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Sociodemographic Patterns of Exclusive and Dual Combustible Tobacco and E-Cigarette Use among US Adolescents—A Nationally Representative Study (2017–2020)

Author

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  • Bukola Usidame

    (School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Jana L. Hirschtick

    (School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Delvon T. Mattingly

    (School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Akash Patel

    (School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Megan E. Patrick

    (Institute for Social Research, University of Michigan, Ann Arbor, MI 48106, USA)

  • Nancy L. Fleischer

    (School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

Abstract

This study assessed the sociodemographic predictors of exclusive and dual use of the most frequently used nicotine/tobacco products, e-cigarettes, and combustible tobacco among adolescents. Cross-sectional data was from the 2017–2020 Monitoring the Future nationally representative study of eighth, tenth, and twelfth-grade students. We coded past 30 day nicotine/tobacco use into four mutually exclusive categories: no use, e-cigarette use only, combustible use (cigarette or cigar) only, and dual use (e-cigarette and combustible). We pooled the 2017–2020 data to examine the relationship between sex, race/ethnicity, parental education, and each product-use category using multinomial logistic regression, stratified by grade level. Among eighth ( N = 11,189), tenth ( N = 12,882), and twelfth graders ( N = 11,385), exclusive e-cigarette use was the most prevalent pattern (6.4%, 13.2%, 13.8%, respectively), followed by dual use (2.7%, 4.5%, 8.9%), and exclusive combustible use (1.5%, 2.5%, 5.3%). eighth and tenth-grade adolescents whose highest parental education was a 4-year college degree or more had lower odds of exclusive combustible and dual use when compared to adolescents whose highest parental education was less than a high school degree. Research should continue to monitor the differential use of combustible tobacco products and e-cigarettes among adolescents from low socioeconomic status backgrounds or racial/ethnic minority households to inform ongoing and future interventions or policies.

Suggested Citation

  • Bukola Usidame & Jana L. Hirschtick & Delvon T. Mattingly & Akash Patel & Megan E. Patrick & Nancy L. Fleischer, 2022. "Sociodemographic Patterns of Exclusive and Dual Combustible Tobacco and E-Cigarette Use among US Adolescents—A Nationally Representative Study (2017–2020)," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2965-:d:763419
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    References listed on IDEAS

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    1. Akash Patel & Jana L. Hirschtick & Steven Cook & Bukola Usidame & Ritesh Mistry & David T. Levy & Rafael Meza & Nancy L. Fleischer, 2021. "Sociodemographic Patterns of Exclusive and Dual Use of ENDS and Menthol/Non-Menthol Cigarettes among US Youth (Ages 15–17) Using Two Nationally Representative Surveys (2013–2017)," IJERPH, MDPI, vol. 18(15), pages 1-16, July.
    2. Kimberly G. Wagoner & David M. Reboussin & Jessica L. King & Elizabeth Orlan & Jennifer Cornacchione Ross & Erin L. Sutfin, 2019. "Who Is Exposed to E-Cigarette Advertising and Where? Differences between Adolescents, Young Adults and Older Adults," IJERPH, MDPI, vol. 16(14), pages 1-11, July.
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