TY - JOUR
T1 - Adolescent Weight and Electronic Vapor Product Use
T2 - Comparing BMI-Based With Perceived Weight Status
AU - Cho, Beomyoung
AU - Seo, Dong-Chul
AU - Lin, Hsien-Chang
AU - Lohrmann, David K.
AU - Chomistek, Andrea K.
AU - Hendricks, Peter S.
AU - Timsina, Lava
N1 - Cho, B. Y., Seo, D. C., Lin, H. C., Lohrmann, D. K., Chomistek, A. K., Hendricks, P. S., & Timsina, L. (2018). Adolescent Weight and Electronic Vapor Product Use: Comparing BMI-Based With Perceived Weight Status. American journal of preventive medicine, 55(4), 541–550. https://doi.org/10.1016/j.amepre.2018.05.010
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Introduction: This study examined the associations of BMI-based and perceived body weight status with electronic vapor product use, cigarette smoking, and dual use among U.S. adolescents. Methods: A cross-sectional analysis was conducted in 2017 on data from 15,129 adolescents in the National Youth Risk Behavior Survey, 2015. Multiple logistic regression analyses were used to examine the associations of BMI-based and perceived weight status with electronic vapor product use, cigarette smoking, and dual use, after adjusting for all other covariates. The regression models were stratified by gender. Results: Overall, 25.5% of males used electronic vapor products, 11.6% smoked cigarettes, and 8.1% used both; percentages among females were 22.6%, 9.8%, and 6.8%, respectively. Females who perceived themselves as overweight were more likely than those who perceived themselves as normal weight to be current electronic vapor product users (AOR=1.09, 95% CI=1.01, 1.19) and dual users (AOR=1.23, 95% CI=1.01, 1.49). When compared with normal BMI-based category, males with obese BMI status were more likely to be current cigarette smokers (AOR=1.61, 95% CI=1.06, 2.44), however, only females with overweight BMI status were more likely to be current smokers (AOR=1.89, 95% CI=1.25, 2.86). Conclusions: Findings suggest that the influence of adolescents' body weight perceptions and BMI-based status should be accounted for when developing nicotine-containing product use prevention programs for adolescents. Specific strategies for influencing female adolescents who perceive themselves as overweight should be included to prevent emerging electronic vapor product and dual use.
AB - Introduction: This study examined the associations of BMI-based and perceived body weight status with electronic vapor product use, cigarette smoking, and dual use among U.S. adolescents. Methods: A cross-sectional analysis was conducted in 2017 on data from 15,129 adolescents in the National Youth Risk Behavior Survey, 2015. Multiple logistic regression analyses were used to examine the associations of BMI-based and perceived weight status with electronic vapor product use, cigarette smoking, and dual use, after adjusting for all other covariates. The regression models were stratified by gender. Results: Overall, 25.5% of males used electronic vapor products, 11.6% smoked cigarettes, and 8.1% used both; percentages among females were 22.6%, 9.8%, and 6.8%, respectively. Females who perceived themselves as overweight were more likely than those who perceived themselves as normal weight to be current electronic vapor product users (AOR=1.09, 95% CI=1.01, 1.19) and dual users (AOR=1.23, 95% CI=1.01, 1.49). When compared with normal BMI-based category, males with obese BMI status were more likely to be current cigarette smokers (AOR=1.61, 95% CI=1.06, 2.44), however, only females with overweight BMI status were more likely to be current smokers (AOR=1.89, 95% CI=1.25, 2.86). Conclusions: Findings suggest that the influence of adolescents' body weight perceptions and BMI-based status should be accounted for when developing nicotine-containing product use prevention programs for adolescents. Specific strategies for influencing female adolescents who perceive themselves as overweight should be included to prevent emerging electronic vapor product and dual use.
KW - Adolescent girls
KW - Body mass index
KW - Body weight
KW - Cigarettes
KW - Electronic cigarettes
KW - Men
KW - Nicotine
KW - Obesity
KW - Perceptions
KW - Polls & surveys
KW - Prevention programs
KW - Preventive medicine
KW - Regression analysis
KW - Risk behavior
KW - Smoking
KW - Teenagers
UR - https://www.sciencedirect.com/science/article/pii/S0749379718318865
U2 - 10.1016/j.amepre.2018.05.010
DO - 10.1016/j.amepre.2018.05.010
M3 - Article
SN - 0749-3797
VL - 55
SP - 541
EP - 550
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 4
ER -