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Adverse School Outcomes and Risky Sexual Health Behaviors among High School Students with E-Cigarette and Marijuana Use

Bibliographic Data

ID21645992
AuthorsNicholas Chadi (0000-0003-1033-2327, Division of Adolescent Medicine, Department of Pediatrics, Sainte-Justine University Hospital Centre, University of Montreal, Montreal, Canada, corresponding author), Guilin Li (0000-0002-7328-7888, Harvard Graduate School of Arts and Sciences, Cambridge, Massachusetts, USA), Scott E Hadland (0000-0003-3189-6199, Boston Medical Center)
Year2021
Volume56
Issue4
Pages517-521
Publication date2021-03-21
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2021.1883659
PMID33588676
OpenAlexW3131109613
LanguageEN
Citations received1
References cited16

Background While several health risks of e-cigarette and marijuana use have been described, little is known about their associations with school-related outcomes and risky sexual behaviors in adolescents. Objectives: To determine the odds of adverse school outcomes and risky sexual behaviors among youth with single or dual use of e-cigarettes and marijuana. Methods: We used data from the 2015 and 2017 waves of the Youth Risk Behavior Survey, a nationally representative survey of high school students in the US. Participants (N = 30,389) were divided into four exposure groups for single or dual use of e-cigarettes and marijuana. We compared rates of e-cigarette and/or marijuana use for different demographic characteristics using chi-square tests and performed multivariate logistic regressions exploring associations among e-cigarette and marijuana use and adverse school outcomes and risky sexual behaviors adjusting for confounding factors. Results: Participants reported e-cigarette-only (7.7%), marijuana-only (8.5%), and dual e-cigarette/marijuana (9.2%) use. Youth in all three use categories had higher odds of reporting grades that were mostly C’s or lower than youth with no use, but no difference was found between youth with e-cigarette-only vs marijuana-only use. Increased odds of having sex without a condom were seen in youth with marijuana-only use (vs. e-cigarette-only use or no use) but not in youth with e-cigarette-only use or dual use. Conclusions: We found increased odds of adverse school-related outcomes and contrasting sexual risk profiles among youth with single or dual e-cigarette and marijuana use. Supplemental data for this article is available online at https://doi.org/10.1080/10826084.2021.1883659

Condom · Confounding · Environmental health · Family medicine · Injury prevention · Logistic regression · Monitoring the Future · Odds · Odds ratio · Poison control · Psychiatry · Substance abuse · Youth Risk Behavior Survey · Cannabis and Cannabinoid Research · Demography · Food Security and Health in Diverse Populations · Medicine · Psychology · Smoking Behavior and Cessation

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    Open Access•Andrea S Gentzke, Melisa R Creamer et al.•MMWR. Surveillance Summaries•2019

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    Open Access•Matthew C Fadus, Tracy T Smith et al.•Drug and Alcohol Dependence•2019

Citations per year0.5
Citation span2024 - 2024 (1)
Highly citedNo

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