Sociodemographic Patterns of Exclusive and Dual Combustible Tobacco and E-Cigarette Use among US Adolescents—A Nationally Representative Study (2017–2020)

Bukola Usidame, Jana L. Hirschtick, Delvon T. Mattingly, Akash Patel, Megan E. Patrick and Nancy L. Fleischer
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Bukola Usidame: School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Jana L. Hirschtick: School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Delvon T. Mattingly: School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Akash Patel: School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Megan E. Patrick: Institute for Social Research, University of Michigan, Ann Arbor, MI 48106, USA
Nancy L. Fleischer: School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA

IJERPH, 2022, vol. 19, issue 5, 1-13

Abstract: This study assessed the sociodemographic predictors of exclusive and dual use of the most frequently used nicotine/tobacco products, e-cigarettes, and combustible tobacco among adolescents. Cross-sectional data was from the 2017–2020 Monitoring the Future nationally representative study of eighth, tenth, and twelfth-grade students. We coded past 30 day nicotine/tobacco use into four mutually exclusive categories: no use, e-cigarette use only, combustible use (cigarette or cigar) only, and dual use (e-cigarette and combustible). We pooled the 2017–2020 data to examine the relationship between sex, race/ethnicity, parental education, and each product-use category using multinomial logistic regression, stratified by grade level. Among eighth ( N = 11,189), tenth ( N = 12,882), and twelfth graders ( N = 11,385), exclusive e-cigarette use was the most prevalent pattern (6.4%, 13.2%, 13.8%, respectively), followed by dual use (2.7%, 4.5%, 8.9%), and exclusive combustible use (1.5%, 2.5%, 5.3%). eighth and tenth-grade adolescents whose highest parental education was a 4-year college degree or more had lower odds of exclusive combustible and dual use when compared to adolescents whose highest parental education was less than a high school degree. Research should continue to monitor the differential use of combustible tobacco products and e-cigarettes among adolescents from low socioeconomic status backgrounds or racial/ethnic minority households to inform ongoing and future interventions or policies.

Keywords: nicotine; tobacco; cigarettes; e-cigarettes; dual use; adolescents; youth; disparities (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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