Potential Consequences of E-Cigarette Use: Is Youth Health Going Up in Smoke

Abstract

The recent spike in popularity of electronic cigarettes (e-cigarettes) among Americas adolescents may have significant health consequences. Such consequences would affect the Department of Defenses recruitable population, which is predominantly composed of adolescents and young adults. Using data from the National Youth Tobacco Survey (NYTS), we examine trends over time in the use of traditional tobacco and e-cigarettes. We also use NYTS data during the 2002-2006 period to predict the use of traditional cigarettes and chewing tobacco (chew) among NYTS respondents participating in the 2011-2014 survey waves. By comparing the accuracy of these predictions across e-cigarette users and nonusers, we shed light on the relationship between e-cigarette and traditional tobacco use. Specifically, we demonstrate that NYTS participants in the 2011-2014 waves who report having ever tried e-cigarettes are far more prone to using cigarettes and/or chew than the data from the 2002- 2006 period predict. We also show that these youth smoke conventional cigarettes more frequently and intensely than expected. In stark contrast, 2011-2014 NYTS respondents who have not tried e-cigarettes are less prone to tobacco use than predicted, and they smoke less often/less intensely. One interpretation of these results is that e-cigarettes could be a gateway drug that will entice more youth to eventually smoke or chewdiminishing the overall health of the recruitable population.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2016
Accession Number
AD1021888

Entities

People

  • Elizabeth Clelan
  • Justin Ladner

Organizations

  • Center for Naval Analyses

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Adolescents
  • Department Of Defense
  • Electronic Cigarettes
  • Experimental Design
  • Governments
  • Health
  • Human Behavior
  • Law
  • Literature Surveys
  • Local Governments
  • Military Personnel
  • Probability
  • Public Health
  • Statistical Analysis
  • Statistics
  • Surveys
  • United States

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