Predictors of JUUL, other electronic nicotine delivery systems, and combustible tobacco initiation among Texas youth.

Introduction:
This text is a research article that examines the predictors of JUUL, other electronic nicotine delivery systems (ENDS), and combustible tobacco initiation among Texas youth. The study aims to identify the risk factors for the initiation of these tobacco products and compare them across product types. Additionally, the study describes the cross-sectional characteristics of JUUL initiators. The research utilizes data from the Texas Adolescent Tobacco and Marketing Surveillance System (TATAMS) and employs a longitudinal study design.

Key Points:

* The study examines predictors of JUUL, other ENDS, and combustible tobacco initiation among Texas youth using data from TATAMS.
* The study compares predictors across product types and describes cross-sectional characteristics of JUUL initiators.
* The study finds that ever marijuana use and peer tobacco use predict the initiation of JUUL and other ENDS use.
* Higher recall of ENDS marketing is significantly associated with higher risk of initiating JUUL use.
* Among youth who were not susceptible to any tobacco use at Wave 7, ever marijuana use was significantly associated with higher risk of initiating JUUL and other ENDS use.
* Among youth who were susceptible to any tobacco use at Wave 7, peer tobacco use was associated with significantly higher risk of initiating JUUL and other ENDS use.
* The most commonly cited reasons for JUUL use are curiosity, friend use, and the perception that JUUL is less harmful than cigarettes.

Main Message:
The study highlights the importance of marijuana use, peer tobacco use, and recall of ENDS marketing as predictors of JUUL and other tobacco product initiation among Texas youth. The research emphasizes the need for prevention efforts to target marijuana users and address the marketing of ENDS products to youth. Additionally, the study suggests that interventions may need to be tailored by product type and susceptibility status to effectively prevent JUUL, other ENDS, and combustible tobacco use initiation.

Case KR, Obinwa UC, Clendennen SL, Perry CL, Harrell MB. Predictors of JUUL, other electronic nicotine delivery systems, and combustible tobacco initiation among Texas youth. Preventive medicine. 2020;138:106097. doi:10.1016/j.ypmed.2020.106097