Journal of Community Health

, Volume 42, Issue 3, pp 624–631 | Cite as

The Use of E-cigarettes Among School-Going Adolescents in a Predominantly Rural Environment of Central Appalachia

  • Daniel Owusu
  • Jocelyn Aibangbee
  • Candice Collins
  • Crystal Robertson
  • Liang Wang
  • Mary A. Littleton
  • Rafie Boghozian
  • Vicki Casenburg
  • Hadii M. Mamudu
Original Paper

Abstract

E-cigarette use among youth in the United States (U.S.) continues to increase. In the rural Northeast Tennessee, where prevalence of tobacco use is higher than national and state averages, there is no literature on e-cigarette use to inform policies and programs. This study aimed to estimate the prevalence of e-cigarette use and examine association of e-cigarette use with two tobacco products among school-going adolescents. Data from 894 participants of a school-based survey conducted in 2016 in Northeast Tennessee were analyzed. Descriptive statistics and logistic regression analyses were conducted to estimate the prevalence and delineate the associations between e-cigarette use and other tobacco products. Approximately 11% of the participants currently used e-cigarettes, and 35% had ever used e-cigarettes. About 6% of the participants were current users of both e-cigarettes and cigarettes; 4% were current users of e-cigarettes and smokeless tobacco; 3% were current users of all three products, and 15% had ever tried all three products. More than one-half of current e-cigarette users (52%) also smoked cigarettes. Adjusting for covariates, current e-cigarette use was positively associated with cigarette smoking [Odds Ratio (OR) 27.32, 95% confidence interval (CI) 14.4–51.7] and smokeless tobacco use [OR 7.92, 95% CI 3.8–16.5]. E-cigarette use was more common among the high school students than cigarette and smokeless tobacco use, and a significant proportion of users either smoked cigarettes, used smokeless tobacco, or both. Thus, there is a critical need for preventive policies and programs to address dual and poly-use of these products.

Keywords

E-cigarette Dual use Poly-use Northeast Tennessee High school students 

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Daniel Owusu
    • 1
  • Jocelyn Aibangbee
    • 2
  • Candice Collins
    • 3
  • Crystal Robertson
    • 4
  • Liang Wang
    • 5
  • Mary A. Littleton
    • 6
  • Rafie Boghozian
    • 7
  • Vicki Casenburg
    • 8
  • Hadii M. Mamudu
    • 9
  1. 1.Georgia State University Tobacco Center of Regulatory Science (GSU TCORS)AtlantaUSA
  2. 2.Johnson CityUSA
  3. 3.Department of Biostatistics and EpidemiologyEast Tennessee State UniversityJohnson CityUSA
  4. 4.Louisiana Department of HealthOffice of Public HealthBaton RougeUSA
  5. 5.Department of Biostatistics and EpidemiologyEast Tennessee State UniversityJohnson CityUSA
  6. 6.Department of Community and Behavioral HealthEast Tennessee State UniversityJohnson CityUSA
  7. 7.BlountvilleUSA
  8. 8.Sullivan County Health DepartmentBlountvilleUSA
  9. 9.Department of Health Services Management and Policy, College of Public HealthEast Tennessee State UniversityJohnson CityUSA

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