School socioeconomic disparities in e-cigarette susceptibility and use among central Texas middle school students

Preventive Medicine Reports
Andrew SpringerSteven H Kelder

Abstract

Social-ecological theory posits that health-related behavior is shaped by the environments and settings that surround us. We examined e-cigarette susceptibility and ever use prevalence among central Texas middle school students by the level of economic disadvantage (ED) of their school. As a secondary aim, we explored gender and ethnic differences (Hispanic vs. White) in e-cigarette susceptibility across school ED levels. A cross-sectional analysis was conducted of baseline data collected in 2017 as part of the CATCH My Breath study. Participants (n = 5278) were 6th grade students from 23 central Texas public middle schools. E-cigarette susceptibility/use and demographics were self-reported; school ED was determined by Texas Education Agency. Analyses included chi-square tests and multi-level logistic regression. E-cigarette susceptibility and use varied by school ED for total sample (p < .0001) and by ethnicity (p ≤ .003). While e-cigarette susceptibility was higher in boys (p < .001), no gender differences were found for e-cigarette use. Students in the highest school ED quartile (Q4) (lowest SES) had significantly higher odds of e-cigarette susceptibility (AOR = 2.01; 95% CI: 1.49-2.71) and use (AOR = 8.12, 95% CI: 2.58-26.3...Continue Reading

Citations

Feb 23, 2019·Children·Jyothi Nagraj Marbin, Valerie Gribben
Jan 23, 2020·Public Health Reports·Steven H KelderAndrew E Springer
Feb 25, 2020·Journal of Medical Research and Innovation·Shervin AssariMohsen Bazargan
Jan 16, 2022·American Journal of Health Promotion : AJHP·Dale S ManteyMelissa B Harrell

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