ArticlePopulation medicine2021
Appalachian youth e-cigarette harm perceptions and tobacco use.
Article in Population medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Lung Cancer Prevention Among Appalachian Kentucky Women: A Community-Engaged Mixed Method Study.American journal of health promotion : AJHP · 2025Article
- Health Care Provider E-Cigarette-Related Advice and E-Cigarette Harm Perceptions Among Youth.American journal of health promotion : AJHP · 2025Article
- Differences in health care provider advice on abstaining from tobacco use: Findings from the 2020 National Youth Tobacco Survey.Addictive behaviors · 2023Article
- Statewide Youth Vaping Prevention in West Virginia: Two-Year Outcomes of CATCH My Breath.Journal of primary care & community healthArticle
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Authors and funding
4 authors.
Funding
Abstract
introductionE-cigarettes are the most popular tobacco product among youth. Although harm perceptions have been linked to youth e-cigarette use, little research focuses on vulnerable populations, such as Appalachian youth. This study examines associations between e-cigarette harm perceptions and tobacco use among a sample of Appalachian youth.
methodsUsing data from the 2014-2016 Youth Appalachian Tobacco Study (n=1074), distributions of six e-cigarette harm perceptions by tobacco use (never, ever non-e-cigarette, ever e-cigarette) were examined, and multivariable multinomial logistic regression was used.
resultsNearly one-fourth (23.4%) of the sample were ever e-cigarette users. More e-cigarette users were male (53.4%) and in high school (57.0%). Fewer e-cigarette users strongly agreed that e-cigarettes cause health problems (15.1%), breathing problems (20.3%), and oral health problems (18.7%) and that e-cigarettes are addictive (25.1%), compared to never and non-e-cigarette users. More e-cigarette users strongly agreed (32.3%) that e-cigarettes are healthier alternatives to cigarettes compared to never (24.1%) and non-e-cigarette (25.7%) users. Regression models indicate that e-cigarette users had greater odds of strongly disagreeing with e-cigarettes being harmful or addictive, compared to never users. E-cigarette users had approximately six-fold odds of strongly disagreeing with e-cigarettes causing health problems (OR=6.12; 95% CI: 3.16-11.90) and two times greater odds of disagreeing with e-cigarettes being addictive (OR=2.09; 95% CI: 1.07-4.08) compared to never users.
conclusionsAppalachian youth ever e-cigarette users perceive e-cigarettes as less harmful and less addictive compared to never users. Better informing youth, especially youth tobacco users, of the harms associated with e-cigarettes is vital.
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