User

Examining the Relationship between Vaping and Smoking among Texas High School Students

Joseph Olufemi Odeyemi

Abstract

Background: Over the last decade, e-cigarettes have grown in popularity, surpassing cigarettes as the most widely used tobacco product among adolescents. Current evidence suggests that using e-cigarettes (vaping) is less harmful than smoking cigarettes; however, vaping has been linked to severe health consequences and an increased likelihood of transitioning to cigarettes. The upward trend of vaping is infrequently studied in concert with the prevalence of cigarette smoking. The objective of this study is to explore the prevalence of e-cigarette use and to assess potential associations with cigarette smoking among Texas adolescents.
Subjects and Method: This study analyzed data on the prevalence of vaping and cigarette smoking among high school students from the 2019 Texas Youth Risk Behavior Survey (YRBS), a cross-sectional survey with a sample size of 2032. Participating schools were selected using a multi-level cluster sampling technique and variables of interest were measured using a stan-dardized self-administered questionnaire. The t-test and chi-square tests were used to determine significance of associations between estimates.
Results: Almost one in five respondents (18.7%) reported vaping. Non-Hispanic White students (p< 0.001), bisexual students (p < 0.001) and students in the higher grades were more likely to report e-cigarette use. Overall, cigarette smoking appeared to be on the decline in contrast to e-cigarette use and there was a positive association between cigarette smoking and vaping (p < 0.001).
Conclusion: The high prevalence of vaping among Texas high school students is a call to action. Halting the upward trend of e-cigarette use is a priority as these products predispose adolescents to significant morbidity.

Keywords: Vaping, e-cigarettes, smoking, Texas.

Correspondence: Joseph Odeyemi, School of Public Health, University of North Texas Health Science Center, Texas. Email: josephodeyemi@yahoo.com; josephodeyemi@my.unthsc.edu.

Journal of Maternal and Child Health (2022), 07(02): 214-221
https://doi.org/10.26911/thejmch.2022.07.02.10

 

 

Full Text:

PDF

References

American Cancer Society (2021). Harmful chemicals in tobacco products. Retrieved from: https://www.cancer.org/cancer/cancer-causes/tobacco-and-cancer/carcinogens-found-in-tobacco-products.html.


Blaha M (2021). 5 vaping facts you need to know. Retrieved from: https://www.hopkinsmedicine.org/health/wellness-and-prevention/5-truths-you-need-to-know-about-vaping.


Centers for Disease Control and Prevention (2015). 2000 surgeon general's report highlights: tobacco timeline. Retrieved from: https://www.cdc.gov/tobacco/data_statistics/sgr/2000/highlights/historical/index.htm.


Centers for Disease Control and Prevention (2019a). United States 2019 results.


Centers for Disease Control and Prevention (2019b). Youth Online: Texas 2017 - 2019 results.


Centers for Disease Control and Prevention (2019c). United States 2019 results. Retrieved from: https://yrbs-explorer.services.cdc.gov/#/graphs?questionCode=H35&topicCode=C02&location=XX&year=2019


Centers for Disease Control and Prevention (2020a). Table 3: Sample sizes, response rates and demographic characteristics. Retrieved from: https://www.cdc.gov/healthyyouth/data/yrbs/2019_tables/sample_sizes.htm


Centers for Disease Control and Prevention (2020b). Youth and tobacco use. Retrieved from: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm


Centers for Disease Control and Prevention (2021). Quick facts on the risks of e-cigarettes for kids, teens, and young adults. Retrieved from: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/Quick-Facts-on-the-Risks-of-E-cigarettes-for-Kids-Teens-and-Young-Adults.html


Consumer Advocates for Smoke-free Alternatives Association (2021). Historical timeline of vaping and electronic cigarettes. Retrieved from: https://casaa.org/education/vaping/historical-tim-eline-of-electronic-cigarettes


Cooper M, Case KR, Loukas A (2015). E-cigarette use among Texas youth: Results from the 2014 Texas Youth Tobacco Survey. Addict Behav. 50: 173–177. https://doi.org/10.1016/j.addbeh.2015.06.034.


Cornelius M, Wang T, Jamal A, Loretan C, Neff L (2020). Tobacco product use among adults – United States, 2019. MorbMortal Wkly Rep. 69(46): 1736 – 1742. https://dx.doi.org/10.15585/mmwr.mm6946a4.


MacDonald A, Middlekauff HR (2019). Electronic cigarettes and cardiovascular health: what do we know so far? Vasc Health Risk Manag. 15: 159–174. https://doi.org/10.2147/VHRM.S175970


Miller A (2019). The science behind why vaping is becoming so popular in Canada. Retrieved from: https://www.cbc.ca/news/health/the-science-be-hind-why-vaping-is-becoming-so-popular-in-canada-1.5290520.


Office of Disease Prevention and Health Promotion (2020a). Tobacco use. Retrieved from: https://health.gov/healthypeople/objectives-and-data/browse-objectives/tobacco-us


Office of Disease Prevention and Health Promotion (2020b). Reduce current e-cigarette use in adolescents – TU-05. Retrieved from: https://health.gov/healthypeople/objectives-and-data/browse-objectives/toba-cco-use/reduce-current-e-cigarette-use-adolescents-tu-05


Office of Disease Prevention and Health Promotion (2020c). Reduce current use of flavored tobacco products in adolescents who use tobacco – TU-09. Retrieved from: https://health.gov/healthypeople/objectives-and-data/browse-objectives/tobacco-use/reduce-current-use-flavored-tobacco-products-adolescents-who-use-tobacco-tu-09.


Park-Lee E, Ren C, Sawdey M, Gentzke A, Cornelius M, Jamal A, Cullen K (20-21). Notes from the field: E-cigarette use among middle and high school students – National Youth Tobacco Survey, United States, 2021. Morb Mortal Wkly Rep. 70(39): 1387 – 1389. Doi: https://dx.doi.org/10.155-85/mmwr.mm7039a4.


Perelman J, Leão T, Kunst AE (2019). Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries. Eur J Public Health. 29(4): 778–784. https://doi.org/10.1093-eurpub/ckz110


Public Health Law Center (2021). U.S. e-cigarettes regulations – 50 state review (2021). Retrieved from: https://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review


Texas Health and Human Services (2019). Frequently asked questions. Retrieved from: https://www.dshs.texas.gov/chs/yrbs/pages/yrbs_faq.shtm


Texas Health and Human Services (2021). E-cigarettes and vaping. Retrieved from: https://www.dshs.state.tx.us/tobacco/E-Cigarettes/


Tokic A, Pecnik N (2011). Parental behaviors related to adolescents’ self-dis-closure: Adolescents views. J Soc Pers Relat. 28(2): 201 – 222. https://doi.org/10.1177/0265407510382320.


Underwood M, Brener N, Thornton J, Harris W, Bryan L, Shanklin S, et al. (2020). Overview and methods for the youth risk behavior surveillance system - United States, 2019. Morb Mortal Wkly Rep. 69(1): 1 – 10. http://dx.doi.org/10.15585/mmwr.su6901a1.


Refbacks

  • There are currently no refbacks.