TY - JOUR
T1 - Electronic Cigarettes Associated With Incident and Polysubstance Use Among Youth
AU - Bentivegna, Kathryn
AU - Atuegwu, Nkiruka C.
AU - Oncken, Cheryl
AU - DiFranza, Joseph R.
AU - Mortensen, Eric M.
N1 - Funding Information:
Conflicts of interest: The other authors have indicated that they have no financial relationships relevant to this article to disclose.
PY - 2021/1
Y1 - 2021/1
N2 - Purpose: Electronic cigarette (e-cigarette) use has increased exponentially among the youth in the United States and may increase the incidence of substance use. Methods: Youth participants (12–17 years) were surveyed through the Population Assessment of Tobacco and Health study over a three-year time period. Youth with any baseline substance use or diagnosis of an attention deficit disorder were excluded from the analysis. Multivariable logistic regressions were used to assess the association between e-cigarette use at Wave 1 and incident substance use (marijuana, painkillers, sedatives, or tranquilizers and Ritalin/Adderall) and polysubstance use at Wave 2 or 3, and marijuana use in the electronic nicotine device at Wave 3. Results: Baseline ever e-cigarette users who had no history of marijuana, nonprescribed drugs and illicit substance use in Wave 1 had increased odds of reporting incident use of marijuana (odds ratio 2.59, 95% confidence interval: 1.90–3.52), nonprescribed Ritalin/Adderall use (1.89, 1.09–3.28), or polysubstance use (2.09, 1.43–3.05) in Wave 2 or 3 compared to never e-cigarette users. They were also more likely to report use of marijuana in the electronic nicotine product (2.26, 1.56–3.27) in Wave 3 compared to never e-cigarette users. There was no statistically significant association between baseline e-cigarette use and incident use of painkillers, sedatives, or tranquilizers in Wave 2 or 3 (1.21,. 79–1.87). Conclusions: E-cigarette use is associated with incident use of marijuana, marijuana in electronic nicotine devices, Ritalin/Adderall, and polysubstance use but not painkillers, sedatives, or tranquilizers. Results indicate that e-cigarettes are associated with subsequent additional risky health behaviors in youth.
AB - Purpose: Electronic cigarette (e-cigarette) use has increased exponentially among the youth in the United States and may increase the incidence of substance use. Methods: Youth participants (12–17 years) were surveyed through the Population Assessment of Tobacco and Health study over a three-year time period. Youth with any baseline substance use or diagnosis of an attention deficit disorder were excluded from the analysis. Multivariable logistic regressions were used to assess the association between e-cigarette use at Wave 1 and incident substance use (marijuana, painkillers, sedatives, or tranquilizers and Ritalin/Adderall) and polysubstance use at Wave 2 or 3, and marijuana use in the electronic nicotine device at Wave 3. Results: Baseline ever e-cigarette users who had no history of marijuana, nonprescribed drugs and illicit substance use in Wave 1 had increased odds of reporting incident use of marijuana (odds ratio 2.59, 95% confidence interval: 1.90–3.52), nonprescribed Ritalin/Adderall use (1.89, 1.09–3.28), or polysubstance use (2.09, 1.43–3.05) in Wave 2 or 3 compared to never e-cigarette users. They were also more likely to report use of marijuana in the electronic nicotine product (2.26, 1.56–3.27) in Wave 3 compared to never e-cigarette users. There was no statistically significant association between baseline e-cigarette use and incident use of painkillers, sedatives, or tranquilizers in Wave 2 or 3 (1.21,. 79–1.87). Conclusions: E-cigarette use is associated with incident use of marijuana, marijuana in electronic nicotine devices, Ritalin/Adderall, and polysubstance use but not painkillers, sedatives, or tranquilizers. Results indicate that e-cigarettes are associated with subsequent additional risky health behaviors in youth.
KW - Adolescent
KW - Electronic cigarettes
KW - Electronic nicotine delivery systems
KW - Marijuana use
KW - Polysubstance use
KW - Substance use
KW - Tobacco
KW - Vaping
KW - Youth
KW - e-cigarettes
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U2 - 10.1016/j.jadohealth.2020.05.026
DO - 10.1016/j.jadohealth.2020.05.026
M3 - Article
C2 - 32641242
AN - SCOPUS:85087523843
VL - 68
SP - 123
EP - 129
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
SN - 1054-139X
IS - 1
ER -