Rapid reportThe smoking habits of the family influence the uptake of e-cigarettes in US children
Introduction
The use of a particular type of nicotine delivery system, the so-called electronic cigarettes (e-cigarettes) by children and adolescents has dramatically increased in the few last years, not only in the United States [1] but across different regions of the world [2], [3], [4], [5]. Analysis of the 2011 to 21012 National Youth Tobacco Survey (NYTS) shows that e-cigarette users quit conventional cigarettes no more frequently than nonusers [6]. We examined the data from the 2012 NYTS to determine if there was an association between use of e-cigarettes by children with the smoking habits of their relatives.
Section snippets
Methods
This cross-sectional analysis used data from the 2012 NYTS, the seventh annual cycle of a national representative sample of US middle and high school students (grades 6–12) from all 50 states and the District of Columbia, carried out by the US Centers for Disease Control and Prevention as detailed elsewhere [7]. As part of the 81-item questionnaire, the 2012 NYTS asked participants (a) Which of the following tobacco products have you ever heard of?; (b) Which of the following tobacco products
Results
In 2012, ever use of e-cigarettes was more common in boys and increased by age from 1.5% to 6.3% and 12.8% among aged 9 to 12, 13 to 16, and 17 to 18 olds, respectively. Ever use of e-cigarettes also differed by race/ethnicity with Native Americans reporting the highest prevalence (9.6%). In bivariate analysis, those living with someone with a cigarette smoker had an increased prevalence of use of e-cigarettes (prevalence ratio [PR], 3.1; 95% confidence interval [CI], 2.6–3.8). Dual use of
Discussion
We found that cigarette smoking by someone living with school children increased the likelihood of e-cigarette use by children even among children who never tried smoking. A recently published study reported on findings consistent with our study in the subset of never smokers in the 2011 to 2013 NYTS [9]. We also found that the influence of living with a smoker increased the likelihood of the child uptake of cigarette smoking as had been found in several previous studies in different
Acknowledgments
This work was funded in part by University of Arkansas for Medical Sciences College of Public Health, Department of Epidemiology.
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