ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2021
Adolescent E-Cigarette Onset and Escalation: Associations With Internalizing and Externalizing Symptoms.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Prevalence and Mental Health Correlates of Electronic Cigarette Use Among Pediatric Primary Care Patients.Clinical pediatrics · 2026Article
- Mental health disorders, and associated factors among children aged 6-17 years living in Mahama refugee camp in Rwanda.PLOS mental health · 2026Article
- Longitudinal patterns of e-cigarette use initiation and progression to frequent vaping from mid-to-late adolescence to young adulthood.Addiction (Abingdon, England) · 2025Article
- Longitudinal Associations of Impulsivity, Sensation-Seeking, and Peer E-Cigarette Use on the Frequency of E-Cigarette Use Across Young Adulthood.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Does the time to nicotine dependence vary by internalizing symptoms for young people who use e-cigarettes? An analysis of the Population Assessment of Tobacco and Health (PATH) study, (Waves 1-5; 2013-2019).Addictive behaviors · 2024Article
- The e-cigarette assessment for youth-Revised (EAsY-R): Preliminary results of a pilot study of measure refinement via cognitive interviewing.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2024Article
- Longitudinal Examination of ENDS Use Among Young Adult College Students: Associations with Depressive Symptoms and Sensation Seeking.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Within-person associations of escalated electronic nicotine delivery systems use with cigarette, alcohol, marijuana and drug use behaviors among US young adults.Addiction (Abingdon, England) · 2023Article
- Symptoms of Depression and Anxiety and Subsequent Use of Nicotine and THC in Electronic Cigarettes.Substance use & misuse · 2023Article
- Longitudinal associations between e-cigarette use and onset of multiple modes of cannabis use among US adolescents.Addictive behaviors · 2022Article
- Effect modification of legalizing recreational cannabis use on the association between e-cigarette use and future cannabis use among US adolescents.Drug and alcohol dependence · 2022Article
- Role of Mental Health in the Association Between E-Cigarettes and Cannabis Use.American journal of preventive medicine · 2022Article
- Rates of Tobacco Use Disorder, Pharmacologic Treatment, and Associated Mental Health Disorders in a Medicaid Claim Review Among Youth in Indiana, USA.Tobacco use insights · 2022Article
- Adolescent depression symptoms and e-cigarette progression.Drug and alcohol dependence · 2021Article
- Adolescent perceptions of E-cigarette use and vaping behavior before and after the EVALI outbreak.Preventive medicine · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeWe sought to evaluate if internalizing symptoms (i.e., anxiety and depression) and/or externalizing symptoms (i.e., impulsivity, sensation seeking, and substance use) were risk factors for the onset of 30-day e-cigarette use and escalation in the number of days used across the following 30 months among adolescents.
methodsAdolescents (N = 1,808) from public high schools outside Philadelphia, PA, completed in-classroom surveys at wave 1 (fall 2016, beginning of ninth grade) and at 6-month intervals for the following 30 months (spring 2019, end of 11th grade).
resultsA two-part latent growth curve model of e-cigarette use revealed significant positive associations between externalizing factors, past 30-day e-cigarette use, and the number of days of e-cigarette use only at wave 1 (p values <.05). Cigarette smoking was associated with a slowing in the rate of onset of 30-day e-cigarette use across the 30-month follow-up (β = -.24, z = -2.41, p = .02). Depression was associated with an increased rate of escalation in the number of days of e-cigarette use across the following 30 months (β = .01, z = 2.52, p = .01), whereas anxiety was associated with a decreased rate (β = -.72, z = -2.36, p = .02).
conclusionsThe findings highlight two groups of adolescents at risk for e-cigarette use: adolescents whose e-cigarette use reflects a higher-risk profile with early e-cigarette onset, and adolescents who have a lower-risk profile, at least initially, with later e-cigarette use onset. The timing and content of prevention efforts should be tailored to each group.
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