Electronic cigarette use and uptake of cigarette smoking: a longitudinal examination of U.S. college students.
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Introduction Electronic cigarette (e-cigarette) use prevalence is increasing among U.S. adolescents and adults but recent longitudinal data for college/university students are scarce. Furthermore, the extent that e-cigarette use is associated with the onset of cigarette smoking and the factors that lead to the uptake of e-cigarettes in college students has not been explored.Methods 3757 participants from a Mid-Atlantic university (women: 66%; White: 45%; Black: 21%; Asian: 19%; Hispanic/Latino: 6%) were surveyed in 2014 and again in 2015.Results Among participants reporting never smoking at time 1, those who had ever tried e-cigarettes or were currently using e-cigarettes (at least one use in past 30days) were more likely to have ever tried cigarettes by time 2 relative to individuals who had not used e-cigarettes. Ever use of e-cigarettes (but not current use) also increased participants' likelihood of being current cigarette smokers at time 2. Among initial never users of e-cigarettes or cigarettes, males and ever marijuana users had an increased probability of trying e-cigarettes by time 2. Furthermore, less perseverance (an index of impulsivity) and ever use of other tobacco products increased initial never users' chances of trying both cigarettes and e-cigarettes by time 2.Conclusions Given that never-smoking participants who had tried e-cigarettes were more likely to initiate cigarette use later, limiting young adults' access to these products may be beneficial. As the long-term health implications of e-cigarette use become clearer, predictors of e-cigarette use could help identify future populations likely to use and abuse these products.
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- Authors
- Spindle, T. R., Hiler, M. M., Cooke, M. E., Eissenberg, T., Kendler, K. S., & Dick, D. M.
- Affiliations
- Virginia Commonwealth University (US)
- Corresponding author
- Spindle, Tory R.
- Dick, Danielle M.
- ORCID
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 67
- Pages
- 66-72
- ISSN
- 0306-4603 (ISSN-L)
- PMC
- PMC5250543
- OpenAlex
- W2562731505
- Cited by
- 195
- References
- 48
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 8 · 2023: 14 · 2022: 19 · 2021: 35 · 2020: 32 · 2019: 34 · 2018: 31 · 2017: 12
- FWCI
- 20.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Covis Pharma
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (K02AA018755, R37AA011408, P50AA022537)
- National Institute on Drug Abuse (P50DA036105, F31DA040319)
- National Center for Research Resources (UL1RR031990)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- electronic cigarettes, cigarette smoking initiation, university students, young adults, cannabis use, impulsivity, tobacco product use, never smokers
- MeSH terms
- Cigarette Smoking, Adolescent, Female, Humans, Longitudinal Studies, Male, Surveys and Questionnaires, Students, United States, Universities, Electronic Nicotine Delivery Systems
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