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Offers of Cigarettes and E-Cigarettes Among High School Students: A Population Study from California

Author

Listed:
  • Adam G. Cole

    (Moores Cancer Center, University of California San Diego, San Diego, CA 92093, USA)

  • Sharon E. Cummins

    (Department of Family Medicine and Public Health, University of California San Diego, San Diego, CA 92093, USA)

  • Shu-Hong Zhu

    (Department of Family Medicine and Public Health, University of California San Diego, San Diego, CA 92093, USA)

Abstract

Receiving offers of cigarettes or e-cigarettes can contribute to the progression from intention to actual use. However, there is a lack of data about the prevalence or characteristics of youth being offered cigarettes or e-cigarettes. A random sample of 91 high schools in the state of California (with 40,137 students) participated in the 2015–16 California Student Tobacco Survey. Offers of cigarettes and e-cigarettes in the last 30 days were assessed. Separate multilevel logistical regression models identified student characteristics associated with being offered cigarettes and e-cigarettes. On average, 11.1% and 16.1% of all students reported being offered cigarettes and e-cigarettes in the last 30 days, respectively. Among those who received offers of cigarettes, 45.5% were never smokers. Among those who received offers of e-cigarettes, 29.6% were never vapers. Male students were more likely to report being offered an e-cigarette than female students (Adjusted Odds Ratio (AOR) 1.13), as were students with friends that used e-cigarettes (AOR 5.14–23.31) and those with high sensation seeking tendencies (AOR 1.33). Similar characteristics were associated with offers of cigarettes. Including measures of offers of cigarettes and e-cigarettes in surveillance systems could help identify those at risk of future cigarette and e-cigarette use.

Suggested Citation

  • Adam G. Cole & Sharon E. Cummins & Shu-Hong Zhu, 2019. "Offers of Cigarettes and E-Cigarettes Among High School Students: A Population Study from California," IJERPH, MDPI, vol. 16(7), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:7:p:1143-:d:218461
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    References listed on IDEAS

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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
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