Factors Associated with E-Cigarette Quit Intention Among Adolescents in the United States. (6th December 2022)

• Record Type: Journal Article
• Authors: Ahuja, Nikhil A.; Kedia, Satish K.; Jiang, Yu; Ward, Kenneth D.; Pichon, Latrice C.; Dillon, Patrick J.; Yu, Xinhua; Xie, Lu
• Is Part Of: Substance use & misuse. Volume 57:Number 14(2022)
• Page Start: 2074
• Page End: 2084
• Publication Date: 2022-12-06
• Subjects: E-cigarette -- quit intention -- cessation -- adolescents -- PATH Data; Narcotic habit -- Periodicals; Alcoholism -- Periodicals; Substance abuse -- Periodicals; Behavior, Addictive -- Periodicals; Sustance-Related Disorders -- Periodicals; 362.2905
• DOI: 10.1080/10826084.2022.2130000
• Languages: English
• ISSNs: 1082-6084

Abstract

Abstract: Background: Given increasing use of e-cigarettes among adolescents in the United States and its potential for nicotine addiction, encouraging adolescents to quit using these products has become a public health priority. This study examined factors at various socio-ecological levels associated with e-cigarette quit intention (pre-contemplation, contemplation, or preparation) using the Stages of Change of the Trans-theoretical Model among the U.S. adolescents. Methods: We used cross-sectional data from the past 30-day adolescent exclusive e-cigarette users participating in Wave 4 of the Population Assessment of Tobacco and Health study ( n = 349). Weighted adjusted multinomial logistic regression models were used to analyze the data. Results: Compared to pre-contemplators and contemplators, preparators were more likely to believe that nicotine in e-cigarettes was "very/extremely harmful" (vs. "not at all harmful") to health ( p < 0.001) and people cause a "lot of harm" (vs. "no harm") to themselves when they use e-cigarettes ( p < 0.001). In comparison to pre-contemplators, contemplators and preparators were more likely to report that their parents/guardians talked with them about not using e-cigarettes than those whose parents/guardians did not talk with them ( p < 0.001). Additionally, contemplators and preparators were also more likely to report that they "often/very often" (vs. never) noticed health warnings on e-cigarette packages ( p < 0.001). Conclusion: Our findings suggest that harm perception, influence of family, and e-cigarette health warnings are some of the important factors associated with the stages of change for intention to quit among adolescent e-cigarette users. This study will help public health practitioners and researchers design multi-level e-cigarette cessation interventions for adolescents.