학술논문
Youth use of e-cigarettes: Does dependence vary by device type?
Document Type
Academic Journal
Author
Tackett AP; Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, USA. Electronic address: Alayna.Tackett@usc.edu.; Hébert ET; School of Public Health Austin, University of Texas Health Sciences Center, USA.; Smith CE; Department of Psychology, Oklahoma State University, USA.; Wallace SW; University of North Texas Health Science Center, USA.; Barrington-Trimis JL; Department of Preventive Medicine, Keck School of Medicine of USC, University of Southern California, USA.; Norris JE; Department of Psychology, University of Oklahoma, USA.; Lechner WV; Department of Psychology, Kent State University, USA.; Stevens EM; Division of Preventive of Behavioral Medicine, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, USA.; Wagener TL; Division of Medical Oncology, Department of Internal Medicine, Ohio State University Wexner Medical Center, USA; Center for Tobacco Research, Ohio State University Comprehensive Cancer Center, USA.
Source
Publisher: Elsevier Science Country of Publication: England NLM ID: 7603486 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6327 (Electronic) Linking ISSN: 03064603 NLM ISO Abbreviation: Addict Behav Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction: Youth nicotine dependence may vary by e-cigarette device used.
Methods: E-cigarette device type ("JUUL," "similar pod/JUUL like device (i.e., pod mod)," or "other type of e-cigarette" (i.e., tank, mod)), nicotine dependence (Hooked on Nicotine Checklist; HONC), frequency of e-cigarette use (i.e., weekly, daily, monthly), and covariates were examined via a convenience sample of youth who use e-cigarettes in the United States via an online Qualtrics panel survey from April 2019 to May 2019.
Results: Youth aged 13-17 (Mean age = 15.9 years, SD = 1.0 year; n = 185) were mostly 72.4% female. Primary device used by category was endorsed as follows: JUUL n = 87, pod mod n = 42, and other type of e-cigarette n = 56. Participants endorsed an average of 4.5 / 10 HONC symptoms (SD = 3.6). Compared to other e-cigarettes, youth who used JUUL and pod mod devices endorsed more dependence symptoms, even when adjusting for current smoking status (JUUL IRR = 1.96, 95% CI 1.30-2.97; pod mod device IRR = 1.76, 95% CI 1.08-2.87). In total, HONC symptoms significantly differed by device for 8/10 symptoms, with JUUL and pod mod users reporting higher frequency of items compared to other e-cigarette devices.
Conclusions: Features of nicotine dependence experienced by youth (i.e., feeling a stronger urge to vape) differed by primary device used, with those using JUUL and pod-mods reporting a greater level of dependence. Regulation of features of e-cigarette devices that may increase nicotine delivery and subsequent development of dependence among youth warrant urgent consideration.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Methods: E-cigarette device type ("JUUL," "similar pod/JUUL like device (i.e., pod mod)," or "other type of e-cigarette" (i.e., tank, mod)), nicotine dependence (Hooked on Nicotine Checklist; HONC), frequency of e-cigarette use (i.e., weekly, daily, monthly), and covariates were examined via a convenience sample of youth who use e-cigarettes in the United States via an online Qualtrics panel survey from April 2019 to May 2019.
Results: Youth aged 13-17 (Mean age = 15.9 years, SD = 1.0 year; n = 185) were mostly 72.4% female. Primary device used by category was endorsed as follows: JUUL n = 87, pod mod n = 42, and other type of e-cigarette n = 56. Participants endorsed an average of 4.5 / 10 HONC symptoms (SD = 3.6). Compared to other e-cigarettes, youth who used JUUL and pod mod devices endorsed more dependence symptoms, even when adjusting for current smoking status (JUUL IRR = 1.96, 95% CI 1.30-2.97; pod mod device IRR = 1.76, 95% CI 1.08-2.87). In total, HONC symptoms significantly differed by device for 8/10 symptoms, with JUUL and pod mod users reporting higher frequency of items compared to other e-cigarette devices.
Conclusions: Features of nicotine dependence experienced by youth (i.e., feeling a stronger urge to vape) differed by primary device used, with those using JUUL and pod-mods reporting a greater level of dependence. Regulation of features of e-cigarette devices that may increase nicotine delivery and subsequent development of dependence among youth warrant urgent consideration.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)