E-cigarette use among US adolescents: secondhand smoke at home matters

International Journal of Public Health
Xiao Zhang, Jia Pu

Abstract

To examine the association of family smoking status and exposure to secondhand smoke (SHS) at home with the use of electronic cigarettes among US adolescents, in particular the medication effect of SHS on the association between family smoking status and electronic cigarette use. Data from the 2013 National Youth Tobacco Survey were used and logistic regressions were conducted to model electronic cigarettes use. The mediation effect of SHS was tested using the Sobel-Goodman mediation test. Overall, 8.1 % of the US adolescents reported ever use of e-cigarettes. Among both the overall population and never-cigarette smokers, adolescents living in smoker households were significantly more likely to report ever use of e-cigarettes (p < 0.05). However, the associations were attenuated after including SHS exposure at home during the past 7 days. SHS exposure at home was positively associated with ever use of e-cigarettes, adjusting for family smoking status (p < 0.05). The association between smoking habits of the family and e-cigarette use was mediated through SHS exposure. The promotion of smoke-free home rules may help prevent the uptake of e-cigarettes among teenagers.

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Citations

Nov 28, 2017·American Journal of Health Promotion : AJHP·Ashley L MerianosE Melinda Mahabee-Gittens
Sep 1, 2017·Journal of the American Heart Association·Hanan QasimFatima Z Alshbool
Jul 20, 2018·Tobacco Control·Jennifer Ellen BaylyKelvin Choi
Jul 19, 2019·Drug and Alcohol Review·Michelle I JongenelisSimone Pettigrew
Nov 11, 2018·International Journal of Public Health·Rehab AufMiguel Ángel Cano

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