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Nicotine Dependence from Different E-Cigarette Devices and Combustible Cigarettes among US Adolescent and Young Adult Users

Author

Listed:
  • Crystal Lin

    (Stanford School of Medicine, Stanford University, Palo Alto, CA 94304, USA)

  • Shivani Mathur Gaiha

    (Reach Lab, Division of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, CA 94304, USA)

  • Bonnie Halpern-Felsher

    (Reach Lab, Division of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, CA 94304, USA)

Abstract

E-cigarettes, the most popular tobacco product among adolescents, vary widely in design and nicotine composition; thus, different devices may have different addictive potential. However, few studies examine levels of nicotine dependence across devices among adolescent and young adult (AYA) e-cigarette users. To assess the extent of nicotine dependence among US AYA (ages 13–24) by e-cigarette device type, we conducted a large, national, cross-sectional survey ( n = 4351) and used the Hooked on Nicotine Checklist (HONC) to assess levels of nicotine dependence among those who had used disposable, pod-based, and/or mods/other e-cigarette devices in the past 30 days. We also examined HONC scores among those who had used combustible cigarettes in the past 30 days, whether with or without using e-cigarettes. Patterns of nicotine dependence were comparable across those who had used a combustible cigarette and/or e-cigarette in the past 30 days, with 91.4% of combustible cigarette users, 80.7% of disposable e-cigarette users, 83.1% of pod-based e-cigarette users, and 82.5% of mods/other e-cigarette users showing signs of nicotine dependence, as measured by endorsing at least one HONC symptom. This pattern persisted when analyses were restricted to e-cigarette only users, with more than 70% of all e-cigarette only past-30-day users endorsing at least one HONC symptom, across all types of devices. A thorough understanding of the extent and presentation of nicotine dependence among AYA will help researchers, public health officials, and clinicians recognize and manage AYA nicotine dependence.

Suggested Citation

  • Crystal Lin & Shivani Mathur Gaiha & Bonnie Halpern-Felsher, 2022. "Nicotine Dependence from Different E-Cigarette Devices and Combustible Cigarettes among US Adolescent and Young Adult Users," IJERPH, MDPI, vol. 19(10), pages 1-9, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:5846-:d:813021
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    References listed on IDEAS

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    1. Mateusz Jankowski & Joshua Allan Lawson & Andrei Shpakou & Michał Poznański & Tadeusz Maria Zielonka & Ludmila Klimatckaia & Yelena Loginovich & Marta Rachel & Justína Gereová & Łukasz Minarowski & Ih, 2019. "Smoking Cessation and Vaping Cessation Attempts among Cigarette Smokers and E-Cigarette Users in Central and Eastern Europe," IJERPH, MDPI, vol. 17(1), pages 1-13, December.
    2. Jieming Zhong & Shuangshuang Cao & Weiwei Gong & Fangrong Fei & Meng Wang, 2016. "Electronic Cigarettes Use and Intention to Cigarette Smoking among Never-Smoking Adolescents and Young Adults: A Meta-Analysis," IJERPH, MDPI, vol. 13(5), pages 1-9, May.
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    Cited by:

    1. Piyush Anand & Vrinda Kadiyali, 2024. "Frontiers: Smoke and Mirrors: Impact of E-cigarette Taxes on Underage Social Media Posting," Marketing Science, INFORMS, vol. 43(3), pages 479-487, May.
    2. Devin M. McCauley & Shivani Mathur Gaiha & Lauren Kass Lempert & Bonnie Halpern-Felsher, 2022. "Adolescents, Young Adults, and Adults Continue to Use E-Cigarette Devices and Flavors Two Years after FDA Discretionary Enforcement," IJERPH, MDPI, vol. 19(14), pages 1-15, July.

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