Tobacco Use Status and Temptation to Try E-Cigarettes among a Sample of Appalachian Youth

Delvon T. Mattingly, Jayesh Rai, Osayande Agbonlahor, Kandi L. Walker and Joy L. Hart
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Delvon T. Mattingly: Department of Communication, University of Louisville, Louisville, KY 40292, USA
Jayesh Rai: Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY 40202, USA
Osayande Agbonlahor: Department of Communication, University of Louisville, Louisville, KY 40292, USA
Kandi L. Walker: Department of Communication, University of Louisville, Louisville, KY 40292, USA
Joy L. Hart: Department of Communication, University of Louisville, Louisville, KY 40292, USA

IJERPH, 2021, vol. 18, issue 13, 1-11

Abstract: E-cigarettes are commonly used tobacco products among youth populations, including Appalachian youth. However, knowledge of the extent to which tobacco use status relates to temptation to try e-cigarettes is limited. Data from the Youth Appalachian Tobacco Study ( n = 1047) were used. Temptation to try e-cigarettes was derived from a 12-item situational inventory. Tobacco use status was defined as never, ever non-e-cigarette, and ever e-cigarette use. A factorial ANOVA was used to estimate the adjusted association between tobacco use status and the e-cigarette use temptation scale. Two-way interaction terms between tobacco use status and gender, and tobacco use status and race/ethnicity, were plotted to depict effect modification. Approximately 10% of youth were ever non-e-cigarette users and 24% were ever e-cigarette users. Never and ever non-e-cigarette user middle schoolers had higher temptation to try e-cigarettes than their high school counterparts. The same relationship was found among never and ever e-cigarette users living in households with tobacco users. The ANOVA results suggest a positive, monotonic relationship between tobacco use status and temptation to try e-cigarettes, and that the adjusted group means differ by gender and race/ethnicity. The findings can inform tobacco prevention interventions for youth at higher risk for e-cigarette use, especially youth who have not yet tried e-cigarettes.

Keywords: tobacco; youth; e-cigarettes; Appalachia; temptation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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