Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students — United States, 2011–2018
By Karen A. Cullen, Bridget K. Ambrose, Andrea S. Gentzke, Benjamin Apelberg, Ahmed Jamal, Brian A. King. MMWR. Morbidity and mortality weekly report, 2018
726 citations recorded by the source corpus.
Electronic cigarettes (e-cigarettes) are battery-powered devices that provide nicotine and other additives to the user in the form of an aerosol (1). E-cigarettes entered the U.S. marketplace in 2007 (1), and by 2014, e-cigarettes were the most commonly used tobacco product among U.S. youths (2). Data from the 2011–2018 National Youth Tobacco Survey (NYTS), a cross-sectional, voluntary, school-based, self-administered, pencil-and-paper survey of U.S. middle and high school students, were analyzed to determine the prevalence of current use (≥1 day in past 30 days) of e-cigarettes,* current use of any tobacco product,† frequency of (number of days during the preceding 30 days) e-cigarette use, and current use (any time during preceding 30 days) of any flavored e-cigarettes among U.S. middle school (grades 6–8) and high school (grades 9–12) students. Logistic regression (2011–2018) and t-tests (2017–2018) were performed to determine statistically significant differences (p<0.05). Among high school students, current e-cigarette use increased from 1.5% (220,000 students) in 2011 to 20.8% (3.05 million students) in 2018 (p<0.001) (Figure). During 2017–2018, current e-cigarette use increased by 78% (from 11.7% to 20.8%, p<0.001). The proportion of current e-cigarette users who reported use on ≥20 of the past 30 days increased from 20.0% in 2017 to 27.7% in 2018 (p = 0.008). Among high school students, during 2017–2018, current use of any flavored e-cigarettes increased among current e-cigarette users (from 60.9% to 67.8%, p = 0.02); current use of mentholor mint-flavored e-cigarettes increased among all current e-cigarette users (from 42.3% to 51.2%, p = 0.04) and current exclusive e-cigarette users (from 21.4% to 38.1%, p = 0.002).
Subfields: Physiology, Public Health, Environmental and Occupational Health
View Paper: https://www.semanticscholar.org/paper/4f176b608be97361241490d6c758e33f4a829a82
How researchers see this paper
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- Karen A. Cullen
- Andrea S. Gentzke
- MeLisa R. Creamer
- Teresa W. Wang
- Ahmed Jamal
- Michael D. Sawdey
- Joanne T. Chang
- Brian A. King
Citations in the corpus
- Vital Signs: Tobacco Product Use Among Middle and High School Students — United States, 2011–2018 (2019, background): “5% among middle school students during 2017–2018, erasing the progress in reducing e-cigarette use, as well as any tobacco product use, that had occurred in prior years (7).”
- e-Cigarette Use Among Youth in the United States, 2019. (2019, background): “The objectives of this study were to (1) assess the most recent prevalence of self-reported current (past 30-day) e-cigarette use among US high school and middle school students; (2) describe use characteristics among current e-cigarette users; and (3) describe flavored e-cigarette use among current”