Adolescent Risk Behaviors and Use of Electronic Vapor Products and Cigarettes - PubMed (original) (raw)

Adolescent Risk Behaviors and Use of Electronic Vapor Products and Cigarettes

Zewditu Demissie et al. Pediatrics. 2017 Feb.

Abstract

Background: Adolescent use of tobacco in any form is unsafe; yet the use of electronic cigarettes and other electronic vapor products (EVPs) has increased in recent years among this age group. We assessed the prevalence and frequency of cigarette smoking and EVP use among high school students, and associations between health-risk behaviors and both cigarette smoking and EVP use.

Methods: We used 2015 national Youth Risk Behavior Survey data (N = 15 624) to classify students into 4 mutually exclusive categories of smoking and EVP use based on 30-day use: nonuse, cigarette smoking only, EVP use only, and dual use. Prevalence of cigarette smoking and EVP use were assessed overall and by student demographics and frequency of use. Prevalence ratios were calculated to identify associations with health risk-behaviors.

Results: In 2015, 73.5% of high school students did not smoke cigarettes or use EVPs, 3.2% smoked cigarettes only, 15.8% used EVPs only, and 7.5% were dual users. Frequency of cigarette smoking and EVP use was greater among dual users than cigarette-only smokers and EVP-only users. Cigarette-only smokers, EVP-only users, and dual users were more likely than nonusers to engage in several injury, violence, and substance use behaviors; have ≥4 lifetime sexual partners; be currently sexually active; and drink soda ≥3 times/day. Only dual users were more likely than nonusers not to use a condom at last sexual intercourse.

Conclusions: EVP use, alone and concurrent with cigarette smoking, is associated with health-risk behaviors among high school students.

Copyright © 2017 by the American Academy of Pediatrics.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest relevant to this article to disclose.

Figures

FIGURE 1

FIGURE 1. Cigarette smoking frequency among cigarette only smokers and dual users,a National YRBS, 2015b

a Dual user is defined as a student who currently smokes cigarettes and uses electronic vapor products. b Statistical difference between cigarette only smokers and dual users is designated with an asterisk (*).

FIGURE 2

FIGURE 2

EVP use frequency among EVP-only users and dual users, National YRBS, 2015. “Dual user” is defined as a student who currently smokes cigarettes and uses electronic vapor products. *Statistical difference between EVP-only users and dual users.

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