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J Adolesc Health. 2014 Oct;55(4):588-91. doi: 10.1016/j.jadohealth.2014.06.016. Epub 2014 Jul 29.

Alternate tobacco product and drug use among adolescents who use electronic cigarettes, cigarettes only, and never smokers.

Author information

  • 1Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut. Electronic address: deepa.camenga@yale.edu.
  • 2Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
  • 3Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York.
  • 4Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.

Abstract

PURPOSE:

To determine whether use of alternative tobacco products (i.e., cigars, blunts, hookah, smokeless tobacco), alcohol, and marijuana differs among adolescents who currently use (1) electronic cigarettes (e-cigarettes); (2) cigarettes only; and (3) never smokers.

METHODS:

Analysis of a self-reported survey from four high schools in 2010-2011 (n = 3,102) with a subsample (n = 1,556) surveyed on alcohol and marijuana. Analyses were conducted with multinomial logistic regression models accounting for clustering by schools.

RESULTS:

The sample contained 2.4% (n = 76) e-cigarette users, 12.4% (n = 386) cigarette smokers, and 85.1% (n = 3,197) never smokers. E-cigarette users were more likely than cigarette-only smokers to report blunt (adjusted odds ratio, 1.81; 95% confidence interval, 1.21-2.71) and hookah use (adjusted odds ratio, 3.12; 95% confidence interval, 1.90-5.13), but not cigar, smokeless tobacco, alcohol, or marijuana use.

CONCLUSIONS:

E-cigarette users are more likely than cigarette smokers to use hookah and blunts.

Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Adolescent; Alcohol; Marijuana; Tobacco products

PMID:
25085648
[PubMed - indexed for MEDLINE]
PMCID:
PMC4175192
Free PMC Article
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