Subjective experiences at e-cigarette initiation: Implications for e-cigarette and dual/poly tobacco use among youth

Dale S. Mantey, Kathleen R. Case, Baojiang Chen, Steven Kelder, Alexandra Loukas, Melissa B. Harrell

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Subjective experiences (SEs) at initiation of cigarettes, cigars, and smokeless tobacco have been established as predictors of continued use. To date, less is known about the relationships between SEs at e-cigarette initiation and subsequent e-cigarette use behaviors. Methods: This study used data from Waves 1–6 of the Texas Adolescent Tobacco and Marketing Surveillance (TATAMS) system; a population-based rapid response study of adolescents in major metropolitan areas of Texas. Participants were adolescents who self-reported ever using e-cigarettes across all 6 waves (n = 1,104; N = 460,069). Factor analyses examined structure of SEs at e-cigarette initiation. Weighted, multilevel, multivariate regression models examined role of SEs at e-cigarette initiation on subsequent past 30-day e-cigarette use behaviors. Results: Factor analyses identified a positive (i.e., euphoria, relaxation) and a negative (i.e., dizziness, cough, nausea) domain of SEs. Positive SEs at e-cigarette initiation predicted 1.20 (95% CI: 1.02–1.42) greater odds of subsequent past 30-day e-cigarette use. Similarly, positive SEs at e-cigarette initiation predicted greater relative risk of dual/poly e-cigarette use, relative to non-use (RRR: 1.61; 95% CI: 1.24–2.10) and exclusive e-cigarette use (RRR: 1.68; 95% CI: 1.26–2.24). Conclusion: This is the first study to observe longitudinal relationships between SEs at e-cigarette initiation and subsequent e-cigarette use behaviors. Findings highlight the importance of preventing initial e-cigarette use among adolescents.

Original languageEnglish (US)
Article number107028
JournalAddictive Behaviors
Volume122
DOIs
StatePublished - Nov 2021

Keywords

  • Electronic cigarettes
  • Nicotine
  • Poly tobacco use
  • Subjective experiences
  • Youth

ASJC Scopus subject areas

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

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