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Related Experiment Video

Updated: Aug 28, 2025

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Geographic Differences in JUUL Use and Risk Perceptions.

Jill M Singer1, Brittney Keller-Hamilton2, Megan E Roberts1

  • 1College of Public Health, The Ohio State University, Columbus, United States.

Substance Use & Misuse
|September 14, 2022
PubMed
Summary
This summary is machine-generated.

Adolescent JUUL use prevalence was similar in urban and Appalachian areas. However, Appalachian youth perceived JUUL as more harmful, suggesting risk perception alone may not deter e-cigarette use.

Keywords:
AdolescentsAppalachiae-cigarettesprevalencerisk perception

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Area of Science:

  • Public Health
  • Adolescent Health
  • Tobacco Control

Background:

  • Electronic cigarette use, particularly JUUL, is a significant public health concern among adolescents.
  • Understanding geographic disparities in JUUL use and perceptions is crucial for targeted prevention strategies.

Purpose of the Study:

  • To compare the prevalence of JUUL use between adolescents in urban and Appalachian regions of the U.S.
  • To assess differences in perceived risks and addictiveness of JUUL between these geographic groups.

Main Methods:

  • Cross-sectional analysis of data from the Buckeye Teen Health Study (BTHS) cohort (N=873).
  • Comparison of JUUL use and risk perceptions using chi-square tests and logistic regression between urban and rural Appalachian Ohio counties.

Main Results:

  • Overall, 29.2% of adolescents reported ever using JUUL.
  • Appalachian participants perceived JUUL as more harmful and addictive than urban participants.
  • Adjusted models showed no significant difference in current or ever JUUL use based on region.

Conclusions:

  • JUUL use prevalence did not differ significantly between urban and Appalachian adolescents.
  • Regional differences in risk perceptions did not translate to differences in JUUL use prevalence.
  • Interventions focusing solely on risk perceptions may be insufficient for preventing adolescent e-cigarette use, especially in rural areas.