Sex Differences in Becoming a Current Electronic Cigarette User, Current Smoker and Current Dual User of Both Products: A Longitudinal Study among Mexican Adolescents.

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ID: 76159
2019
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Abstract
This study aimed to assess sex differences in predictors for becoming a current exclusive electronic cigarette (e-cigarette) user, current exclusive smoker, or current dual user (concurrent smoking and e-cigarette use). This longitudinal study included 2399 females and 2177 males who had tried neither cigarettes nor e-cigarettes at baseline and attended 57 middle schools in the three largest cities in Mexico. We estimated multinomial logistic models stratified by sex. At follow-up, the prevalence of current exclusive e-cigarette use was 6.4% for males and 5.5% for females; current exclusive smoking was similar among males (3.6%) and females (3.5%); dual use was 2.4% females and 1.8% males. In the adjusted model, current e-cigarette use among females was associated with baseline current drinking (ARR = 1.85; < 0.05), having a job (ARR = 1.99; < 0.05), higher technophilia (ARR = 1.27; < 0.05), and higher positive smoking expectancies (ARR = 1.39; < 0.05). Among males, only having friends who smoke cigarettes at baseline was a significant predictor of current exclusive e-cigarette use at follow-up (ARR = 1.44; < 0.05). For both sexes, current exclusive smoking at follow-up was associated with baseline current drinking (male ARR = 2.56; < 0.05; female ARR = 2.31; < 0.05) and, among males, only with having a parent who smoked (ARR = 1.64; < 0.05). For both sexes, dual use at follow-up was associated with baseline current drinking (male ARR = 3.52; < 0.005; female ARR = 2.77; < 0.05); among females, with having paid work (ARR = 2.50; < 0.001); and among males, with parental smoking (ARR = 3.20; < 0.05). Results suggested both common and different risk factors by sex, suggesting that interventions may need to consider targeting sex differences.
Reference Key
rodrguezbolaos2019sexinternational Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Rodríguez-Bolaños, Rosibel;Arillo-Santillán, Edna;Barrientos-Gutiérrez, Inti;Zavala-Arciniega, Luis;Ntansah, Charity A;Thrasher, James F;
Journal International journal of environmental research and public health
Year 2019
DOI
E196
URL
Keywords
electronic cigarettes adolescents cigarette smoking mexico sex difference

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