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Open Access Electronic Cigarette Use among American Indian Youth

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Objective: We explored electronic cigarette (e-cig) use ("vaping") among American Indian (AI) youth, a group at high risk of nicotine addiction. Methods: In 2014, 181 AI youth ages 11-17 were surveyed about e-cig use. Results: The prevalence of ever use of e-cigs among middle and high school students was 5.3% and 45.0%, respectively. In unadjusted analyses, factors associated with such use (p < .001) included being in high school, ever smoking, having a friend who smoked or vaped, endorsing e-cig use if offered by a friend, knowing someone who vapes, not perceiving e-cigs as harmful, and believing that vapers have more friends. In adjusted analysis, factors associated with ever use of e-cigs included being in high school (adjusted prevalence rate ratio (aPRR) 3.73; 95% confidence interval [CI] 1.45-9.60), ever smoking (aPRR 3.2; CI 1.68-6.10), and having a close friend who vapes (aPRR 1.96; CI 1.04-3.69). Among youth who tried e-cigs, nearly one-third never smoked. Conclusions: Ever use of e-cigs was highly prevalent among these youth, including those who never smoked, indicating that e-cigs were readily available. Our findings suggest the need for policies that make e-cigs less attractive and available to AI youth.

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Keywords: AMERICAN INDIAN; E-CIGARETTES; NATIVE AMERICAN HEALTH; TOBACCO; YOUTH

Document Type: Research Article

Publication date: 2017-07-01

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  • Tobacco Regulatory Science (Electronic ISSN 2333-9748) is a rigorously peer-reviewed online scientific journal for the dissemination of research relevant to the regulation of tobacco products. The journal content includes a broad array of research domains, including chemistry, biology, behavior, community, and population-level surveillance and epidemiology, as well as knowledge syntheses (eg, meta-analyses or state-of-the-art reviews) and analytic modeling. All articles describe the policy relevance of the research outcomes. Given the global nature of tobacco regulation, particularly as a result of international and national policies, Tobacco Regulatory Science publishes high quality research that is relevant to global regulatory needs and requirements. Tobacco Regulatory Science is published electronically 6 times per year.
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