Association between e-cigarette use and asthma among US adolescents: Youth Risk Behavior Surveillance System 2015–2019

Taehyun Roh, Kido Uyamasi, Anisha Aggarwal, Alexander Obeng, Genny Carrillo

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background: Previous studies have suggested that e-cigarette use, which has increased rapidly among US adolescents, may cause respiratory distress. This cross-sectional study aimed to investigate the factors associated with e-cigarette use and the relationship between e-cigarette use and asthma among US adolescents. Methods: Data from the Youth Risk Behavior Surveillance System between 2015 and 2019 were analyzed, and multivariable logistic regression was used to identify demographic and behavioral factors associated with e-cigarette use. Stratified analyses were conducted to assess the relationship between e-cigarette use and asthma among adolescents by previous combustible product use. Results: This study found that Hispanic adolescents had lower odds of e-cigarette use than White adolescents in Texas, with factors such as age, substance use, and depression being associated with use. In the US, male gender, previous combustible and substance use, and depression were associated with higher odds of ever using e-cigarettes, while current use was associated with several factors including age and White race. E-cigarette use was significantly associated with asthma among adolescents who have never used combustible products in both Texas and the entire US after adjusting for covariates (OR 1.32, 95% CI 1.06–1.66 and OR 1.18, 95% CI 1.02–1.37, respectively). Conclusion: The findings from this study can be used to inform public health strategies and policies aimed at reducing e-cigarette use and its associated health risks among adolescents.

Original languageEnglish (US)
Article number107695
JournalPreventive Medicine
Volume175
Early online dateSep 4 2023
DOIs
StatePublished - Oct 2023

Keywords

  • Adolescent health
  • Asthma
  • E-cigarette
  • Respiratory health
  • Substance use

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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