E-cigarette use among Texas youth: Results from the 2014 Texas Youth Tobacco Survey

Maria Cooper, Kathleen R. Case, Alexandra Loukas

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Introduction: Several characteristics of electronic cigarettes (e-cigarettes), such as candy flavorings, are worrisome for attracting youth. The current cross-sectional study uses data on e-cigarette use from the 2014 Texas Youth Tobacco Survey (TYTS), a representative statewide sample of Texas middle school and high school students. This study's aims are to determine the prevalence of e-cigarette use, including rates of concurrent use with other tobacco products among Texas youth and to describe the demographic and tobacco use differences between e-cigarette users and non-users. Methods: Participants were 13,602 6th through 12th grade students in Texas. Descriptive statistics were generated to determine the prevalence of current and lifetime e-cigarette use and to determine the prevalence of demographic characteristics across e-cigarette usage groups. Logistic regression analyses were conducted to examine differences in demographic characteristics, cigarette use in the home, and tobacco use behaviors for e-cigarette users versus non-users. Results: Almost one quarter of all middle and high school students reported lifetime e-cigarette use and 14.0% were past 30-day users of these products. Current e-cigarette users were more likely to be high school students, white and male than non-current users. Both current and lifetime e-cigarette users were also more likely than their peers to use other tobacco products, although 24.2% of current e-cigarette users had never smoked conventional cigarettes, and 7.3% had never used any other type of tobacco product besides an e-cigarette. Conclusions: Findings highlight the urgency to regulate e-cigarettes as well as to include these products in tobacco prevention programs.

Original languageEnglish (US)
Pages (from-to)173-177
Number of pages5
JournalAddictive Behaviors
StatePublished - Nov 1 2015
Externally publishedYes


  • Adolescents
  • Alternative tobacco products
  • Electronic cigarettes
  • Tobacco use

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health


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