Prevalence of Vaping and Behavioral Associations of Vaping Among a Community of College Students in the United States

Abstract

We investigated the prevalence of vaping among college students in South-central Appalachia in the United States and explored factors which were associated with and could predict vaping among the college students. A sample of 498 enrolled students voluntarily completed a self-report REDCap health survey questionnaire in 2018. Outcome variable was use of electronic cigarettes categorized as yes/no. Independent variables included risky behaviors such as texting or emailing while driving, riding in a car with someone who had been drinking, history of protected and unprotected sexual intercourse, age at first intercourse, and type of contraceptive used. Covariates were age, gender, ethnicity/race and high school location. The first category was used as reference. Binary logistic regression was used to identify factors associated with and predicting vaping. Mean age of participants was 20.93(± 8.26), 62.9% were female, a majority (76.5%) were non-Hispanic White, and 43.2% reported vaping at some point in their lives. Initial univariate analysis showed gender (p < 0.0001), seat belt usage (p = 0.002), texting or emailing while driving (p = 0.002), riding in a car with someone who had been drinking (p = 0.001), history of sexual intercourse (p < 0.001), coitarche (p = 0.026), use of birth control pills and withdrawal method were associated with vaping. Adjusting for co-variates, gender (p < 0.002), county of high school (p < 0.009) and texting and e-mailing while driving (0.05), seat belt usage (0.04) remained significant. Vaping was highly prevalent (43.2%) among our participants. Gender, location of high school, texting/emailing while driving and seat belt usage are predictors of vaping among these students.

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References

  1. 1.

    Miech, R., Johnston, L., O’Malley, P. M., Bachman, J. G., & Patrick, M. E. (2019). Trends in adolescent vaping, 2017–2019. New England Journal of Medicine,381(15), 1490–1491.

    Article  Google Scholar 

  2. 2.

    Miech, R., Patrick, M. E., O’Malley, P. M., & Johnston, L. D. (2017). What are kids vaping? Results from a national survey of US adolescents. Tobacco Control,26(4), 386–391.

    Article  Google Scholar 

  3. 3.

    Cullen, K. A., et al. (2019). e-Cigarette use among youth in the United States, 2019. JAMA,322(21), 2095–2103.

    Article  Google Scholar 

  4. 4.

    Franks, A. M., Hawes, W. A., McCain, K. R., & Payakachat, N. (2017). Electronic cigarette use, knowledge, and perceptions among health professional students. Currents in Pharmacy Teaching and Learning,9(6), 1003–1009.

    Article  Google Scholar 

  5. 5.

    Tavolacci, M.-P., Vasiliu, A., Romo, L., Kotbagi, G., Kern, L., & Ladner, J. (2016). Patterns of electronic cigarette use in current and ever users among college students in France: A cross-sectional study. British Medical Journal Open,6(5), e011344.

    Google Scholar 

  6. 6.

    Brozek, G. M., et al. (2019). The prevalence of cigarette and E-cigarette smoking among students in Central and Eastern Europe-results of the YUPESS study. International Journal of Environmental Research and Public Health,16(13), 2297.

    Article  Google Scholar 

  7. 7.

    Trumbo, C. W. (2018). Influence of risk perception on attitudes and norms regarding electronic cigarettes. Risk analysis,38(5), 906–916.

    Article  Google Scholar 

  8. 8.

    Auf, R., et al. (2019). E-cigarette use is associated with other tobacco use among US adolescents. International Journal of Public Health,64(1), 125–134.

    Article  Google Scholar 

  9. 9.

    Jones, C. B., Hill, M. L., Pardini, D. A., & Meier, M. H. (2016). Prevalence and correlates of vaping cannabis in a sample of young adults. Psychology of Addictive Behaviors,30(8), 915–921.

    Article  Google Scholar 

  10. 10.

    Lee, Y., & Lee, K.-S. (2019). Association of depression and suicidality with electronic and conventional cigarette use in South Korean adolescents. Substance Use and Misuse,54(6), 934–943.

    Article  Google Scholar 

  11. 11.

    Oh, K. H., et al. (2019). The Relationship between Electronic Cigarette Use with or without Cigarette Smoking and Alcohol Use among Adolescents: Finding from the 11th Korea Youth Risk Behavior Web-based Survey. Korean Journal of Family Medicine,40(4), 241–247.

    Article  Google Scholar 

  12. 12.

    Dai, H., & Hao, J. (2017). Geographic density and proximity of vape shops to colleges in the USA. Tobacco Control,26(4), 379–385.

    Article  Google Scholar 

  13. 13.

    Lancet, T. (2015). Rural health inequities: Data and decisions.

  14. 14.

    Weaver, K. E., Palmer, N., Lu, L., Case, L. D., & Geiger, A. M. (2013). Rural–urban differences in health behaviors and implications for health status among US cancer survivors. Cancer Causes and Control,24(8), 1481–1490.

    Article  Google Scholar 

  15. 15.

    Trumbo, C. W., & Harper, R. (2013). Use and perception of electronic cigarettes among College students. Journal of American College Health,61(3), 149–155.

    Article  Google Scholar 

  16. 16.

    Littlefield, A. K., Gottlieb, J. C., Cohen, L. M., & Trotter, D. R. M. (2015). Electronic cigarette use among college students: Links to gender, race/ethnicity, smoking, and heavy drinking. Journal of American College Health,63(8), 523–529.

    Article  Google Scholar 

  17. 17.

    Martins, S. S., Tavares, H., DaSilvaLobo, D. S., Galetti, A. M., & Gentil, V. (2004). Pathological gambling, gender, and risk-taking behaviors. Addictive Behaviors,29(6), 1231–1235.

    Article  Google Scholar 

  18. 18.

    Sutfin, E. L., McCoy, T. P., Morrell, H. E. R., Hoeppner, B. B., & Wolfson, M. (2013). Electronic cigarette use by college students. Drug and Alcohol Dependence,131(3), 214–221.

    Article  Google Scholar 

  19. 19.

    Saddleson, M. L., et al. (2016). Enjoyment and other reasons for electronic cigarette use: Results from college students in New York. Addictive Behaviors,54, 33–39.

    CAS  Article  Google Scholar 

  20. 20.

    Helen, G. S., & Eaton, D. L. (2018). Public health consequences of e-cigarette use. JAMA Internal Medicine,178(7), 984–986.

    Article  Google Scholar 

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Funding

This research did not receive any specific Grant from funding agencies in the public, commercial, or not-for-profit sectors.

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All authors contributed to the study conception and design. Material preparation and analysis were performed by OO. Data collection was performed by Kiana Johnson. The first draft of the manuscript was written by OO. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Ogbebor E. Omoike.

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Omoike, O.E., Johnson, K.R. Prevalence of Vaping and Behavioral Associations of Vaping Among a Community of College Students in the United States. J Community Health (2020). https://doi.org/10.1007/s10900-020-00868-y

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Keywords

  • Vaping
  • College students
  • Behaviors
  • E-cigarettes