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

Usidame, Bukola; Hirschtick, Jana L.; Mattingly, Delvon T.; Patel, Akash; Patrick, Megan E.; Fleischer, Nancy L.

doi:10.3390/ijerph19052965

Open AccessArticle

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

by

Bukola Usidame

^1,*,

Jana L. Hirschtick

¹

,

Delvon T. Mattingly

¹

,

Akash Patel

¹,

Megan E. Patrick

²

and

Nancy L. Fleischer

¹

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

²

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

^*

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2022, 19(5), 2965; https://doi.org/10.3390/ijerph19052965

Submission received: 3 January 2022 / Revised: 24 February 2022 / Accepted: 1 March 2022 / Published: 3 March 2022

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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.

Keywords: nicotine; tobacco; cigarettes; e-cigarettes; dual use; adolescents; youth; disparities

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MDPI and ACS Style

Usidame, B.; Hirschtick, J.L.; Mattingly, D.T.; Patel, A.; Patrick, M.E.; Fleischer, N.L. Sociodemographic Patterns of Exclusive and Dual Combustible Tobacco and E-Cigarette Use among US Adolescents—A Nationally Representative Study (2017–2020). Int. J. Environ. Res. Public Health 2022, 19, 2965. https://doi.org/10.3390/ijerph19052965

AMA Style

Usidame B, Hirschtick JL, Mattingly DT, Patel A, Patrick ME, Fleischer NL. Sociodemographic Patterns of Exclusive and Dual Combustible Tobacco and E-Cigarette Use among US Adolescents—A Nationally Representative Study (2017–2020). International Journal of Environmental Research and Public Health. 2022; 19(5):2965. https://doi.org/10.3390/ijerph19052965

Chicago/Turabian Style

Usidame, Bukola, Jana L. Hirschtick, Delvon T. Mattingly, Akash Patel, Megan E. Patrick, and 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)" International Journal of Environmental Research and Public Health 19, no. 5: 2965. https://doi.org/10.3390/ijerph19052965

APA Style

Usidame, B., Hirschtick, J. L., Mattingly, D. T., Patel, A., Patrick, M. E., & Fleischer, N. L. (2022). Sociodemographic Patterns of Exclusive and Dual Combustible Tobacco and E-Cigarette Use among US Adolescents—A Nationally Representative Study (2017–2020). International Journal of Environmental Research and Public Health, 19(5), 2965. https://doi.org/10.3390/ijerph19052965

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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)

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