Adverse Childhood Experiences and Electronic Cigarette Use among U.S. Young Adults

(1) Background: Adverse childhood experiences (ACEs), which are potentially traumatic childhood events, have been associated with increased tobacco product use. Less is known about electronic cigarette (e-cigarette) use during young adulthood. This study explored the associations between ACEs and cu...

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Main Authors: Afolakemi C. Olaniyan, Laura A. Nabors, Keith A. King, Ashley L. Merianos
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/11/11/907
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author Afolakemi C. Olaniyan
Laura A. Nabors
Keith A. King
Ashley L. Merianos
author_facet Afolakemi C. Olaniyan
Laura A. Nabors
Keith A. King
Ashley L. Merianos
author_sort Afolakemi C. Olaniyan
collection DOAJ
description (1) Background: Adverse childhood experiences (ACEs), which are potentially traumatic childhood events, have been associated with increased tobacco product use. Less is known about electronic cigarette (e-cigarette) use during young adulthood. This study explored the associations between ACEs and current e-cigarette use among U.S. young adults. (2) Methods: This study was a secondary analysis of 2021 Behavioral Risk Factor Surveillance System data including 2537 young adults aged 18–24 years. Unadjusted and adjusted logistic regression analyses were conducted. (3) Results: Of the participants, 19.2% currently used e-cigarettes, and 22.1% reported 1 ACE, 13.0% reported 2 ACEs, 10.7% reported 3 ACEs, and 30.6% reported ≥4 ACEs. Unadjusted results indicated that participants who experienced 1 ACE (odds ratio (OR) = 1.76, 95% confidence interval (CI) = 1.01–3.07), 2 ACEs (OR = 2.18, 95%CI = 1.24–3.83), 3 ACEs (OR = 2.63, 95%CI = 1.41–4.90), and ≥4 ACEs (OR = 3.69, 95%CI = 2.23–6.09) were at increased odds of reporting current e-cigarette use than participants who experienced 0 ACEs. Adjusted results indicated that participants who experienced 3 ACEs were at 2.20 times higher odds (95%CI = 1.15–4.23) and participants who experienced ≥4 ACEs were at 2.73 times higher odds (95%CI = 1.58–4.71) of reporting current e-cigarette use than participants who experienced 0 ACEs. (4) Conclusions: Young adults exposed to ACEs are at risk of using e-cigarettes.
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spelling doaj.art-6deeb5e4ff1b48e49d41831b728609072023-11-24T15:09:20ZengMDPI AGToxics2305-63042023-11-01111190710.3390/toxics11110907Adverse Childhood Experiences and Electronic Cigarette Use among U.S. Young AdultsAfolakemi C. Olaniyan0Laura A. Nabors1Keith A. King2Ashley L. Merianos3School of Population & Health Sciences, Dillard University, New Orleans, LA 70122, USASchool of Human Services, University of Cincinnati, Cincinnati, OH 45221, USASchool of Human Services, University of Cincinnati, Cincinnati, OH 45221, USASchool of Human Services, University of Cincinnati, Cincinnati, OH 45221, USA(1) Background: Adverse childhood experiences (ACEs), which are potentially traumatic childhood events, have been associated with increased tobacco product use. Less is known about electronic cigarette (e-cigarette) use during young adulthood. This study explored the associations between ACEs and current e-cigarette use among U.S. young adults. (2) Methods: This study was a secondary analysis of 2021 Behavioral Risk Factor Surveillance System data including 2537 young adults aged 18–24 years. Unadjusted and adjusted logistic regression analyses were conducted. (3) Results: Of the participants, 19.2% currently used e-cigarettes, and 22.1% reported 1 ACE, 13.0% reported 2 ACEs, 10.7% reported 3 ACEs, and 30.6% reported ≥4 ACEs. Unadjusted results indicated that participants who experienced 1 ACE (odds ratio (OR) = 1.76, 95% confidence interval (CI) = 1.01–3.07), 2 ACEs (OR = 2.18, 95%CI = 1.24–3.83), 3 ACEs (OR = 2.63, 95%CI = 1.41–4.90), and ≥4 ACEs (OR = 3.69, 95%CI = 2.23–6.09) were at increased odds of reporting current e-cigarette use than participants who experienced 0 ACEs. Adjusted results indicated that participants who experienced 3 ACEs were at 2.20 times higher odds (95%CI = 1.15–4.23) and participants who experienced ≥4 ACEs were at 2.73 times higher odds (95%CI = 1.58–4.71) of reporting current e-cigarette use than participants who experienced 0 ACEs. (4) Conclusions: Young adults exposed to ACEs are at risk of using e-cigarettes.https://www.mdpi.com/2305-6304/11/11/907electronic nicotine delivery systemsvapingadverse childhood experiencesyoung adult
spellingShingle Afolakemi C. Olaniyan
Laura A. Nabors
Keith A. King
Ashley L. Merianos
Adverse Childhood Experiences and Electronic Cigarette Use among U.S. Young Adults
Toxics
electronic nicotine delivery systems
vaping
adverse childhood experiences
young adult
title Adverse Childhood Experiences and Electronic Cigarette Use among U.S. Young Adults
title_full Adverse Childhood Experiences and Electronic Cigarette Use among U.S. Young Adults
title_fullStr Adverse Childhood Experiences and Electronic Cigarette Use among U.S. Young Adults
title_full_unstemmed Adverse Childhood Experiences and Electronic Cigarette Use among U.S. Young Adults
title_short Adverse Childhood Experiences and Electronic Cigarette Use among U.S. Young Adults
title_sort adverse childhood experiences and electronic cigarette use among u s young adults
topic electronic nicotine delivery systems
vaping
adverse childhood experiences
young adult
url https://www.mdpi.com/2305-6304/11/11/907
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AT ashleylmerianos adversechildhoodexperiencesandelectroniccigaretteuseamongusyoungadults