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- Title
Examining the correlates of cigarette smoking, e-cigarette use and dual use among Canadian post-secondary students.
- Authors
Fagan, Matthew James; Zhan, Jian Kun; Wunderlich, Kelly B.; Faulkner, Guy
- Abstract
Many Canadians use nicotine products such as cigarettes and e-cigarettes. A particular subpopulation of concern is post-secondary students given they have a higher prevalence of use. Many correlates of cigarette smoking and e-cigarette use have been identified. However, less focus has been on examining the correlates of cigarette smoking, e-cigarette use and dual use. This study explores the correlates of different nicotine modality use in post-secondary students. Using data from the Canadian Campus Wellbeing Survey (CCWS; n = 27,164), a multi-level nominal regression assessed the correlates of nicotine modality use. In comparison to individuals who were <20, individuals 20-24 (OR =.448, 95% CI.321,.625), 25-29 (OR =.140, 95% CI.093,.212), 30-34 (OR =.076, 95% CI.046,.125) and over 35 (OR =.041, 95% CI.024,.071) had lower odds of e-cigarette use compared to cigarette smoking. Identifying as a woman (OR = 1.553, 95% CI 1.202, 2.006), non-heterosexual (OR =.642, 95% CI =.485,0.851), current cannabis user (OR = 1.651, 95% CI 1.296, 2.104), and being an international student (OR =.350, 95% CI.251,.487) also impacted the odds of e-cigarette use vs only cigarette smoking. When considering dual use vs cigarette smoking, individuals aged 20-24 (OR =.491, 95% CI.337,.717), 25-29 (OR =.221, 95% CI.137,.357), 30-34 (OR =.163, 95% CI.091,.292) and over 35 (OR =.122, 95% CI.065,.230) had lower odds than individuals <20. Current cannabis use (OR = 1.680, 95% CI = 1.209, 2.138), binge drinking (OR = 1.885, 95% CI 1.384, 2.568), and international student status (OR =.689, 95% CI.476,.996) also impacted cigarette smoking vs dual-use. Overall, a minority of young adults (11.5%) at post-secondary institutions in our sample use nicotine products, and the higher prevalence of e-cigarette use warrants continued monitoring. Health promotion campaigns addressing e-cigarette use are required. Additionally, tailored intervention efforts could prioritize the treatment needs of international students studying in Canada.
- Subjects
CANADA; SUBSTANCE abuse risk factors; CANADIANS; RISK assessment; SELF-evaluation; SUBSTANCE abuse; PSYCHOLOGICAL distress; RESEARCH funding; SMOKING; ELECTRONIC cigarettes; PSYCHOLOGY of high school students; MULTIPLE regression analysis; FOOD security; QUESTIONNAIRES; DESCRIPTIVE statistics; BINGE drinking; DISEASE prevalence; ODDS ratio; FOREIGN students; SLEEP; CONFIDENCE intervals; HEALTH promotion; CANNABIS (Genus); PSYCHOSOCIAL factors
- Publication
Tobacco Use Insights, 2024, p1
- ISSN
1179-173X
- Publication type
Article
- DOI
10.1177/1179173X241247414