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Am J Health Promot. 2019 Nov;33(8):1115-1122. doi: 10.1177/0890117119854051. Epub 2019 Jun 3.

Characteristics of Daily E-Cigarette Use and Acquisition Means Among a National Sample of Adolescents.

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School of Human Services, University of Cincinnati, Cincinnati, OH, USA.
College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, USA.
The Julius B. Richmond Center of Excellence, American Academy of Pediatrics, Itasca, IL, USA.
Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.



To examine the relationship between several e-cigarette-related characteristics and daily e-cigarette use among adolescent current users.


Secondary analysis of 2016 National Youth Tobacco Survey data.


United States middle schools and high schools.


One thousand five hundred seventy-nine current e-cigarette users.


Daily e-cigarette use and e-cigarette flavors, brands, device type, and acquisition were measured.


Logistic regression and Poisson regression models were built.


A total of 13.6% of current users reported daily use. Results indicated that daily users were at increased odds of using all flavor types (all P < .001), with the exception of menthol/mint, and using a higher number of flavors than nondaily users (P < .001). Daily users were more likely to use Blu, eGo, Logic, Halo, NJOY, and another unlisted brand but less likely to report they did not know the brand used (all P ≤ .01). Daily users also reported using a higher number of brands than nondaily users (P < .001). Daily users were at increased odds of using marijuana/tetrahydrocannabinol (THC) oil wax as device ingredients (P < .001) and less likely to use only nicotine (P < .001) or unknown ingredients (P = .004). Daily users were more likely to acquire e-cigarettes from a vape shop, gas station/convenience store, Internet, mall/shopping center kiosk, drug store, grocery store, or other place (all P ≤ .01).


Comprehensive efforts are needed to reduce e-cigarette use and nicotine addiction among adolescents.


e-cigarettes; health policy; tobacco control

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