Youth who initiate tobacco use with e-cigarettes only differ from those who start with cigarettes only or both products concomitantly

Background Few studies have compared the psychosocial risk profiles for youth who begin using tobacco with e-cigarettes only, cigarettes only, or both of these products. Methods More than 40 known psychosocial risk factors for youth tobacco use, including intra-personal (e.g., sensation seeking),...

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Main Authors: Melissa Harrell, Christian Jackson, Joanne Delk, Samuel Opara, Cheryl Perry
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Youth-who-initiate-tobacco-use-with-e-cigarettes-only-differ-from-those-who-start,84666,0,2.html
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author Melissa Harrell
Christian Jackson
Joanne Delk
Samuel Opara
Cheryl Perry
author_facet Melissa Harrell
Christian Jackson
Joanne Delk
Samuel Opara
Cheryl Perry
author_sort Melissa Harrell
collection DOAJ
description Background Few studies have compared the psychosocial risk profiles for youth who begin using tobacco with e-cigarettes only, cigarettes only, or both of these products. Methods More than 40 known psychosocial risk factors for youth tobacco use, including intra-personal (e.g., sensation seeking), inter-personal (e.g., peer influence), and environmental (e.g., tobacco marketing) factors were compared between those who started with e-cigarettes only (n=156, N=14550), cigarettes only (n=59, N=7325), or both of these products (n=35, N=3510). Psychosocial risk factors were measured at baseline (2014-15) and tobacco use behaviors at 6, 12, and 18 month follow-ups (2015-16) in a population-based sample (n) of 3,116 students in 4 large urban areas of Texas that generalizes back to 353,552 students (N) who were in the 6 th , 8 th , and 10 th grades and had never used tobacco at baseline. Results Youth who started with cigarettes only or both, compared to youth who started with e-cigarettes only, were more likely to have a family member that used cigarettes or e-cigarettes (p< 0.01) and be past 30-day marijuana users (p=0.01) at baseline. Youth who started with e-cigarettes only, compared with the others, reported a higher positive affect (p=0.01) and lower negative affect at baseline (p=0.01) and were more likely to have positive outcome expectations about tobacco use (e.g., it helps me concentrate; p=0.05) and be past 30-day alcohol users (p=0.05) at baseline. Youth who started with both products, compared to one exclusively, were more likely to have engaged with tobacco-related content on digital media (e.g., posted pictures, blogged) (p< 0.05) and less likely to report seeing displays for cigarettes at retail point-of-sale (p< 0.01) at baseline. No other differences in known risk factors (e.g., sensation seeking) were observed. Conclusions Psychosocial risk profiles do vary significantly by starter tobacco products. Implications for intervention will be discussed.
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spelling doaj.art-e620dcd8b3b345b9b43532a99dc0c5802022-12-21T19:16:05ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8466684666Youth who initiate tobacco use with e-cigarettes only differ from those who start with cigarettes only or both products concomitantlyMelissa Harrell0Christian Jackson1Joanne Delk2Samuel Opara3Cheryl Perry4UT Health School of Public Health, United States of AmericaUT Health School of Public Health, United States of AmericaUT Health School of Public Health, United States of AmericaUT Health School of Public Health, United States of AmericaUT Health School of Public Health, United States of AmericaBackground Few studies have compared the psychosocial risk profiles for youth who begin using tobacco with e-cigarettes only, cigarettes only, or both of these products. Methods More than 40 known psychosocial risk factors for youth tobacco use, including intra-personal (e.g., sensation seeking), inter-personal (e.g., peer influence), and environmental (e.g., tobacco marketing) factors were compared between those who started with e-cigarettes only (n=156, N=14550), cigarettes only (n=59, N=7325), or both of these products (n=35, N=3510). Psychosocial risk factors were measured at baseline (2014-15) and tobacco use behaviors at 6, 12, and 18 month follow-ups (2015-16) in a population-based sample (n) of 3,116 students in 4 large urban areas of Texas that generalizes back to 353,552 students (N) who were in the 6 th , 8 th , and 10 th grades and had never used tobacco at baseline. Results Youth who started with cigarettes only or both, compared to youth who started with e-cigarettes only, were more likely to have a family member that used cigarettes or e-cigarettes (p< 0.01) and be past 30-day marijuana users (p=0.01) at baseline. Youth who started with e-cigarettes only, compared with the others, reported a higher positive affect (p=0.01) and lower negative affect at baseline (p=0.01) and were more likely to have positive outcome expectations about tobacco use (e.g., it helps me concentrate; p=0.05) and be past 30-day alcohol users (p=0.05) at baseline. Youth who started with both products, compared to one exclusively, were more likely to have engaged with tobacco-related content on digital media (e.g., posted pictures, blogged) (p< 0.05) and less likely to report seeing displays for cigarettes at retail point-of-sale (p< 0.01) at baseline. No other differences in known risk factors (e.g., sensation seeking) were observed. Conclusions Psychosocial risk profiles do vary significantly by starter tobacco products. Implications for intervention will be discussed.http://www.journalssystem.com/tid/Youth-who-initiate-tobacco-use-with-e-cigarettes-only-differ-from-those-who-start,84666,0,2.htmlWCTOH
spellingShingle Melissa Harrell
Christian Jackson
Joanne Delk
Samuel Opara
Cheryl Perry
Youth who initiate tobacco use with e-cigarettes only differ from those who start with cigarettes only or both products concomitantly
Tobacco Induced Diseases
WCTOH
title Youth who initiate tobacco use with e-cigarettes only differ from those who start with cigarettes only or both products concomitantly
title_full Youth who initiate tobacco use with e-cigarettes only differ from those who start with cigarettes only or both products concomitantly
title_fullStr Youth who initiate tobacco use with e-cigarettes only differ from those who start with cigarettes only or both products concomitantly
title_full_unstemmed Youth who initiate tobacco use with e-cigarettes only differ from those who start with cigarettes only or both products concomitantly
title_short Youth who initiate tobacco use with e-cigarettes only differ from those who start with cigarettes only or both products concomitantly
title_sort youth who initiate tobacco use with e cigarettes only differ from those who start with cigarettes only or both products concomitantly
topic WCTOH
url http://www.journalssystem.com/tid/Youth-who-initiate-tobacco-use-with-e-cigarettes-only-differ-from-those-who-start,84666,0,2.html
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