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Racial and Ethnic Differences in E-Cigarette and Cigarette Use Among Adolescents

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Abstract

This study examined whether e-cigarette/cigarette use status would differ by student race/ethnicity. Using the 2017 Youth risk behavior survey (YRBS), weighted Chi-square tests with Rao-Scott adjustments and adjusted weighted multinomial logistic regression analysis were conducted to examine the relationship. Weighted Chi-square tests showed that American Indian/Alaska Native (AI/AN) students had the highest prevalence rates among dual users (16.2%) and e-cigarette only users (11.3%), while White peers had the highest prevalence rates among cigarette only users (3.5%). The results of weighted multinomial logistic regression indicated that AI/AN students had higher odds than White peers of being dual users (Relative risk ratio (RRR), 2.10, 95% CI, 1.01, 4.39), while Black, Hispanic, Asian and multi-racial groups had lower odds than White peers of being dual users. Additionally, Asian students had lower odds than White students of being e-cigarette only users, whereas Black and Asian students had lower odds than their White peers of being cigarette only users. Given that AI/AN students are most vulnerable to e-cigarette/cigarette use, there should be comprehensive tobacco prevention and intervention approaches that could narrow racial/ethnic differences among both youths and adults at population level.

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Data Availability

*2017 YRBS data is publicly available (https://www.cdc.gov/healthyyouth/data/yrbs/data.htm).

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Authors and Affiliations

  1. Health Behavior Department, Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Young S. Seo

  2. School of Nursing, The State University of New York at Buffalo, 3435 Main Street Wende Hall 101C, Buffalo, NY, 14214, USA

    Yu-Ping Chang

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Seo, Y.S., Chang, YP. Racial and Ethnic Differences in E-Cigarette and Cigarette Use Among Adolescents. J Immigrant Minority Health 24, 713–720 (2022). https://doi.org/10.1007/s10903-021-01229-0

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