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Epidemic of youth nicotine addiction? What does the National Youth Tobacco Survey 2017-2019 reveal about high school e-cigarette use in the USA?

Jarvis, M; Jackson, S; West, R; Brown, J; (2020) Epidemic of youth nicotine addiction? What does the National Youth Tobacco Survey 2017-2019 reveal about high school e-cigarette use in the USA? Qeios 10.32388/745076.5. (In press). Green open access

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Abstract

Background: Between 2018 and 2020, the US Food and Drug Administration announced various restrictions on e-cigarette manufacturers in response to a perceived epidemic of e-cigarette use and nicotine dependence among high school students. The stimulus came from headline figures from the 2018 and 2019 National Youth Tobacco Survey (NYTS). We analysed e-cigarette use and dependence in the NYTS in relation to lifetime history of use of tobacco products. Design and setting: Nationally representative annual survey of high school students 2017 to 2019. Participants: 10,186 students in 2017, 10,991 in 2018 and 10,097 in 2019. Measurements: Any use of e-cigarettes in past 30 days, frequent e-cigarette use (≥20 of past 30 days) and indicators of tobacco or nicotine dependence (strong craving in past 30 days; wanting to use within 30 minutes of waking) were analysed in relation to lifetime tobacco product use history, ranging from never use through to lifetime smoking of >100 cigarettes. Findings: Past-30-day e-cigarette use increased from 11.7% in 2017 to 20.8% in 2018, and 27.5% in 2019. In 2019 it was reported in 13.3% of those who had never tried any other tobacco product, 30.9% of those who had tried only a non-combustible product (OR 2.9, CI 1.9-4.5), and in 73.8 % of those who had smoked more than 100 cigarettes in their lifetime (OR 18.3, CI 8.4-40.1) Frequent use occurred in 1.0% of otherwise tobacco naive users in 2018 and 2.1% in 2019. Among otherwise tobacco naive past-30-day e-cigarette users in 2019, 8.7% reported craving and 2.9% reported wanting to use within 30 minutes of waking. Conclusions: While use of e-cigarettes in US high-school students increased sharply between 2017 and 2019, frequent use and signs of e-cigarette dependence remained rare in students who had only ever used e-cigarettes and never any other tobacco product.

Type: Article
Title: Epidemic of youth nicotine addiction? What does the National Youth Tobacco Survey 2017-2019 reveal about high school e-cigarette use in the USA?
Open access status: An open access version is available from UCL Discovery
DOI: 10.32388/745076.5
Publisher version: https://doi.org/10.32388/745076.5
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: E-cigarettes; vaping; nicotine; addiction; dependence; cigarettes; smoking.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10109770
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