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Drug Alcohol Depend. 2015 Apr 1;149:25-30. doi: 10.1016/j.drugalcdep.2015.01.001. Epub 2015 Jan 24.

Risky behaviors, e-cigarette use and susceptibility of use among college students.

Author information

1
University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA. Electronic address: mls38@buffalo.edu.
2
University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA.
3
University at Buffalo, State University of New York; Department of Psychology, Buffalo, NY, USA.
4
State University of New York, at Cortland, Health Department, Cortland, NY, USA.
5
State University of New York, Buffalo State, Department of Psychology, Buffalo, NY, USA.
6
Roswell Park Cancer Institute, Division of Cancer Prevention and Population Sciences, Buffalo, NY, USA.
7
D'Youville College, Center for Health Behavior Research, Buffalo, NY, USA.
8
University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA; Roswell Park Cancer Institute, Department of Medicine and Department of Health Behavior, Buffalo, NY, USA.

Abstract

BACKGROUND:

Since 2007, there has been a rise in the use of electronic cigarettes (e-cigarettes). The present study uses cross-sectional data (2013) to examine prevalence, correlates and susceptibility to e-cigarettes among young adults.

METHODS:

Data were collected using an Internet survey from a convenience sample of 1437, 18-23 year olds attending four colleges/universities in Upstate New York. Results were summarized using descriptive statistics; logistic regression models were analyzed to identify correlates of e-cigarette use and susceptibility to using e-cigarettes.

RESULTS:

Nearly all respondents (95.5%) reported awareness of e-cigarettes; 29.9% were ever users and 14.9% were current users. Younger students, males, non-Hispanic Whites, respondents reporting average/below average school ability, ever smokers and experimenters of tobacco cigarettes, and those with lower perceptions of harm regarding e-cigarettes demonstrated higher odds of ever use or current use. Risky behaviors (i.e., tobacco, marijuana or alcohol use) were associated with using e-cigarettes. Among never e-cigarette users, individuals involved in risky behaviors or, with lower harm perceptions for e-cigarettes, were more susceptible to future e-cigarette use.

CONCLUSIONS:

More e-cigarette users report use of another nicotine product besides e-cigarettes as the first nicotine product used; this should be considered when examining whether e-cigarette use is related to cigarette susceptibility. Involvement in risky behaviors is related to e-cigarette use and susceptibility to e-cigarette use. Among college students, e-cigarette use is more likely to occur in those who have also used other tobacco products, marijuana, and/or alcohol.

KEYWORDS:

College students; Electronic cigarettes; Smoking; Susceptibility to smoking; Tobacco; Young adults

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