We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Sociodemographic, personal, peer, and familial predictors of e-cigarette ever use in ESPAD Ireland: A forward stepwise logistic regression model.
- Authors
Hanafin, Joan; Sunday, Salome; Clancy, Luke
- Abstract
INTRODUCTION E-cigarette ever use has risen significantly in recent years in Ireland, similar to trends elsewhere in Europe, the United States, and Asia-Pacific region. Results from ESPAD Ireland (European School Survey Project on Alcohol and other Drugs) show teenage e-cigarette ever use increased from 18% (2015) to 37% (2019). Given this increase, our aim is to profile e-cigarette ever users and never users in this age group; to examine sociodemographic, personal, peer, and familial factors associated with e-cigarette ever use; and to suggest appropriate measures to reduce use. METHODS A nationally representative stratified random sample of 50 ESPAD schools was surveyed in 2019, with 3495 students aged 15--17 years. Bivariate and multivariable logistic regression analyses were performed using Stata version 16. RESULTS E-cigarette ever use was significantly associated with ever smoking (AOR=4.15; 95% CI: 1.29--13.41), ever cannabis use (AOR=2.21; 95% CI: 1.11--4.41) and ever inhalants use (AOR=2.51; 95% CI: 1.07--5.88). Children of university-educated mothers had significantly higher odds of e-cigarette ever use (AOR=3.46; 95% CI: 1.40--8.54). Associated with reduced AORs were reading books for enjoyment (AOR=0.32; 95% CI: 0.16--0.64), living in households where smoking was regulated (AOR=0.53; 95% CI: 0.30--0.94), and perceiving moderate risk in trying e-cigarettes once or twice (AOR=0.20; 95% CI: 0.07--0.67). CONCLUSIONS E-cigarette ever use is part of a pattern of teenage polysubstance use including cigarette smoking, providing some support for the common liability theory. Regulation of smoking in the home, reading for enjoyment, and perceiving risk from e-cigarette use are associated with decreased likelihood of ever use, and higher parental education with increased likelihood. Thus, health education emphasizing the role of parents and risks of e-cigarette use is indicated to reduce the rise in e-cigarette ever use in teenagers.
- Subjects
SMOKING &; psychology; SMOKING prevention; SUBSTANCE abuse risk factors; AFFINITY groups; STATISTICS; MOTHERS; HEALTH education; ELECTRONIC cigarettes; CONFIDENCE intervals; CANNABIS (Genus); PSYCHOLOGY of drug abusers; MULTIVARIATE analysis; FAMILIES; SURVEYS; RISK assessment; QUESTIONNAIRES; SCHOOLS; BOOKS; SOCIODEMOGRAPHIC factors; STATISTICAL sampling; LOGISTIC regression analysis; DATA analysis software; ODDS ratio; EDUCATIONAL attainment; READING
- Publication
Tobacco Induced Diseases, 2022, Vol 20, p1
- ISSN
2070-7266
- Publication type
Article
- DOI
10.18332/tid/144234