Young adult e-cigarette users: perceptions of stress, body image, and weight control
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With the rise in electronic cigarette (ENDS) use among US young adults, more research is needed on expectations for use and perceptions related to body image, weight control, and stress relief.
College students (N = 230; modal age 21 years; 68% female) completed an online survey assessing cigarette smoking and ENDS, dieting and body image, perceptions about flavors, stress, weight gain prevention, and appetite regulation.
Dual use (cigarette and ENDS) was reported by n = 69 (30.0%). Exclusive cigarette smoking was endorsed by n = 53 (23%) with exclusive ENDS use reported by n = 15 (6.5%). Ninety-three participants (40.5%) reported not using either product.
Among those using ENDS, < 33% reported using as a stress management tool, < 15% reported using ENDS to control appetite, and > 70% reported using cartridges that tasked like sweets. There was a positive correlation between dieting behaviors and body concern, suggesting those who reported higher use of ENDS for weight and appetite regulation also had higher pathological eating scores and concern over body shape and size.
Prevention and education related to weight, body image, and tobacco are needed to address misperceptions of tobacco products.
Level of evidence
Level V, cross-sectional descriptive study.
KeywordsElectronic cigarette Weight control Body dissatisfaction Body image Flavors Young adults Smoking
A portion of these results were presented at the Society of Behavioral Medicine Annual Meeting in 2015. The authors would like to thank Dr. Sharon Hayes for her assistance with recruitment, as well as Katrina Hufnagel and Madeline Kirch. The authors would also like to thank Chelsey DuBois for her help with manuscript submission.
Compliance with ethical standards
All procedures performed were in accordance with the ethical standards of The George Washington University and the University of Colorado-Denver Institutional Review Boards (IRBs) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
The protocol was deemed exempt by the IRBs; therefore, signed informed consent was not required. There was a process by which subjects viewed an electronic information sheet prior to beginning the questionnaires and then confirmed their agreement to participate. Contact information was readily available for the participant to ask any questions prior to completing the survey.
Conflict of interest
The authors have no conflicts of interest to disclose.
- 2.Food and Drug Administration (2016) Vaporizers, e-cigarettes, and other electronic nicotine delivery systems (ENDS). https://www.fda.gov/tobaccoproducts/labeling/productsingredientscomponents/ucm456610.htm#regulation. Accessed 24 May 2017
- 3.Regan AK, Promoff G, Dube SR, Arrazola R (2013) Electronic nicotine delivery systems: adult use and awareness of the ‘e-cigarette’ in the USA. Tob Control 22:19–23. https://doi.org/10.1136/tobaccocontrol-2011-050044 CrossRefPubMedGoogle Scholar
- 4.Agaku IT, King BA, Husten CG, Bunnell R, Ambrose BK, Hu SS, Holder-Hayes E, Day HR (2014) Tobacco product use among adults—United States, 2012–2013. MMWR Morbid Mortal Wkly 63:542–547Google Scholar
- 5.Kasza KA, Ambrose BK, Conway KP, Borek N, Taylor K, Goniewicz ML, Cummings KM, Sharma E, Pearson JL, Green VR, Kaufman AR, Bansal-Travers M, Travers MJ, Kwan J, Tworek C, Cheng YC, Yang L, Pharris-Ciurej N, van Bemmel DM, Backinger CL, Compton WM, Hyland AJ (2017) Tobacco-product use by adults and youths in the United States in 2013 and 2014. N Engl J Med 376:342–353. https://doi.org/10.1056/NEJMsa1607538 CrossRefPubMedPubMedCentralGoogle Scholar
- 8.Centers for Disease Control and Prevention (2013) Notes from the field: electronic cigarette use among middle and high school students—United States, 2011–2012. Centers for Disease Control and Prevention, AtlantaGoogle Scholar
- 11.Sutfin EL, Reboussin BA, Debinski B, Wagoner KG, Spangler J, Wolfson M (2015) The impact of trying electronic cigarettes on cigarette smoking by college students: a prospective analysis. Am J Public Health 105:E83–E89. https://doi.org/10.1016/j.drugalcdep.2013.05.001 CrossRefPubMedPubMedCentralGoogle Scholar
- 13.Harrell PT, Marquinez NS, Correa JB, Meltzer LR, Unrod M, Sutton SK, Simmons VN, Brandon TH (2015) Expectancies for cigarettes, e-cigarettes, and nicotine replacement therapies among e-cigarette users (aka vapers). Nicotine Tob Res 17:193–200. https://doi.org/10.1093/ntr/ntu149 CrossRefPubMedGoogle Scholar
- 23.Centers for Disease Control and Prevention (2014) Youth risk behavior survey. http://www.cdc.gov/yrbs. Accessed 20 Apr 2015
- 24.Hyland A, Ambrose BK, Conway KP, Borek N, Lambert E, Carusi C, Taylor K, Crosse S, Fong GT, Cummings KM, Abrams D (2016) Design and methods of the Population Assessment of Tobacco and Health (PATH) study. Tob Control. https://doi.org/10.1136/tobaccocontrol-2016-052934 CrossRefPubMedPubMedCentralGoogle Scholar
- 39.Food and Drug Administration (2018) Menthol and other flavors in tobacco products. https://www.fda.gov/tobaccoproducts/labeling/productsingredientscomponents/ucm2019416.htm. Accessed 14 Aug 2018
- 40.Kaplan S, Hoffman J (2018) FDA seeks restrictions on teens’ access to flavored e-cigarettes and a ban on menthol cigarettes. USAToday.com. https://www.nytimes.com/2018/11/15/health/ecigarettes-fda-flavors-ban.html. Accessed 30 Nov 2018