Preventive medicine reports · 2025
Sociodemographic and psychosocial characteristics of e-cigarette ever-use: U.S. HINTS 6 Survey.
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Phan Lilianna, Wen Kuang-Yi, Kim Hee Jun, Barta Julie A, Juon Hee-Soon
Аннотация
OBJECTIVE: With high U.S. e-cigarette use prevalence and e-cigarette health risks, we examined associated factors for ongoing public health efforts.
METHODS: We used national data from the 2022 Health Information National Trends Survey to estimate the overall U.S. prevalence of e-cigarette ever- and current-use and to examine associations by sociodemographics (i.e., age, race/ethnicity, gender, marital status, employment status, education level) and depressive symptoms (i.e., PHQ-4; no, mild, moderate or severe symptoms) using weighted multivariable logistic regressions adjusted for cigarette smoking status (n = 5924).
RESULTS: In 2022, 17.1 % of U.S. adults ever-used e-cigarettes; of which, 4.3 % currently-used e-cigarettes. Weighted multivariable logistic regressions found that age, race/ethnicity, education level, marital status, and experiencing severe depressive symptoms were associated with e-cigarette ever-use: younger age groups (vs. ≥65-years-old), formerly married (vs. married), and those experiencing severe depressive symptoms (vs. no symptoms) were more likely to ever-use e-cigarettes, while Black adults (vs. White) and those with <high school education (vs. ≥college graduate) were less likely to ever-use e-cigarettes. Younger adult age groups (vs. ≥65-years-old) and those with a high school diploma (vs. ≥college graduate) were more likely to currently use e-cigarettes.
CONCLUSION: Our findings suggest that sub-populations may be at varying risks of engaging in e-cigarette ever-use and current-use behaviors. Experiencing severe depressive symptoms was associated with e-cigarette ever-use, but not current-use. Future research is needed to continue to explore the relationship (e.g., bidirectional) between experiencing depressive symptoms and e-cigarette behaviors and the potential role of marital support in helping to prevent e-cigarette uptake.
METHODS: We used national data from the 2022 Health Information National Trends Survey to estimate the overall U.S. prevalence of e-cigarette ever- and current-use and to examine associations by sociodemographics (i.e., age, race/ethnicity, gender, marital status, employment status, education level) and depressive symptoms (i.e., PHQ-4; no, mild, moderate or severe symptoms) using weighted multivariable logistic regressions adjusted for cigarette smoking status (n = 5924).
RESULTS: In 2022, 17.1 % of U.S. adults ever-used e-cigarettes; of which, 4.3 % currently-used e-cigarettes. Weighted multivariable logistic regressions found that age, race/ethnicity, education level, marital status, and experiencing severe depressive symptoms were associated with e-cigarette ever-use: younger age groups (vs. ≥65-years-old), formerly married (vs. married), and those experiencing severe depressive symptoms (vs. no symptoms) were more likely to ever-use e-cigarettes, while Black adults (vs. White) and those with <high school education (vs. ≥college graduate) were less likely to ever-use e-cigarettes. Younger adult age groups (vs. ≥65-years-old) and those with a high school diploma (vs. ≥college graduate) were more likely to currently use e-cigarettes.
CONCLUSION: Our findings suggest that sub-populations may be at varying risks of engaging in e-cigarette ever-use and current-use behaviors. Experiencing severe depressive symptoms was associated with e-cigarette ever-use, but not current-use. Future research is needed to continue to explore the relationship (e.g., bidirectional) between experiencing depressive symptoms and e-cigarette behaviors and the potential role of marital support in helping to prevent e-cigarette uptake.