ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2026
Susceptibility to E-Cigarette and Cigarette Use Among U.S. Adolescents.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
3 authors.
Funding
Abstract
purposeThis study aimed to assess the risk and protective factors associated with susceptibility to e-cigarette and cigarette use among U.S. adolescents.
methodsData were obtained from the Adolescent Brain Cognitive Development study at year 3 follow-up (2019-2021; ages 12-13 years). Susceptibility to tobacco use was based on self-reported curiosity and willingness to try e-cigarettes and cigarettes. Participants were grouped into four distinct categories: not susceptible, susceptible to e-cigarettes only, cigarettes only, or both. Multinomial logistic regression examined associations between susceptibility and demographics, impulsivity, parental substance use, environment, and psychosocial factors.
resultsAmong 9,326 adolescents (mean age = 154.9 months), 7,232 were not susceptible (weighted 76.8%), whereas 526 (6.1%) were susceptible to e-cigarettes only, 566 (6.1%) to cigarettes only, and 1,002 (11.0%) to both. Susceptibility to e-cigarette-only and dual use was associated with being older (closer to age 13 years), female, and having a history of substance use. Impulsivity traits, particularly negative urgency and sensation seeking, were linked to susceptibility across both products, whereas positive urgency and lack of perseverance were more strongly associated with e-cigarette-only and dual use. Protective factors across all susceptibility groups included higher levels of parental monitoring and a supportive school environment. In addition, parental use of other drugs and youth psychopathology were specifically linked to e-cigarette susceptibility, whereas a more favorable perceived neighborhood environment was protective against cigarette susceptibility. DISCUSSION: Findings emphasize the importance of psychosocial, environmental, and parental factors in adolescent tobacco susceptibility. Prevention should address impulsivity-related risk factors, improve parental involvement, and strengthen school and community interventions.
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