Alternate Tobacco Product and Drug Use Among Adolescents Who Use Electronic Cigarettes, Cigarettes Only, and Never Smokers

Abstract

PurposeTo determine whether use of alternative tobacco products (i.e., cigars, blunts, hookah, smokeless tobacco), alcohol, and marijuana differs among adolescents who currently use (1) electronic cigarettes (e-cigarettes); (2) cigarettes only; and (3) never smokers. MethodsAnalysis of a self-reported survey from four high schools in 2010–2011 (n = 3,102) with a subsample (n = 1,556) surveyed on alcohol and marijuana. Analyses were conducted with multinomial logistic regression models accounting for clustering by schools. ResultsThe sample contained 2.4% (n = 76) e-cigarette users, 12.4% (n = 386) cigarette smokers, and 85.1% (n = 3,197) never smokers. E-cigarette users were more likely than cigarette-only smokers to report blunt (adjusted odds ratio, 1.81; 95% confidence interval, 1.21–2.71) and hookah use (adjusted odds ratio, 3.12; 95% confidence interval, 1.90–5.13), but not cigar, smokeless tobacco, alcohol, or marijuana use. ConclusionsE-cigarette users are more likely than cigarette smokers to use hookah and blunts.