Examining Daily Electronic Cigarette Puff Topography Among Established and Nonestablished Cigarette Smokers in their Natural Environment

Introduction:
This text is a summary of an academic article examining the psychosocial correlates of single and multiple tobacco product use among youth e-cigarette users. The study aims to inform public health efforts to reduce youth use of tobacco products by identifying specific factors that put youth at risk for concurrent use of e-cigarettes with tobacco products.

Key Points:

* The study uses data from the 2014 Florida Youth Tobacco Survey, a representative sample of Florida middle and high school students.
* Associations between combinations of e-cigarette, cigarette and other tobacco product use and psychosocial variables were examined using multinomial logistic regression.
* Most e-cigarette-using youth used at least one other product (81%).
* Perceiving cigarettes as easy to quit was significantly associated with greater likelihood of combined e-cigarette/OTP use and combined e-cigarette/cigarette/OTP use.
* Thinking you will be smoking cigarettes in 5 years was associated with product combinations that include cigarettes.
* Tobacco company marketing receptivity was associated with multiple product user types.

Main Message:
The study highlights the importance of addressing polytobacco use specifically, instead of individual product use, in public health efforts. It also suggests that youth perceptions about the ease of quitting cigarettes, intentions to continue smoking cigarettes, and receptivity to tobacco company marketing are promising areas for messaging aimed at reducing tobacco product use among youth. Additionally, the study suggests that reducing exposure to tobacco use, such as through home rules about tobacco use and clean indoor air policies, could be effective for reducing youth e-cigarette and polytobacco use.

Lee, Youn Ok, James M Nonnemaker, Brian Bradfield, Edward C Hensel, and Risa J Robinson. “Examining Daily Electronic Cigarette Puff Topography Among Established and Nonestablished Cigarette Smokers in Their Natural Environment.” Nicotine & Tobacco Research 20, no. 10 (September 4, 2018): 1283–88. https://doi.org/10.1093/ntr/ntx222.