Comparing Risk Factors for Past 30-day E-cigarette and Combustible Tobacco Use: a Longitudinal analysis of the Texas adolescent Tobacco and Marketing Surveillance Study (2014-2017).

Introduction:
This text provides an analysis of the risk factors associated with past 30-day use of e-cigarettes and combustible tobacco products among adolescents in Texas. The study utilizes data from the Texas adolescent Tobacco and Marketing Surveillance (TaTaMS) system and employs a longitudinal, population-based sample. The study aims to identify similarities and differences in risk factors to guide future intervention efforts specific to e-cigarette and/or cigarette smoking prevention among Texas teens.

Key Points:

* The study used data from the TaTaMS system, a longitudinal, population-based study measuring tobacco product use, factors associated with tobacco use, and exposure to marketing of tobacco products among a representative sample of Texas adolescents.
* The analysis examined intrapersonal, interpersonal, and environmental risk factors for past 30-day use of e-cigarettes and combustible tobacco products based on the Socio-Ecological Model of health behavior.
* Risk factors significantly associated with both past 30-day use of e-cigarettes and combustible tobacco products included past 30-day use of marijuana, social acceptability of product use, having friends and family members who used the products, and male gender.
* Increasing age, worse academic performance, higher sensation seeking score, higher recall of social media promotion in the past 30 days, and lower positive affect score were associated with past 30-day use of combustible tobacco only.
* White race was associated with past-30 day use of e-cigarettes only.
* The study emphasizes the importance of involving peers and parents in preventive interventions and addressing other substance use, like alcohol and marijuana.
* The study also highlights the need to create a social climate that makes tobacco use (e-cigarettes and combustible products) less acceptable and desirable.

Main Message:
The study underscores the significance of understanding the risk factors associated with past 30-day use of e-cigarettes and combustible tobacco products among adolescents. By identifying similarities and differences in these risk factors, the study can guide future intervention efforts to prevent e-cigarette and/or cigarette smoking among Texas teens. Involving peers and parents, addressing substance use, and creating a social climate that discourages tobacco use are crucial steps in reducing the uptake of these products.

Obinwa U, Clendennen SL, Rangwalam S, Sumbe a, Case KR, harrell MB. Comparing Risk Factors for Past 30-day E-cigarette and Combustible Tobacco Use: a Longitudinal analysis of the Texas adolescent Tobacco and Marketing Surveillance Study (2014-2017). Texas public health journal. 2021;73(1):25-32.