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Am J Drug Alcohol Abuse. 2017 May;43(3):306-310. doi: 10.1080/00952990.2016.1203926. Epub 2016 Aug 5.

Electronic cigarette initiation among minority youth in the United States.

Author information

1
a Community Health Promotion , University of Arkansas , Fayetteville , AR , USA.

Abstract

BACKGROUND:

Electronic cigarettes (e-cigarette) use among youth is a pressing public health issue, with prevalence of use surpassing that of tobacco cigarettes. While research concerning e-cigarettes has proliferated in recent years, there is a dearth of information regarding those whose first exposure to tobacco products was an e-cigarette.

OBJECTIVES:

To examine factors associated with e-cigarette initiation among minority youth in the United States.

METHODS:

Data on minority students in middle and high schools in the United States derived from the 2014 National Youth Tobacco Survey (NYTS) were sampled (weighted N = 27,294,454). We examined e-cigarette initiation among minority youth using logistic regression models to identify related factors.

RESULTS:

In 2014, 736,158 minority youth were e-cigarette initiators. Odds of e-cigarette initiation was highest among Hispanic youth [adjusted odds ratio (AOR) = 2.70; 95% confidence interval (CI) = 1.60-4.56]. Exposure to e-cigarette advertising (AOR = 1.64; 95% CI = 1.07-2.50), perceptions of little to no harm (AOR = 7.08; 95% CI = 4.03-12.46), and believing e-cigarettes were less addictive than tobacco (AOR = 2.15; 95% CI = 1.52-3.02) were associated with e-cigarette initiation.

CONCLUSIONS:

Odds of initiating e-cigarette use was highest among Hispanic youth. Among minority youth, e-cigarette initiation was associated with perceptions of harm and addiction potential, as well as exposure to e-cigarette advertising. Therefore, prevention efforts targeting minority youth who are at risk of becoming e-cigarette initiators may benefit by incorporating these factors into prevention campaigns.

KEYWORDS:

Electronic cigarettes; minority; nicotine; youth

PMID:
27494770
DOI:
10.1080/00952990.2016.1203926
[Indexed for MEDLINE]

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