Abstract
introduction Youth tobacco use rates in Appalachia exceed the US national average, and e-cigarette use has increased. Thus, further research is needed to understand how these youth receive and share product information. methods Middle and high school students in rural Appalachia were surveyed (N=1103). The primary outcome, tobacco use, was categorized as: never users, cigarette-only users, smokeless-only users, e-cigarette-only users, and polytobacco users. Associations between receiving or sharing conventional tobacco-related or e-cigarette-related information via specific communication channels and tobacco use were assessed. results Participants who received tobacco information from friends and family (FF) (OR=1.87; 95% CI: 1.35–2.57), public displays (PUB) (OR=1.49; 95% CI: 1.09–2.05), and digital media (DIG) (OR=1.95; 95% CI: 1.41–2.70) and e-cigarette information via the same communication channels, FF (OR=2.65; 95% CI: 1.93–3.65), PUB (OR=1.62; 95% CI: 1.17–2.26), and DIG (OR=2.24; 95% CI: 1.61–3.12), had greater odds of being polytobacco users, compared to never users. Participants who received e-cigarette-related information from FF (OR=2.42; 95% CI: 1.42–4.13) and PUB (OR=2.13; 95% CI: 1.25–3.65) had greater odds of being e-cigarette-only users compared to never users. Participants who shared e-cigarette-related information with FF had greater odds of being e-cigarette-only users (OR=3.16; 95% CI: 1.80–5.58) and polytobacco users (OR=4.48; 95% CI: 3.16–6.35) compared to never users. conclusions Receiving and sharing tobacco-related and e-cigarette-related information via multiple communication channels is associated with e-cigarette and polytobacco use among Appalachian youth. Several channels may need to be utilized in health campaigns to influence youth.
| Original language | English |
|---|---|
| Pages (from-to) | 1-14 |
| Number of pages | 14 |
| Journal | Tobacco Prevention and Cessation |
| Volume | 6 |
| Issue number | March |
| DOIs | |
| State | Published - Mar 2020 |
Bibliographical note
Publisher Copyright:© 2020. Mattingly D. T. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0).
Funding
Research reported in this publication was supported, in part, by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH) and the Food & Drug Administration’s Center for Tobacco Products (CTP) under Award Numbers P50HL120163 and U54HL120163. The content of this study is solely the responsibility of the authors and does not necessarily represent the official views of the NIH, the Food & Drug Administration, or the American Heart Association.
| Funders | Funder number |
|---|---|
| Food & Drug Administration’s Center for Tobacco Products | |
| National Institutes of Health (NIH) | |
| U.S. Food and Drug Administration | |
| National Heart, Lung, and Blood Institute (NHLBI) | |
| American the American Heart Association | |
| Center for Tobacco Products (CTP) | U54HL120163, P50HL120163 |
| Center for Tobacco Products (CTP) |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Appalachia
- communication channels
- e-cigarettes
- tobacco products
- tobacco use
- youth
ASJC Scopus subject areas
- Epidemiology
- Health(social science)
- Health Professions (miscellaneous)
- Public Health, Environmental and Occupational Health
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