Examining Youth Dual and Polytobacco Use with E-Cigarettes

Youn Ok Lee, Jessica K. Pepper, Anna J. MacMonegle, James M. Nonnemaker, Jennifer C. Duke and Lauren Porter
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Youn Ok Lee: RTI International, Public Health Research Division, Research Triangle Park, NC 27709, USA
Jessica K. Pepper: RTI International, Public Health Research Division, Research Triangle Park, NC 27709, USA
Anna J. MacMonegle: RTI International, Public Health Research Division, Research Triangle Park, NC 27709, USA
James M. Nonnemaker: RTI International, Public Health Research Division, Research Triangle Park, NC 27709, USA
Jennifer C. Duke: RTI International, Public Health Research Division, Research Triangle Park, NC 27709, USA
Lauren Porter: Florida Department of Health, 4052 Bald Cypress Way, Tallahassee, FL 32399, USA

IJERPH, 2018, vol. 15, issue 4, 1-12

Abstract: E-cigarettes and other non-cigarette tobacco products are increasingly popular among youth. Little is known to inform public health efforts to reduce youth use. We examined psychosocial correlates of single and multiple tobacco product use among youth e-cigarette users. Data were from the 2014 Florida Youth Tobacco Survey ( N = 69,923), a representative sample of Florida middle and high school students. Associations between combinations of e-cigarette, cigarette and other tobacco product (OTP) use and psychosocial variables were examined using multinomial logistic regression with an analytic sample of N = 2756. Most e-cigarette-using youth used at least one other product (81%). Perceiving cigarettes as easy to quit was significantly associated with greater likelihood of combined e-cigarette/OTP use (relative risk ratio (RRR) = 2.51, p < 0.001) and combined e-cigarette/cigarette/OTP use (RRR = 3.20, p < 0.0001). Thinking you will be smoking cigarettes in 5 years was associated with product combinations that include cigarettes. Tobacco company marketing receptivity was associated with multiple product user types. Given that specific psychosocial factors put youth at risk for concurrent use of e-cigarettes with tobacco products, public health efforts should address polytobacco use specifically, instead of individual product use. Youth perceptions about the ease of quitting cigarettes, intentions to continue smoking cigarettes and receptivity to tobacco company marketing are promising areas for messaging aimed at reducing e-cigarette polytobacco product use.

Keywords: electronic cigarettes; cigarettes; other tobacco products; polytobacco use; psychosocial factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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