First tobacco product tried among adolescents based on race/ethnicity and socioeconomic status.

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From: Addictive Behaviors(Vol. 113)
Publisher: Elsevier B.V.
Document Type: Survey; Report
Length: 443 words

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Abstract :

Keywords Socioeconomic status; Race; Ethnicity; E-cigarettes; Blunts; Tobacco Highlights * Examining tobacco initiation via sociodemographic factors can inform prevention. * 64.6% of adolescents first tried e-cigarettes, while 24.4% first tried blunts. * White adolescents were more likely than other races to initiate with e-cigarettes. * Black adolescents were more likely than White adolescents to initiate with blunts. * Adolescents with middle SES were more likely to initiate with e-cigarettes. Abstract In recent years, the tobacco use landscape among youth has changed greatly, underscoring a need to understand current tobacco product initiation patterns. This study aimed to examine if adolescents' first tobacco product tried differs by race/ethnicity and socioeconomic status (SES). Cross-sectional survey data were collected from 6 Connecticut high schools in Spring 2019 (N = 4875). The analytic sample comprised ever users of tobacco products who reported on the first tobacco product they tried (N = 2530; 53.6% female). Of ever tobacco product users, 64.6% reported that their first tobacco product tried was an e-cigarette, 24.4% reported blunts, 6.5% reported another tobacco product, and 4.5% reported cigarettes. A multinomial logistic regression model examined race/ethnicity and SES as predictors of the first tobacco product tried with cigarettes as the reference group. Compared to Non-Hispanic (NH) White students, NH Black students (OR = 0.38, 95%CI = 0.17--0.82), Hispanic students (OR = 0.44, 95%CI = 0.27--0.71), and students of other NH races (OR = 0.30, 95%CI = 0.18--0.52) were less likely to report initiating tobacco product use with e-cigarettes. Additionally, compared to NH White students, NH Black students were more likely to report using blunts as their first tobacco product (OR = 3.01, 95%CI = 1.38--6.56). Compared to low SES, middle SES (OR = 1.62, 95%CI = 1.04--2.52) was associated with greater odds of reporting e-cigarettes as the first tobacco product. These findings suggest that youth of different backgrounds initiate tobacco use with different tobacco products and tailored prevention strategies are needed. Abbreviations NH, Non-Hispanic; SES, Socioeconomic Status; OR, Odds Ratio; Ref, Reference group; FAS, Family Affluence Scale Author Affiliation: (a) Yale School of Medicine, Department of Psychiatry, CMHC, 34 Park Street, New Haven, CT 06519, USA (b) Yale School of Medicine, Department of Emergency Medicine, 464 Congress Avenue, New Haven, CT 06519, USA * Corresponding author at: Yale School of Medicine, Department of Psychiatry CMHC, 34 Park Street Room S-211, New Haven, CT 06519, USA. Article History: Received 26 April 2020; Revised 31 July 2020; Accepted 16 September 2020 Byline: Ben Grobman (a), Ran Wu (a), Asti Jackson (a), Krysten W. Bold (a), Meghan E. Morean (a), Deepa R. Camenga (b), Danielle R. Davis (a), Patricia Simon (a), Suchitra Krishnan-Sarin (a), Grace Kong [grace.kong@yale.edu] (a,*)

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Gale Document Number: GALE|A648729236