Youth Vaping and Tobacco Use in Context in the United States: Results From the 2018 National Youth T
Monday, March 22, 2021
Posted by: Natalia Gromov
Allison
M Glasser, Amanda L Johnson, Raymond S Niaura, David B Abrams, Jennifer L
Pearson.
Youth Vaping and Tobacco
Use in Context in the United States: Results From the 2018 National Youth
Tobacco Survey.
Nicotine & Tobacco Research, Volume 23, Issue 3, March 2021, Pages 447–453,
https://doi.org/10.1093/ntr/ntaa010
Introduction.
According to the National Youth Tobacco Survey (NYTS), youth e-cigarette use
(vaping) rose between 2017 and 2018. Frequency of vaping and concurrent past
30-day (p30d) use of e-cigarettes and tobacco products have not been reported.
Methods.
We analyzed the 2018 NYTS (N = 20 189) for vaping among all students (middle
and high school; 6–12th grades; 9–19 years old) by frequency of vaping,
exclusive vaping, p30d poly-product use (vaping and use of one or more tobacco
product), and any past tobacco product use.
Results. In
2018, 81.4% of students had not used any tobacco or vapor product in the p30d,
and 86.2% had not vaped in the p30d. Among all students, of the 13.8% vaped in
the p30d, just over half vaped on ≤5 days (7.0%), and roughly a quarter each
vaped on 6–19 days (3.2%) and on 20+ days (3.6%). Almost three quarters of p30d
vapers (9.9%) reported past or concurrent tobacco use and the remainder (3.9%)
were tobacco naïve. 2.8% of students were tobacco naïve and vaped on ≤5 days;
0.7% were tobacco-naïve and vaped on 6–19 days, and 0.4% were tobacco-naïve and
vaped on 20+ days.
Conclusions.
Vaping increased among US youth in 2018 over 2017. The increases are
characterized by patterns of low p30d vaping frequency and high poly-product
use, and a low prevalence of vaping among more frequent but tobacco naïve
vapers.
Implications.
Results underscore the importance of including the full context of use
patterns. The majority of vapers (60.0%–88.9% by use frequency) were concurrent
p30d or ever tobacco users. About 4% of students were tobacco naïve and vaped
in the p30d, but few (0.4%) vaped regularly on 20 or more days. Reporting youth
vaping data with frequency and tobacco product co-use will give public health
decision-makers the best possible information to protect public health.
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