Alternate tobacco product and drug use among adolescents who use electronic cigarettes, cigarettes only, and never smokers
- PMID: 25085648
- PMCID: PMC4175192
- DOI: 10.1016/j.jadohealth.2014.06.016
Alternate tobacco product and drug use among adolescents who use electronic cigarettes, cigarettes only, and never smokers
Abstract
Purpose: To determine whether use of alternative tobacco products (i.e., cigars, blunts, hookah, smokeless tobacco), alcohol, and marijuana differs among adolescents who currently use (1) electronic cigarettes (e-cigarettes); (2) cigarettes only; and (3) never smokers.
Methods: Analysis of a self-reported survey from four high schools in 2010-2011 (n = 3,102) with a subsample (n = 1,556) surveyed on alcohol and marijuana. Analyses were conducted with multinomial logistic regression models accounting for clustering by schools.
Results: The sample contained 2.4% (n = 76) e-cigarette users, 12.4% (n = 386) cigarette smokers, and 85.1% (n = 3,197) never smokers. E-cigarette users were more likely than cigarette-only smokers to report blunt (adjusted odds ratio, 1.81; 95% confidence interval, 1.21-2.71) and hookah use (adjusted odds ratio, 3.12; 95% confidence interval, 1.90-5.13), but not cigar, smokeless tobacco, alcohol, or marijuana use.
Conclusions: E-cigarette users are more likely than cigarette smokers to use hookah and blunts.
Keywords: Adolescent; Alcohol; Marijuana; Tobacco products.
Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
Conflict of interest statement
There is no potential, perceived or real conflict of interest involved in the submission of this manuscript.
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