TY - JOUR
T1 - Have e-cigarettes created a new crop of young adult substance users? Overlap between e-cigarette, traditional cigarette, and alcohol use
AU - Pascoe, Michael
AU - Nagia, Sally
AU - Atal, Nanaki
AU - Gadway, Hannah
AU - Huizenga, Kamren
AU - Bailey, Beth
N1 - Publisher Copyright:
© 2021 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Background: Electronic cigarette use has increased among U.S. young adults since the early 2000s, but it is unclear whether use overlaps with traditional substance use or has produced a new at-risk population. Our goal was to compare trends in use of different legal substances and examine the association between e-cigarette use, demographic factors, and the use of other substances. Methods: Data from the nationally-representative 2016–2019 U.S. Behavioral Risk Factor Surveillance System (BRFSS) from adults aged 18–24 were used (N = 64,604). Results: Over the study period, e-cigarette use increased significantly, but traditional cigarette smoking and alcohol consumption decreased. Those who had ever used e-cigarettes were significantly more likely to be single, White or Native American, and report high school being their highest level of education. The majority of current daily e-cigarette users reported never having smoked traditional cigarettes (62.3%), not being a current traditional cigarette smoker (75.9%), and not being a binge drinker (59.3%). Conclusions: As young adult e-cigarette use has increased, users are largely individuals who are not otherwise engaging in legal substance use. Future studies should examine factors leading to uptake of e-cigarette use among young adults in order to address this growing public health concern.
AB - Background: Electronic cigarette use has increased among U.S. young adults since the early 2000s, but it is unclear whether use overlaps with traditional substance use or has produced a new at-risk population. Our goal was to compare trends in use of different legal substances and examine the association between e-cigarette use, demographic factors, and the use of other substances. Methods: Data from the nationally-representative 2016–2019 U.S. Behavioral Risk Factor Surveillance System (BRFSS) from adults aged 18–24 were used (N = 64,604). Results: Over the study period, e-cigarette use increased significantly, but traditional cigarette smoking and alcohol consumption decreased. Those who had ever used e-cigarettes were significantly more likely to be single, White or Native American, and report high school being their highest level of education. The majority of current daily e-cigarette users reported never having smoked traditional cigarettes (62.3%), not being a current traditional cigarette smoker (75.9%), and not being a binge drinker (59.3%). Conclusions: As young adult e-cigarette use has increased, users are largely individuals who are not otherwise engaging in legal substance use. Future studies should examine factors leading to uptake of e-cigarette use among young adults in order to address this growing public health concern.
KW - E-cigarette
KW - alcohol
KW - smoking
KW - tobacco
KW - young adult
UR - http://www.scopus.com/inward/record.url?scp=85121396216&partnerID=8YFLogxK
U2 - 10.1080/14659891.2021.2010141
DO - 10.1080/14659891.2021.2010141
M3 - Article
AN - SCOPUS:85121396216
JO - Journal of Substance Use
JF - Journal of Substance Use
SN - 1465-9891
ER -