Original articleE-cigarette Use, Cigarette Smoking, Dual Use, and Problem Behaviors Among U.S. Adolescents: Results From a National Survey
Section snippets
Study design
The Monitoring the Future (MTF) study annually surveys a cross-sectional, nationally representative sample of high school seniors in more than 120 U.S. public and private schools, using self-administered paper-and-pencil questionnaires in classrooms. The samples analyzed in this study consisted of high school seniors from the 2014 cohort, and the MTF study used a multistage sampling procedure. The response rate in the MTF study for high school seniors was 82% in 2014.
Because so many questions
Results
An estimated 9.9% (SE = .4%) of U.S. high school seniors reported past-month e-cigarette use only, 6.0% (SE = .3%) reported past-month cigarette smoking only, and 7.3% (SE = .4%) reported past-month dual use. As illustrated in Table 1, there were significant associations between the category of past-month e-cigarette use and cigarette smoking (i.e., nonuse, e-cigarette use only, cigarette smoking only, or dual use) and several demographic characteristics, including sex, race/ethnicity, age,
Discussion
To our knowledge, this is the first study to examine the associations between e-cigarette use and school- and substance-related risk behaviors among U.S. adolescents. The findings of the present study provided support for the first hypothesis since e-cigarette use was significantly associated with all school- and substance-related risk behaviors relative to nonusers. There was also robust support for the second hypothesis because dual users had significantly greater odds than users of
Acknowledgments
The authors would like to thank the Substance Abuse and Mental Health Data Archive for providing access to these data.
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Conflicts of Interest: The authors have no conflicts of interest to disclose.
Disclaimer: The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute, National Institute on Drug Abuse, or the National Institutes of Health.