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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.

Author information

1
School of Human Services, University of Cincinnati, Cincinnati, OH, USA.
2
College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
3
Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, USA.
4
The Julius B. Richmond Center of Excellence, American Academy of Pediatrics, Itasca, IL, USA.
5
Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Abstract

PURPOSE:

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

DESIGN:

Secondary analysis of 2016 National Youth Tobacco Survey data.

SETTING:

United States middle schools and high schools.

SAMPLE:

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

MEASURES:

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

ANALYSIS:

Logistic regression and Poisson regression models were built.

RESULTS:

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).

CONCLUSION:

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

KEYWORDS:

e-cigarettes; health policy; tobacco control

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