Disparities in E-Cigarette and Tobacco Use Among Adolescents With Disabilities

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Senders, Angela ; Horner-Johnson, Willi
• Description:
  Introduction
  
  In 2019, nearly 30% of US high-school students reported current (past 30 day) e-cigarette use. Adolescents with disabilities are consistently more likely to smoke cigarettes compared with their nondisabled peers, yet little is known about their use of other forms of tobacco, including e-cigarettes. We compared the prevalence of tobacco use (e-cigarettes, cigarettes, little cigars, large cigars, hookahs, and smokeless tobacco) among high school students with at least 1 disability to those without disability.
  
  Methods
  
  Data were from the 2015 and 2017 Oregon Healthy Teens survey, a statewide representative sample of 11th-grade students. We estimated the prevalence of current (past 30 day) tobacco use by product type and disability status (yes or no). We used multivariable Poisson regression to estimate prevalence ratios measuring the association between disability status and current tobacco use, by product: 1) combustible products only, 2) e-cigarettes only, and 3) dual use of combustibles and e-cigarettes.
  
  Results
  
  Students with disabilities were more likely to use a variety of tobacco products compared with their nondisabled peers, including cigarettes (12.3% vs 5.4%), little cigars (7.0% vs 5.4%), hookahs (6.2% vs 3.8%), and e-cigarettes (18.3% vs 12.3%). In adjusted models, students with a disability were more likely to report using combustibles only (adjusted prevalence ratio [aPR], 1.55; 95% CI, 1.31–1.84), e-cigarettes only (aPR, 1.36; 95% CI, 1.16–1.59), or dual use (aPR, 1.52; 95% CI, 1.29–1.80) compared with nondisabled students.
  
  Conclusion
  
  Effective tobacco control programs should target populations with the greatest burden of tobacco use. Results suggest that tobacco prevention and reduction efforts should explicitly include adolescents with disabilities and employ accommodations that support their participation in program activities.
  
  
• Subjects:
  Original Research
• Source:
  Prev Chronic Dis. 2020; 17
• ISSN:
  1545-1151
• Pubmed ID:
  33119484
• Pubmed Central ID:
  PMC7665574
• Document Type:
  Journal Article
• Volume:
  17
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:af6a23df63b21f3551d840a8659052ce64e59ea038acd3daef6672b4d5409212f66ff29da48564233add42616176d6e06f1a19634d875c94128561e80d28ecc6
• Download URL:
  https://stacks.cdc.gov/view/cdc/97437/cdc_97437_DS1.pdf
• File Type:
  [PDF - 519.88 KB ]