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Psychosocial Factors Associated with E-Cigarette Use among Young Adults in a 4-Year University in Appalachia

Bibliographic Data

ID21645889
AuthorsRachel A Wattick (0000-0002-0837-028X, West Virginia University), I Mark Olfert (0000-0003-3505-9945, West Virginia University), Melissa D Olfert (0000-0002-6686-3891, West Virginia University, corresponding author)
Year2021
Volume56
Issue8
Pages1182-1189
Publication date2021-07-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2021.1914102
PMID33941034
OpenAlexW3158919848
LanguageEN
Citations received2
References cited29

Young adults (ages 18-25) have the highest rate of e-cigarette use, or vaping, among any other age group. College students make up a large portion of young adults and are on the forefront of cultural substance use patterns.Objectives In order to determine methods to reduce vaping prevalence, motivations for use and co-occurring health behaviors and disorders need to be determined. This study investigated vaping characteristics and associated health behaviors in a young adult Appalachian college population.Methods Students attending an Appalachian university were invited to participate in an online survey measuring their use of e-cigarettes, motivations for use, mental health, and Adverse Childhood Experiences (ACEs). Analysis included prevalence of e-cigarette use and associations between e-cigarette use and Appalachian identity, mental health, and ACEs.Results Participants (N = 3398) stated that the most common motivator for using e-cigarettes was to decrease stress, followed by the good taste, friends’ usage, and wanting to quit cigarettes. E-cigarette use was associated with alcohol use, anxiety, depression, stress, and Adverse Childhood Experiences (ACEs) and these variables were placed into a full logistic regression model, in which anxiety and stress were no longer significant, and alcohol use was the strongest association (OR 1.36 95% CI 1.35-1.42, p<.0001).Conclusions/importance: Findings demonstrate a need for efforts to reduce e-cigarette use to focus on the co-use of alcohol, co-occurring mental health disorders, and the social and enjoyment motivations for use

Anxiety · Appalachia · College health · Environmental health · Family medicine · Focus group · Logistic regression · Mental health · Population · Psychiatry · Psychosocial · Young adult · Clinical Psychology · Demography · Medicine · Psychology · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes · Youth Substance Use and School Attendance · Gerontology

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Unique citing works2
Citations per year1
Citation span2024 - 2025 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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