Summary
Introduction:
This text is a research article that examines the relationship between adolescent e-cigarette use and internalizing symptoms, such as anxiety and depression, as well as externalizing symptoms, such as impulsivity, sensation-seeking, and substance use. The study uses data from a prospective cohort survey of adolescents in high school and employs a two-part Latent Growth Curve Model to evaluate the association among these symptoms and e-cigarette onset and escalation over a 30-month follow-up period.
Key Points:
* The study used data from a prospective cohort survey of adolescents in high school.
* The sample was demographically representative of adolescents nationwide.
* A two-part Latent Growth Curve Model was used to evaluate the association among internalizing and externalizing symptoms and e-cigarette onset and escalation.
* Externalizing symptoms, such as substance use and impulsivity, were associated with an increased likelihood of initiating e-cigarette use.
* Depression and sensation-seeking were associated with an increased rate of e-cigarette use escalation over time.
* Cigarette smoking was associated with a slowing in the rate of e-cigarette use onset over time.
* The findings suggest that there are two groups of adolescents at risk for e-cigarette use: those with earlier onset in the context of a higher-risk behavioral profile, and those with later onset and a lower-risk profile.
Main Message:
The study findings highlight the importance of considering both internalizing and externalizing symptoms when developing e-cigarette prevention efforts for adolescents. The results suggest that there are two groups of adolescents at risk for e-cigarette use, and that prevention efforts should be tailored to each group's specific needs. Additionally, the study underscores the need to consider the potential role of cigarette smoking in e-cigarette prevention efforts. Overall, the findings provide valuable insights for policymakers and public health officials seeking to address the growing problem of adolescent e-cigarette use.
Citation
Audrain-McGovern J, Rodriguez D, Testa S, Alexander E, Pianin S. Adolescent E-Cigarette Onset and Escalation: Associations With Internalizing and Externalizing Symptoms. The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 2021;68(4):801-807. doi:10.1016/j.jadohealth.2020.09.033
