Offers of Cigarettes and E-Cigarettes Among High School Students: A Population Study from California

Adam G. Cole, Sharon E. Cummins and Shu-Hong Zhu
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Adam G. Cole: Moores Cancer Center, University of California San Diego, San Diego, CA 92093, USA
Sharon E. Cummins: Department of Family Medicine and Public Health, University of California San Diego, San Diego, CA 92093, USA
Shu-Hong Zhu: Department of Family Medicine and Public Health, University of California San Diego, San Diego, CA 92093, USA

IJERPH, 2019, vol. 16, issue 7, 1-10

Abstract: Receiving offers of cigarettes or e-cigarettes can contribute to the progression from intention to actual use. However, there is a lack of data about the prevalence or characteristics of youth being offered cigarettes or e-cigarettes. A random sample of 91 high schools in the state of California (with 40,137 students) participated in the 2015–16 California Student Tobacco Survey. Offers of cigarettes and e-cigarettes in the last 30 days were assessed. Separate multilevel logistical regression models identified student characteristics associated with being offered cigarettes and e-cigarettes. On average, 11.1% and 16.1% of all students reported being offered cigarettes and e-cigarettes in the last 30 days, respectively. Among those who received offers of cigarettes, 45.5% were never smokers. Among those who received offers of e-cigarettes, 29.6% were never vapers. Male students were more likely to report being offered an e-cigarette than female students (Adjusted Odds Ratio (AOR) 1.13), as were students with friends that used e-cigarettes (AOR 5.14–23.31) and those with high sensation seeking tendencies (AOR 1.33). Similar characteristics were associated with offers of cigarettes. Including measures of offers of cigarettes and e-cigarettes in surveillance systems could help identify those at risk of future cigarette and e-cigarette use.

Keywords: electronic cigarettes; tobacco control; youth tobacco use; risk for tobacco use; susceptibility to future smoking (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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