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Pediatrics. 2016 Dec;138(6). pii: e20162513. Epub 2016 Nov 7.

Flavored Electronic Cigarette Use and Smoking Among Youth.

Dai H1,2,3, Hao J4.

Author information

1
Division of Health Services and Outcomes Research, Children's Mercy Hospital, Kansas City, Missouri; hdai@cmh.edu.
2
Departments of Biomedical and Health Informatics, and.
3
Pediatrics, University of Missouri-Kansas City, Kansas City, Missouri; and.
4
College of Business, Bellevue University, Omaha, Nebraska.

Abstract

BACKGROUND AND OBJECTIVE:

Flavored electronic cigarettes (e-cigarettes) are not prohibited in the United States, and e-cigarette flavors proliferate on the market. This study sought to examine flavored e-cigarette use and its association with smoking among youth.

METHODS:

Estimates of flavored e-cigarette use from the 2014 National Youth Tobacco Survey were investigated. A logistic regression model was used to assess whether flavored e-cigarette use was associated with (1) intention to initiate cigarette use among never-smoking youth (n = 16 471), (2) intention to quit tobacco use among current-smoking youth (n = 1338), and (3) perception of tobacco's danger among all respondents (n = 21 491).

RESULTS:

A total of 2017 respondents reported using e-cigarettes in the last 30 days, of whom 1228 (60.9%) reported using flavored e-cigarettes. Among never-smoking youth, 55.6% (288) of current e-cigarette users reported using flavored e-cigarettes. Among current smokers, 68.4% (495) of current e-cigarette users reported using flavored e-cigarettes. Compared with not using e-cigarettes in the past 30 days, using flavored e-cigarettes was associated with higher odds of intention to initiate cigarette use among never-smoking youth (adjusted odds ratio [aOR] = 5.7; P < .0001), lower odds of intention to quit tobacco use among current-smoking youth (aOR = 0.6; P = .006), and a lower prevalence of perception of tobacco's danger among all respondents (aOR = 0.5; P < .0001).

CONCLUSIONS:

Flavored e-cigarette use is associated with increased risks of smoking among youth. Comprehensive tobacco control and prevention strategies that address flavored e-cigarette products are critically needed to reduce tobacco use among youth.

PMID:
27940718
DOI:
10.1542/peds.2016-2513
[Indexed for MEDLINE]
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