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Adolescents' Use of Basic, Intermediate, and Advanced Device Types for Vaping.

Jessica K Pepper1, Anna J MacMonegle1, James M Nonnemaker1

  • 1Center for Health Policy Science & Tobacco Research, RTI International, Research Triangle Park, NC.

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
|January 3, 2018
PubMed
Summary

Advanced vaping devices pose greater health risks to teens. Older, male adolescents who buy their own devices and mix e-liquids are more likely to use advanced vaping products.

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Area of Science:

  • Adolescent Health
  • Tobacco Control
  • Vaping Research

Background:

  • Advanced electronic vaping products (EVPs) may pose greater health risks to adolescents due to effective nicotine delivery and higher temperatures.
  • Limited understanding exists regarding adolescent risk factors for using different types of EVPs.

Purpose of the Study:

  • To characterize adolescent use of basic, intermediate, and advanced EVPs.
  • To identify risk factors associated with adolescent use of specific EVP device types.

Main Methods:

  • Online survey of 1508 US adolescents (15-17 years) reporting recent EVP use.
  • Assessment of tobacco use, EVP knowledge, and device type preference.
  • Multinomial logistic regression analysis to compare user groups.

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Main Results:

  • Most adolescents used advanced modifiable devices (56.8%), followed by intermediate (28.7%) and basic (14.5%).
  • Younger age and less frequent use were linked to basic device preference.
  • Older age, male gender, personal device purchase, and e-liquid mixing were associated with advanced device use.

Conclusions:

  • Distinct adolescent profiles exist for basic, intermediate, and advanced EVP users.
  • Basic device users may be new experimenters, while advanced users engage in riskier behaviors.
  • Targeted interventions and stricter enforcement of sales bans are recommended.