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. 2016 Oct;51(4):446-53.
doi: 10.1016/j.amepre.2016.03.010. Epub 2016 Apr 13.

E-Cigarette Use Among Florida Youth With and Without Asthma

Affiliations

E-Cigarette Use Among Florida Youth With and Without Asthma

Kelvin Choi et al. Am J Prev Med. 2016 Oct.

Abstract

Introduction: Although prevalence of youth e-cigarette use has increased dramatically, little is known about e-cigarette use among youth with asthma and how it differs by metropolitan status. This study assessed the prevalence of e-cigarette use among youth by asthma and metropolitan status and examined the associations between e-cigarette use, susceptibility to cigarette smoking, and asthma attack.

Methods: High school student participants from the 2012 Florida Youth Tobacco Survey were included (N=36,085). Information on demographics, asthma status, ever and past 30-day use of e-cigarettes, cigarette smoking susceptibility, and having asthma attacks in the past 12 months were collected. Data were weighted to be representative of Florida high school students. Analyses were conducted in 2015.

Results: Overall, prevalence of ever and past 30-day e-cigarette use among students who reported having asthma were 10.4% and 5.3%, respectively, higher than those without asthma (7.2% and 2.5%, respectively, p<0.01). Among students with asthma, e-cigarette use was more common among those in non-metropolitan and rural counties than those in metropolitan counties (p<0.05). Ever and past 30-day e-cigarette use was associated with cigarette smoking susceptibility among participants with asthma and those who never tried cigarettes (n=2,410; ever use, AOR=3.96, 95% CI=1.49, 10.56; past 30-day use, AOR=422.10, 95% CI=50.29, >999.99). Past 30-day e-cigarette use was associated with having an asthma attack in the past 12 months among participants with asthma (n=5,865, p<0.01).

Conclusions: E-cigarette use is more common among Florida high school youth with asthma and is associated with susceptibility to cigarette smoking.

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Conflict of interest statement

of financial conflict of interests: No financial disclosures were reported by the authors of this paper.

Figures

Figure 1
Figure 1
Associations between electronic cigarette use, susceptibility to smoking and having an asthma attack in the past 12 months. a. Adjusted for age, race/ethnicity, gender, metropolitan status, and living with someone who smokes. b. Adjusted for age, race/ethnicity, gender, metropolitan status, days smoked cigarettes in the past 30 days, positive social norm towards smoking, and exposure to secondhand smoke.

References

    1. Arrazola R, Singh T, Corey CG, Husten CG, Neff LJ, Apelberg BJ, et al. Tobacco Use Among Middle and High School Students -- United States, 2011–2014. Morbidity and Mortality Weekly Report. 2015;64(14):381–385. - PMC - PubMed
    1. Farsalinos KE, Polosa R. Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette subsitutes: a systematic review. Therapeutic Advances in Drug Safety. 2014;5(2):67–86. - PMC - PubMed
    1. E-cigarettes: Public Health England's evidence-based confusion. Lancet. 2015;386(9996):829. - PubMed
    1. McKee M, Capewell S. Evidence about electronic cigarettes: a foundation built on rock or sand? BMJ. 2015;351:h4863. - PubMed
    1. England LJ, Bunnell RE, Pechacek TF, Tong VT, McAfee TA. Nicotine and the Developing Human: A Neglected Element in the Electronic Cigarette Debate. Am J Prev Med. 2015 - PMC - PubMed

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