, accounting for daily observations nested within individuals (N = 700 observations). Results Participants used ENDS exclusively on 44% of days and dual used ENDS and tobacco cigarettes on 8% of the days. Dual use days (versus exclusive ENDS use days) were associated with “vaping because tobacco use was prohibited” (OR = 34.65, p < .05). Also, dual use days (versus no use days) were associated with greater exposure to adults vaping (OR = 5.59, p < .05), peers vaping (OR = 7.48, p < .05), and (c) ENDS advertisements or promotions (OR = 2.12, p < .01), whereas exclusive use days (versus no use days) were only associated with greater exposure to peers vaping (OR = 2.58, p < .01). Conclusions Results showed that exposure to peers and adults vaping and exposure to ENDS marketing were associated with same day dual use behaviors. And, that adolescents who dual used were motivated to use ENDS because they were easy to conceal. Findings support stricter regulation of ENDS marketing and for smoke-free air laws that include ENDS. In addition, these findings support prioritizing family- and school-based prevention programming that effectively communicates risk associated with ENDS use, including heightened risk of dual use and dependence. Such efforts can reduce the number of adolescents who use ENDS as well as the number who transition to tobacco cigarette use.

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“…Thus, IA may be a group aggregation phenomenon, and internet addicts are more likely to communicate with classmates who share the same hobbies and likely to influence his or her friends to also become internet addicted through daily life [60]. Students with moderate peer relationships may be more socially rational [61]. However, more research is needed to verify this hypothesis.…”

Section: Plos Onementioning

confidence: 99%

The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study

Liu

Yan

et al. 2023

PLoS ONE

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Background Internet addiction has emerged as a major global concern as a potential adverse impact of internet exposure on adolescents. Internet addiction is associated with many demographic variables; however, there is a lack of consensus on its relationship with health literacy. Therefore, the aim of the present study was to assess the rates of internet addiction and health literacy level among middle school students (grades 7 to 12) in Chongqing, China, as well as to investigate the association between them. Methods A cross-sectional, questionnaire-based study was conducted among 8971 students who were randomly selected by using stratified cluster sampling between November and December 2019. The Internet Addiction Diagnostic Questionnaire, Adolescent Health Literacy Scale and a self-designed basic information questionnaire were used to collect data. Chi-square tests were performed to compare the differences in the distribution of internet addiction across health literacy levels as well as some sociodemographic characteristics. Multivariate logistic regression analyses were conducted to identify the association between health literacy and internet addiction. Results The prevalence of internet addiction among middle school students in Chongqing was 6.1%. The percentage of the students who spent more than 4 hours online every day in the past week was 14.3%. In addition, 26.7%, 26.0%, 28.3% and 26.3% of the participants reported low functional, interactive, critical and total health literacy, respectively. After adjusting for the confounding effects of demographics, multivariate regression analysis showed that critical health literacy was a protective variable for internet addiction, while functional, and interactive health literacy were the risk variable (P<0.05). Furthermore, the internet addiction rates were higher among boys, students with good peer relationships, and students without parental supervision, whereas internet addiction rates were lowest among students in grade 12. Conclusions The prevalence of internet addiction among middle school students in Chongqing is relatively high. Internet addiction is strongly negatively associated with critical health literacy, but it is positively associated with functional and interactive health literacy but not total health literacy. This study provides preliminary evidence for the predictive role of health literacy in internet addiction of adolescents.

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The Influence of Friends on Teen Vaping: A Mixed-Methods Approach

Cited by 29 publications

References 24 publications

Contextual and community factors associated with daily exclusive ENDS use and dual use with tobacco cigarettes among adolescent vapers: an ecological momentary assessment study

Contextual and community factors associated with daily exclusive ENDS use and dual use with tobacco cigarettes among adolescent vapers: an ecological momentary assessment study

Socio-temporal contextual and community factors associated with daily exclusive ENDS use and dual use with tobacco cigarettes among adolescent vapers: an ecological momentary assessment study

The relationship between health literacy and internet addiction among middle school students in Chongqing, China: A cross-sectional survey study

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