ArticleBMC public health2025
A decade of e-cigarettes: trends and determinants among U.S. middle and high school students (2013-2022).
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of Electronic Cigarette use in Latin America and the Caribbean: A systematic Review and Meta-analysis.Journal of community health · 2026Pooled it
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo analyze the 10-year trend (2013-2022) in e-cigarette use among U.S. middle and high school students, identify reasons for use across demographic subgroups, and explore factors associated with ever using e-cigarettes.
methodsCross sectional data from the National Youth Tobacco Survey (NYTS) from 2013 to 2022 were used to study e-cigarette use trends among middle and high school students. Descriptive, multivariable logistic regression, and joinpoint models analyzed factors associated with ever using e-cigarettes. Statistical analyses were conducted using SAS and Python, with a significance level of p < 0.05 taking into account weighting/ complex sampling.
resultsE-cigarette use among students peaked in 2019 and then declined from 2020 to 2022. Usage was highest among Non-Hispanic White and Hispanic students, and lowest among Asian students. In 2022, females comprised over half of students who ever used e-cigarettes (53%). The main reasons for using e-cigarettes included influence from friends/family, appealing flavors, and the ability to use e-cigarettes discreetly. Males, Non-Hispanic Whites, high school students, and those with a history of cigarette use had higher odds of ever using e-cigarettes in the US from 2013 to 2022. Joinpoint regression revealed a significant increase in use among males from 2014 to 2019 and among females from 2015 to 2019 (p < 0.05). Similarly, a significant upward trend was observed after 2014, with the AAPC ranging from approximately 183% in White students to 330% in Asian students.
conclusionsOur findings indicate that between 2013 and 2019, adolescents in the U.S. experienced a significant upward trend in e-cigarette use. Non-Hispanic White adolescents were the predominant adolescents who use e-cigarettes, followed by Hispanic adolescents. The study suggests this trend could be driven by peer influence and product flavors. However, in 2022, females represented over half of adolescents who had ever used e-cigarettes, indicating a shift in use patterns over time. These results underscore the importance of policy interventions to address e-cigarette use among youth in this population.
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