Psychosocial Factors Associated With Adolescent Electronic Cigarette and Cigarette Use

被引:221
作者
Barrington-Trimis, Jessica L. [1 ]
Berhane, Kiros [1 ]
Unger, Jennifer B. [1 ]
Cruz, Tess Boley [1 ]
Huh, Jimi [1 ]
Leventhal, Adam M. [1 ]
Urman, Robert [1 ]
Wang, Kejia [1 ]
Howland, Steve [1 ]
Gilreath, Tamika D. [1 ,2 ]
Chou, Chih-Ping [1 ]
Pentz, Mary Ann [1 ]
McConnell, Rob [1 ]
机构
[1] Univ So Calif, Dept Prevent Med, Los Angeles, CA 90089 USA
[2] Univ So Calif, Sch Social Work, Los Angeles, CA 90089 USA
基金
美国国家卫生研究院;
关键词
D O I
10.1542/peds.2015-0639
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BACKGROUND: Use of electronic cigarettes (e-cigarettes) among adolescents has increased since their introduction into the US market in 2007. Little is known about the role of e-cigarette psychosocial factors on risk of e-cigarette or cigarette use in adolescence. METHODS: Information on e-cigarette and cigarette psychosocial factors (use and attitudes about use in the home and among friends) was collected from 11th- and 12th-grade participants in the Southern California Children's Health Study during the spring of 2014. RESULTS: Of 2084 participants, 499 (24.0%) had used an e-cigarette, including 200 (9.6%) current users (past 30 days); 390 participants (18.7%) had smoked a combustible cigarette, and 119 (5.7%) were current cigarette smokers. Cigarette and e-cigarette use were correlated. Nevertheless, 40.5% (n = 81) of current e-cigarette users had never smoked a cigarette. Psychosocial factors (home use of each product, friends' use of and positive attitudes toward e-cigarettes and cigarettes) and participant perception of the harm of e-cigarettes were strongly positively associated both with e-cigarette and cigarette use. Most youth who reported e-cigarette use had friends who used e-cigarettes, and almost half of current users reported that they did not believe there were health risks associated with e-cigarette use. CONCLUSIONS: Longitudinal studies of adolescents are needed to determine whether the strong association of e-cigarette psychosocial factors with both e-cigarette and cigarette use will lead to increased cigarette use or dual use of cigarettes and e-cigarettes, or whether e-cigarettes will serve as a gateway to cigarette use.
引用
收藏
页码:308 / 317
页数:10
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