Factors Associated with E-Cigarette Escalation among High School Students: A Review of the Literature
Abstract
:1. Introduction
2. Materials and Methods
2.1. Eligibility Criteria
2.2. Search of the Literature
2.3. Study Selection
2.4. Data Collection and Synthesis
3. Results
3.1. Search Results
3.2. Characteristics of Included Studies
3.3. Summary of Evidence
4. Discussion
Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
- Lozano, P.; Arillo-Santillán, E.; Barrientos-Gutíerrez, I.; Shigematsu, L.M.R.; Thrasher, J.F. E-cigarette social norms and risk perceptions among susceptible adolescents in a country that bans e-cigarettes. Health Educ. Behav. 2019, 46, 275–285. [Google Scholar] [CrossRef]
- Coke, L.A. Vaping and use of e-cigarette products in adolescents, a new cardiopulmonary crisis. J. Cardiovasc. Nurs. 2020, 35, 225–228. [Google Scholar] [CrossRef]
- Perikleous, E.P.; Steiropoulos, P.; Paraskakis, E.; Constantinidis, T.C.; Nena, E. E-cigarette use among adolescents: An overview of the literature and future perspectives. Front. Public Health 2018, 6, 86. [Google Scholar] [CrossRef]
- Gorukanti, A.; Delucchi, K.; Ling, P.; Fisher-Travis, R.; Halpern-Felsher, B. Adolescents’ attitudes towards e-cigarette ingredients, safety, addictive properties, social norms, and regulations. Prev. Med. 2017, 94, 65–71. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- McConnell, R.; Barrington-Trimis, J.L.; Wang, K.; Urman, R.; Hong, H.; Unger, J.; Samet, J.; Leventhal, A.; Berhane, K. Electronic cigarette use and respiratory symptoms in adolescents. Am. J. Respir. Crit. Care Med. 2017, 195. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Anic, G.M.; Sawdey, M.D.; Jamal, A.; Trivers, K.F. Frequency of use among middle and high school students tobacco product users- United States, 2015–2017. In Morbidity and Mortality Weekly Report; Centre for Disease Control and Prevention: Atlanta, GA, USA, 2018; p. 67. [Google Scholar]
- Barrington-Trimis, J.L.; Urman, R.; Leventhal, A.M.; Gauderman, W.J.; Cruz, T.B.; Gilreath, T.D.; Howland, S.; Unger, J.B.; Berhane, K.; Samet, J.S.; et al. E-cigarettes, cigarettes, and the prevalence of adolescent tobacco use. Pediatrics 2016, 138. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Patrick, M.E. Trends in adolescent vaping, 2017–2019. N. Engl. J. Med. 2019, 381, 1490–1491. [Google Scholar] [CrossRef]
- Babineau, K.; Taylor, K.; Clancy, L. Electronic cigarette use among Irish youth: A cross-sectional study of prevalence and associated factors. PLoS ONE 2015, 10, e0126419. [Google Scholar] [CrossRef] [Green Version]
- Bauld, L.; MacKintosh, A.M.; Eastwood, B.; Ford, A.; Moore, G.; Dockrell, M.; Arnott, D.; Cheeseman, H.; McNeill, A. Young people’s use of e-cigarettes across the United Kingdom: Findings from five surveys 2015–2017. Int. J. Environ. Res. Public Health 2017, 14, 973. [Google Scholar] [CrossRef] [Green Version]
- Cole, A.G.; Aleyan, S.; Battista, K.; Leatherdale, S.T. Trends in youth e-cigarette use between 2013 and 2019: Insights from repeat cross-sectional data from the COMPASS study. Can. J. Public Health 2020. [Google Scholar] [CrossRef]
- Kawitt, S.D.; Osman, A.; Ranney, L.M.; Heck, C.; Goldstein, A.O. E-cigarette use among adolescents not susceptible to using cigarettes. Prev. Chronic Dis. 2018, 15. [Google Scholar] [CrossRef] [Green Version]
- Anand, V.; McGuinty, K.L.; O’Brien, K.; Guenthner, G.; Hahn, E.; Martin, C.A. E-cigarette use and beliefs among urban public high school students in North Carolina. J. Adolescdent Health 2015, 57, 46–51. [Google Scholar] [CrossRef]
- Bold, K.W.; Kong, G.; Cavallo, D.A.; Camenga, D.R.; Krishnan-Sarin, S. Reasons for trying e-cigarettes and risk of continued use. Pediatrics 2016, 138. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Goldensen, N.; Leventhal, A.M.; Stone, M.D.; McConnell, R.S.; Barrington-Trimis, J.L. Associations of e-cigarette nicotine concentration and subsequent cigarette smoking and vaping levels in adolescents. JAMA Pediatrics 2017, 171, 1192–1199. [Google Scholar] [CrossRef]
- Lanza, H.I.; Barrington-Trimis, J.L.; McConnell, R.; Cho, J.; Braymiller, J.L.; Krueger, E.A.; Leventhal, A.M. Trajectories of nicotine and cannabis vaping and polyose from adolescence to young adulthood. JAMA Network Open 2020, 3. [Google Scholar] [CrossRef] [PubMed]
- Park, E.; Livingston, J.A.; Wang, W.; Kwon, M.; Eiden, R.D.; Chang, Y. Adolescent e-cigarette use trajectories and subsequent alcohol and marijuana use. Addict. Behav. 2020, 103. [Google Scholar] [CrossRef] [PubMed]
- Westling, E.; Rusby, J.C.; Crowley, R.; Light, J.M. Electronic cigarette use by youth: Prevalence, correlates and use trajectories from middle to high school. J. Adolesc. Health 2017, 60, 660–666. [Google Scholar] [CrossRef]
- Flay, B.R.; Petraitis, J. The theory of influence: A new theory of health behavior with implications for preventive interventions. Adv. Med Sociol. 1994, 4, 19–44. [Google Scholar]
- Flay, B.R. Understanding environmental, situational and intrapersonal risk and protective factors for youth tobacco use: The theory of influence. Nicotine Tob. Res. 1999, 1, S111–S114. [Google Scholar] [CrossRef]
- McKeganey, N.; Barnard, M. Change and continuity in vaping and smoking by young people: A qualitative case study of a friendship group. Int. J. Environ. Res. Public Health 2018, 15, 1008. [Google Scholar] [CrossRef] [Green Version]
- Nichter, M.; Nichter, M.; Carkoglu, A.; Lloyd-Richardson, E. Smoking and drinking among college students: “It’s a package deal”. Drug Alcohol Depend. 2010, 106, 16–20. [Google Scholar] [CrossRef] [PubMed]
- Singh, S.; Windle, S.B.; Filion, K.B.; Thombs, B.D.; O’Laughlin, J.L.; Grad, R.; Eisenberg, M. E-cigarettes and youth: Patterns of use, potential harms and recommendations. Preventive Med. 2020, 133. [Google Scholar] [CrossRef] [PubMed]
- Galanti, M.R.; Coppo, A.; Jonsson, E.; Bremberg, S.; Faggiano, F. Anti-tobacco policy in schools: Upcoming preventive strategy or prevention myth? A review of 31 studies. Tob. Control 2014, 23, 295–301. [Google Scholar] [CrossRef] [PubMed]
Authors | Sample Size, Location, and Year | Mean Age, and Gender | Methodology | Results |
---|---|---|---|---|
Bold, K.W., Kong, G., Cavallo, D.A., Camenga, D.R., and Krishnan-Sarin, S. [14] | 340 students who reported previous e-cigarette useUnited States2013–2014 | 15.6 (±1.2) years of age52.6% female | Two waves of data collection (Fall 2013 and Spring 2014) assessing e-cigarette use frequency using the question, “How many days out of the last 30 days did you use e-cigarettes?” | Mean frequency of use increased from 7.4 (±9.6) days at wave 1 to 10.4 (±10.5) days at wave 2.Appeal of e-cigarettes to youth may be the ability to use e-cigarettes anywhere and the relatively low cost.Younger age (B = 10.19, SE = 3.30, ß= 0.24, p = 0.003) and use of traditional cigarettes (B = 4.86, SE = 1.94, ß = 0.23, p = 0.01) were associated with an increase in frequency of e-cigarette use |
Goldenson, N., Leventhal, A.M., Stone, M.D., McConnell, R.S., and Barrington-Trimis, J.L. [15] | 181 grade 10 studentsUnited States2013–2015 | 16.1 (±0.4) years of age53.0% male | Past 30-day use of e-cigarettes measured by frequency and intensity across five waves from Fall 2013 school semester to the Fall 2015 school semester.Frequency assessed by capturing number of days out of the past 30 days in which participants used e-cigarettes. Answers were grouped as no use (0 days), infrequent use (1 or 2 days), and frequent use (≥3 days).Intensity was assessed using the two questions: (1) “On the days you vaped, how many times did you usually pick up your e-cigarette to vape?” (responses: 1 time, 2 times, 3–5 times, 6–9 times, 10–14 times, 15–20, or ≥20 times); and (2) Each time you picked up your e-cigarette to vape, how many puffs did you usually take before putting it away?” (responses: 0 puffs, 1 puff, 2 puffs, 3–5 puffs, 6–9 puffs, 10–14 puffs, 15–20 puffs, or ≥20 puffs). | At baseline, 7.2% (n = 235) reported past 30-day vaping.Of an analytical sample of 181 students, 59.7% reported vaping a solution with nicotine in past 30-days, 28.7% vaped low concentration nicotine, 19.3% used medium concentration, and 11.6% used high concentration.After adjusting for covariates, for each 1-level increase in baseline nicotine concentrations, the odds of being a frequent 30-day vaper increased 1.65 times when compared to non-vapers at follow-up (OR: 1.65; 95%CI: 1.09, 2.51) |
Lanza, H.I., Barrington-Trimis, J.L., McConnell, R., Cho, J. [16] | 3322 high school studentsUnited States2013–2015 | 16.5 (±0.4) years of age53.5% female | Using data from waves 5–9 (when information regarding e-cigarette use was included in questionnaire) to create a trajectory of nicotine e-cigarette use.Nicotine vaping frequency assessed by the single question: “In the last 30 days, how many total days have you used an electronic cigarette, with nicotine (e-cigs, personal vaporizer, PV (personal vaporizer))?” Responses were coded into 0, 2, 4, 8, 15, 25, or 30 days. | Number of participants reporting any nicotine vaping in the past 30 days ranged from 4.4% in wave 7 to 7.5% in wave 8, before increasing to 22.0% in wave 9.Five trajectories identified:No use (n = 2246; 67.6%)Infrequent use (n = 566; 27.0%)Moderate use (n = 167; 5.0%)Young adult-onset frequent use (n = 213; 6.4%)Adolescent-onset escalating frequent use (n = 131; 3.9%)Highest increase in frequency of e-cigarette use occurred in the group of adolescent onset frequent users. This group was also associated with the cannabis vaping frequent user group. Cannabis and nicotine vaping may have similar underlying risk processes. |
Park, E., Livingston, J.A., Wang, W., Kwon, M., Eiden, R.D., and Chang, Y. [17] | 801 adolescentsUnited StatesYear not reported | 14.14 (±1.37) years of age57% female | Data collected across five waves was used to create trajectories of e-cigarette use.E-cigarette use was assessed by a single question: “On how many occasions (if any) did you use an electronic cigarette or e-cigarette (vape pen) during the last 6 months?”. Response options included the following: Never, 1 or 2 times, 3–5 times, 6–9 times, 10–19 times, 20–39 times, or 40 or more times. | A total of 43.4% of the sample had tried e-cigarettes at least once before.Average age of onset for e-cigarette use was 14.1 (±0.5) years.Membership of trajectory groups:Never use (66.6%)Low and increasing (20.1%)High and increasing (13.3%)Even low frequency of use in early adolescence may be a risk factor for continuing and/or increasing use of e-cigarettes. |
Westling, E., Rusby, J.C., Crowley, R., and Light, J.M. [18] | 1130 adolescentsUnited States2014–2016 | 14.4 (±0.5) years of age53% female | E-cigarette use frequency was captured by two questions: 1. “In your whole life, how many different times have you ever smoked an e-cigarette (‘vape pen’) or an e-hookah, even a puff?”; and 2. “In the last 30 days, on how many days would you say you have smoked an e-cigarette (‘vape pen’) or an e-hookah, even a puff?” | Average e-cigarette use frequency was 14 days out of the last 30 days at baseline and increased to 30 days out of the past 30 days at follow up.A total of 1035 students (94.9%) were classified in the trajectory labelled “non or low users of e-cigarettes”.A total of 56 students (5.1%) were members of the “Accelerators” class, which denoted accelerating users of e-cigarettes. |
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Short, M.; Cole, A.G. Factors Associated with E-Cigarette Escalation among High School Students: A Review of the Literature. Int. J. Environ. Res. Public Health 2021, 18, 10067. https://doi.org/10.3390/ijerph181910067
Short M, Cole AG. Factors Associated with E-Cigarette Escalation among High School Students: A Review of the Literature. International Journal of Environmental Research and Public Health. 2021; 18(19):10067. https://doi.org/10.3390/ijerph181910067
Chicago/Turabian StyleShort, Michael, and Adam Geoffrey Cole. 2021. "Factors Associated with E-Cigarette Escalation among High School Students: A Review of the Literature" International Journal of Environmental Research and Public Health 18, no. 19: 10067. https://doi.org/10.3390/ijerph181910067