Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Jenson, Tara E.
Description:
Introduction

Understanding differences in predictors of adolescent cigarette smoking and e-cigarette use can inform public health strategies for preventing and reducing tobacco use among this population. The objective of this study was to examine the association of socioeconomic, psychosocial, and behavioral factors with cigarette smoking and e-cigarette use among adolescents in Minnesota.

Methods

Records (n = 126,868) were used from the 2016 Minnesota Student Survey for prevalence of and factors associated with cigarette smoking and e-cigarette use among students in grades 8, 9, and 11. Logistic regression models were used to estimate risk for smoking cigarettes, using e-cigarettes, or concurrent use of both for key independent variables.

Results

American Indian students were 3.6 times as likely to report smoking cigarettes (OR = 3.57; 95% CI, 3.04–4.19), and 1.7 times as likely to report using e-cigarettes (OR = 1.72; 95% CI, 1.47–2.01) as non-Hispanic white students. Bisexual students were 4 times as likely (adjusted odds ratio [AOR] = 4.40; 95% confidence interval [CI], 4.01–4.82) as heterosexual students to smoke cigarettes and twice as likely (AOR = 2.24; 95% CI, 2.06–2.43) to use e-cigarettes. Students receiving free/reduced lunch were nearly twice as likely (AOR = 1.92; 95% CI, 1.80–2.05) to smoke cigarettes and 1.3 times as likely (AOR = 1.33; 95% CI, 1.27–1.39) to use e-cigarettes. Increasing alcohol use and decreasing academic performance were associated with increasing likelihood of cigarette smoking and e-cigarette use, more so with cigarette smoking.

Conclusion

Results expand on existing research that show differences in psychosocial and behavioral risk factors between adolescent cigarette smokers and adolescent e-cigarette users.


Subjects:
[+]
Adolescent Adolescent Behavior Alcohol Drinking/epidemiology Cigarette Smoking/epidemiology Cigarette Smoking/psychology Cross-Sectional Studies Electronic Nicotine Delivery Systems Female Health Surveys Humans Logistic Models Male Original Research Prevalence Risk-Taking Risk Factors Smokers Smokers/psychology Socioeconomic Factors Students
Source:
Prev Chronic Dis. 15.
Pubmed ID:
30264689
Pubmed Central ID:
PMC6178898
Document Type:
Journal Article
Place as Subject:
Minnesota
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:2f39dfba413dee918a0ce3d2357aa64f06a28ff2fb3b5465938d954e998bd9f7
Download URL:
https://stacks.cdc.gov/view/cdc/60008/cdc_60008_DS1.pdf
File Type:

Supporting Files

• PCD-15-E118.nxml

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