Author:
Erhabor John,Boakye Ellen,Osuji Ngozi,Obisesan Olufunmilayo,Osei Albert D.,Mirbolouk Hassan,Stokes Andrew C.,Dzaye Omar,El-Shahawy Omar,Rodriguez Carlos J.,Hirsch Glenn A.,Benjamin Emelia J.,DeFilippis Andrew P.,Robertson Rose Marie,Bhatnagar Aruni,Blaha Michael J.
Abstract
Abstract
Background
This study explores the association between psychosocial stressors and current e-cigarette use among adolescents in the United States.
Methods
We used data from 12,767 participants in the 2019 National Youth Risk Behavioral Survey to examine the association between psychosocial stressors (bullying, sexual assault, safety-related absence from school, depressive symptoms, suicidal ideation, physical altercation, and weapon threats) and past-30-day e-cigarette use using multivariable-adjusted logistic regression models. We examined the association for each stressor and then as a burden score (0–7). To compare the strength of the association between stressors and current e-cigarette use to current combustible cigarette use, we additionally examined the association between each stressor and current combustible cigarette use.
Results
Approximately 32.7% reported current e-cigarette use. The weighted prevalence of current e-cigarette use was higher among individuals who experienced stressors than those who did not. For example, bullying (43.9% vs. 29.0%). Similar prevalence patterns were seen among other stressors. Individuals who experienced stressors had significantly higher adjusted odds of current e-cigarette use than those who did not (OR [Odds Ratio] range: 1.47–1.75). Similarly, individuals with higher burden scores had a higher prevalence (zero [20.5%], one [32.8%], two [41.4%], three [49.6%], four to seven [60.9%]) and higher odds of current e-cigarette use (OR range: 1.43–2.73) than those with a score of zero. The strength of the association between the stressors and e-cigarette use was similar to that between the stressors and combustible cigarette use.
Conclusion
The study demonstrates a significant association between psychosocial stressors and adolescent e-cigarette use, highlighting the potential importance of interventions, such as targeted school-based programs that address stressors and promote stress management, as possible means of reducing adolescent e-cigarette use. Future research directions include exploring underlying mechanisms linking stressors to e-cigarette use and evaluating the effectiveness of interventions addressing stressors in reducing adolescent e-cigarette use.
Funder
National Heart, Lung, and Blood Institute
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference38 articles.
1. WHO global report on trends in prevalence of tobacco use, 2000–2025, fourth edition ISBN 978–92–4–003932–2 (electronic version). Published online 2021. http://apps.who.int/bookorders. Accessed 18 Apr 2023.
2. U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2014. Printed with corrections, January 2014.
3. U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2012.
4. Abbafati C, Abbas KM, Abbasi-Kangevari M, et al. Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020;396(10258):1223–49. https://doi.org/10.1016/S0140-6736(20)30752-2/ATTACHMENT/A535CF8F-9CAB-4A9D-B4DD-F83EF56082E1/MMC2B.PDF.
5. Creamer MLR, Everett Jones S, Gentzke AS, Jamal A, King BA. Tobacco Product Use Among High School Students — Youth Risk Behavior Survey, United States, 2019. MMWR Suppl. 2020;69(1):56–63. https://doi.org/10.15585/MMWR.SU6901A7.
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