期刊
JOURNAL OF ADOLESCENT HEALTH
卷 60, 期 3, 页码 320-327出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jadohealth.2016.10.011
关键词
E-cigarettes; Tobacco use; Binge drinking; Marijuana use; Energy drinks; Youth; Risky behaviors
资金
- Canadian Institutes of Health Research (CIHR) Institute of Nutrition, Metabolism and Diabetes (INMD) through the Obesity-Interventions to Prevent or Treat [OOP-110788]
- Canadian Institutes of Health Research (CIHR) Institute of Population and Public Health (IPPH) [MOP-114875]
- Public Health Agency of Canada (PHAC)
- Canadian Institutes of Health Research (CIHR)
- Institute of Neurosciences, Mental Health and Addiction (INMHA)
- Institute of Population and Public Health (IPPH)
Purpose: Use of e-cigarettes by youth is proliferating worldwide, but little is known about the behavioral profile of youth e-cigarette users and the association of e-cigarette use with other health-risky behaviors. This study examines the associations between e-cigarette use and tobacco, marijuana, and alcohol use among a large sample of Canadian youth. Methods: Using Canadian data from 39,837 grade 9 to 12 students who participated in year 3 (2014-2015) of the COMPASS study, logistic regression models were used to examine how current use of e-cigarettes were associated with tobacco, marijuana, binge drinking, and energy drinks mixed with alcohol. Pearson's chi-square tests were used to examine subgroup differences by sex. Results: Overall, 9.75% of respondents were current e-cigarette users. Current cigarette smokers (odds ratio [OR] = 3.009), current marijuana users (OR = 5.549), and noncurrent marijuana users (OR = 3.653) were more likely to report using e-cigarettes than noncigarette smokers and nonmarijuana users. Gender differences among males and females showed higher risk of e-cigarette use among female current marijuana users (OR = 7.029) relative to males (OR = 4.931) and female current smokers (OR = 3.284) compared to males (OR = 2.862). Compared to nonbinge drinkers, weekly (OR = 3.253), monthly (OR = 3.113), and occasional (OR = 2.333) binge drinkers were more likely to use e-cigarettes. Similarly, students who consume energy drinks mixed with alcohol (OR = 1.650) were more likely to use e-cigarettes compared to students who do not consume them. Conclusions: We identify that youth who binge drink or use marijuana have a greater increased risk for using e-cigarettes compared to cigarette smokers. These data suggest that efforts to prevent e-cigarette use should not only be discussed in the domain of tobacco control. (C) 2016 Society for Adolescent Health and Medicine. All rights reserved.
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