Vaping Media Literacy, Harm Perception, and Susceptibility of E-Cigarette Use Among Youth

Dai, Hongying; Ratnapradipa, Kendra L.; Michaud, Tzeyu L.; King, Keyonna M.; Guenzel, Nicholas; Tamrakar, Niran; Puga, Troy B; Sussman, Steve

doi:10.1016/j.amepre.2022.05.012

Cited by 11 publications

(8 citation statements)

References 33 publications

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“…For instance, Dai estimated that 18.4% of Hispanic middle and high school students reported cannabis vaping in 2018 compared with 14.5% of their non-Hispanic counterparts. The higher prevalence of cannabis vaping and CBD vaping among Hispanic youths compared with White youths may be associated with potential lower harm perception of cannabis use and lower media literacy . Among noncurrent e-cigarette users, this study also identified a higher prevalence of current CBD vaping among gay or lesbian and bisexual students than their heterosexual counterparts.…”

Section: Discussionmentioning

confidence: 61%

“…The higher prevalence of cannabis vaping and CBD vaping among Hispanic youths compared with White youths may be associated with potential lower harm perception of cannabis use and lower media literacy. 30,31 Among noncurrent e-cigarette users, this study also identified a higher prevalence of current CBD vaping among gay or lesbian and bisexual students than their heterosexual counterparts. Sexual minority adolescents may experience elevated levels of stress due to social stigma and marginalization 32,33 and report higher e-cigarette use, nicotine dependence, and co-use of other tobacco products.…”

Section: Jama Network Open | Substance Use and Addictionmentioning

confidence: 59%

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Prevalence and Factors Associated With Vaping Cannabidiol Among US Adolescents

Dai,

Subramanian,

Mahroke

et al. 2023

JAMA Netw Open

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Importancee-Cigarette use and vaping marijuana (cannabis) are popular among US adolescents. Cannabidiol (CBD) is a compound found in the cannabis plant that has recently increased in use.ObjectivesTo examine the prevalence of and factors associated with youths vaping CBD.Design, Setting, and ParticipantsThis cross-sectional study included a nationally representative sample of students from middle and high schools (typical age, 11-18 years) in the US from the 2022 National Youth Tobacco Survey, conducted from January to May 2022.ExposureDemographic characteristics, harm perception of tobacco use, and vaping behaviors.Main Outcomes and MeasuresThe main outcomes were weighted prevalence and population estimates of ever and current (past 30-day) vaping of CBD overall and by e-cigarette use status. Multivariable logistic regression analyses were conducted to estimate the association of currently vaping CBD with demographic factors and e-cigarette and tobacco use behaviors stratified by current e-cigarette use status.ResultsThe study included 28 291 participants (51.1% male; mean [SD] age, 14.5 [2.0] years). Among 2448 current e-cigarette users, 21.3% (95% CI, 18.4%-24.1%) reported any past-month vaping of CBD and 6.3% (95% CI, 4.7%-7.8%) reported that they did not know whether they had vaped CBD. Hispanic e-cigarette users were more likely than their non-Hispanic White peers to report currently vaping CBD (adjusted odds ratio [AOR], 1.9; 95% CI, 1.3-2.8). Current e-cigarette users with higher frequency (≥20 days vs ≤5 days) and longer duration (2-3 years or &gt;3 years vs &lt;1 year) of use were more likely to report currently vaping CBD (frequency: AOR, 1.5 [95% CI, 1.1-1.9]; 2-3 years: AOR, 2.2 [95% CI, 1.2-3.9]; 3 years: AOR, 3.2 [95% CI, 1.7-6.1]). Among 25 091 noncurrent e-cigarette users, 1.2% (95% CI, 1.0%-1.5%) reported currently vaping CBD and 2.3% (95% CI, 2.1%-2.6%) reported that they did not know. High school students (vs middle school students; AOR, 4.2; 95% CI, 2.8-6.1) and gay or lesbian (AOR, 2.9; 95% CI, 1.6-5.4) or bisexual (AOR, 2.7; 95% CI, 1.8-4.0) (vs heterosexual) youths were more likely to report vaping CBD, while those who perceived tobacco as dangerous (vs not dangerous; AOR, 0.4; 95% CI, 0.3-0.6) had lower odds of reporting vaping CBD.Conclusions and RelevanceIn this cross-sectional study of US middle and high school students, the prevalence of youths vaping CBD was high, particularly among e-cigarette users and Hispanic and sexual minority populations. The findings suggest that evidence-based educational campaigns, interventions, and public policy changes are needed to reduce the harmful health outcomes possible with vaping CBD among developing youths.

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Section: Discussionmentioning

confidence: 61%

Section: Jama Network Open | Substance Use and Addictionmentioning

confidence: 59%

Prevalence and Factors Associated With Vaping Cannabidiol Among US Adolescents

Dai,

Subramanian,

Mahroke

et al. 2023

JAMA Netw Open

Self Cite

View full text Add to dashboard Cite

show abstract

“…Given that an inverse relationship between internet addiction and information literacy has emerged in several studies ( 143 – 145 ), further preventive and restraining interventions could include ad hoc media and information literacy enhancement programs, which have been found to be effective in addressing other youth issues such as various addictions ( 146 – 148 ), doping consumption in sports ( 149 , 150 ), eating disorders ( 151 – 153 ), ciberbullismo ( 154 , 155 ), youth aggressiveness and deviant behaviours ( 156 , 157 ).…”

Section: Discussionmentioning

confidence: 99%

Internet addiction in young adults: The role of impulsivity and codependency

et al. 2022

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Excessive Internet use has demonstrated comorbidity with other psychological symptoms and psychiatric disorders, as well as impairments in the management of daily life, relationships and emotional stability. Recent findings in the literature have consistently supported the relationship between impulsivity and Internet addiction. The present study hypothesized that, in addition to impulsivity, a further predictor of Internet addiction might be relational co-dependency, which is also associated in the literature with addiction phenomena, but mainly substance addiction. This paper investigates the role and predictive weight of impulsivity and codependency on Internet addiction on a sample of young adult university students (n = 481) by using a hierarchical regression analysis. The participants were administered the UADI-2, the BIS-11 and the SFCDS. In terms of percentage distribution, 38 % of the participants were in the dependency range, while 37.7 % demonstrated Internet abuse behavior. The results confirmed the role of impulsiveness (β = 0.312) and added to the literature by showing the significant role of relational codependency (β = 0.275), gender (β = 0.174) and age (β = 0.196). Thus, male participants were more dependent, more impulsive and more co-dependent, with increasing age in the given range (18–30). The present study shed light to the presence of this issue among young adults and that, as a preventive and restraining measure, there is a need not only for targeted awareness-raising programmes but also for interventions to promote greater emotional control and a more balanced management of personal relationships.

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“…Recent research adapted the original smoking media literacy measure to include vaping. 7 More work is needed to show how tobacco companies use specific social media platforms and directto-consumer marketing techniques to communicate price-manipulated promotions and messages attempting to lower perceptions of harm from tobacco use. Several steps could help prevention programmers stay abreast of these high-risk areas of tobacco influence.…”

mentioning

confidence: 99%

“…Primack and colleagues developed the concept of smoking media literacy that may help digital media users evaluate tobacco advertising messages, empowering digital media users to actively evaluate incoming information rather than remain a passive target. Recent research adapted the original smoking media literacy measure to include vaping . More work is needed to show how tobacco companies use specific social media platforms and direct-to-consumer marketing techniques to communicate price-manipulated promotions and messages attempting to lower perceptions of harm from tobacco use.…”

mentioning

confidence: 99%