Demographic Characteristics Associated With Adolescent Receipt of Provider E-Cigarette Screening and Advice and the Impact on Harm Perception
Introduction: The growing prevalence of E-cigarette use among adolescents is alarming because it increases the probability of persistent tobacco use and addiction to nicotine. Healthcare providers are in a unique position to influence their patients’ use of E-cigarettes. The purpose of the study is...
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | AJPM Focus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065424001275 |
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| author | John S. Acosta-Peñaloza, MS Karen W. Geletko, MPH Jon Mills, PhD |
| author_facet | John S. Acosta-Peñaloza, MS Karen W. Geletko, MPH Jon Mills, PhD |
| author_sort | John S. Acosta-Peñaloza, MS |
| collection | DOAJ |
| description | Introduction: The growing prevalence of E-cigarette use among adolescents is alarming because it increases the probability of persistent tobacco use and addiction to nicotine. Healthcare providers are in a unique position to influence their patients’ use of E-cigarettes. The purpose of the study is to determine the frequency at which providers screen adolescents for E-cigarette use and advise against use during healthcare visits. The study also examines associations between provider intervention and adolescent harm perception. Methods: Using data from the 2021 National Youth Tobacco Survey, the authors examined provider E-cigarette screening and advice to not use from 16,910 participants who self-reported receiving medical care within the preceding year. Multivariable logistic regression models were used to assess whether the odds of provider intervention varied by age, sex, and race/ethnicity and whether receiving provider intervention was associated with a likelihood for harm perception. Results: Provider intervention was more likely among those aged 13–18 years, who are male, and who are White and/or non-Hispanic (p<0.001). The authors found no association between provider intervention and increased harm perception of E-cigarettes; however, provider intervention was associated with the belief that E-cigarettes are equally or more addictive than cigarettes (p<0.0001). Conclusions: Study findings emphasize the significance of addressing disparities in E-cigarette use and healthcare provider intervention among minority adolescents, underscoring the need for healthcare providers to be thorough in screening for E-cigarette use and providing appropriate cessation support. |
| format | Article |
| id | doaj-art-284e7d6e545940e89da7953ae1423a9b |
| institution | Kabale University |
| issn | 2773-0654 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj-art-284e7d6e545940e89da7953ae1423a9b2025-01-08T04:53:53ZengElsevierAJPM Focus2773-06542025-02-0141100309Demographic Characteristics Associated With Adolescent Receipt of Provider E-Cigarette Screening and Advice and the Impact on Harm PerceptionJohn S. Acosta-Peñaloza, MS0Karen W. Geletko, MPH1Jon Mills, PhD2Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FloridaAddress correspondence to: Karen W. Geletko, MPH, Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, 1115 West Call Street, Tallahassee FL 32306-4300.; Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FloridaDepartment of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FloridaIntroduction: The growing prevalence of E-cigarette use among adolescents is alarming because it increases the probability of persistent tobacco use and addiction to nicotine. Healthcare providers are in a unique position to influence their patients’ use of E-cigarettes. The purpose of the study is to determine the frequency at which providers screen adolescents for E-cigarette use and advise against use during healthcare visits. The study also examines associations between provider intervention and adolescent harm perception. Methods: Using data from the 2021 National Youth Tobacco Survey, the authors examined provider E-cigarette screening and advice to not use from 16,910 participants who self-reported receiving medical care within the preceding year. Multivariable logistic regression models were used to assess whether the odds of provider intervention varied by age, sex, and race/ethnicity and whether receiving provider intervention was associated with a likelihood for harm perception. Results: Provider intervention was more likely among those aged 13–18 years, who are male, and who are White and/or non-Hispanic (p<0.001). The authors found no association between provider intervention and increased harm perception of E-cigarettes; however, provider intervention was associated with the belief that E-cigarettes are equally or more addictive than cigarettes (p<0.0001). Conclusions: Study findings emphasize the significance of addressing disparities in E-cigarette use and healthcare provider intervention among minority adolescents, underscoring the need for healthcare providers to be thorough in screening for E-cigarette use and providing appropriate cessation support.http://www.sciencedirect.com/science/article/pii/S2773065424001275Screeningharm perceptionadolescentsnicotine dependenceE-cigarettes |
| spellingShingle | John S. Acosta-Peñaloza, MS Karen W. Geletko, MPH Jon Mills, PhD Demographic Characteristics Associated With Adolescent Receipt of Provider E-Cigarette Screening and Advice and the Impact on Harm Perception AJPM Focus Screening harm perception adolescents nicotine dependence E-cigarettes |
| title | Demographic Characteristics Associated With Adolescent Receipt of Provider E-Cigarette Screening and Advice and the Impact on Harm Perception |
| title_full | Demographic Characteristics Associated With Adolescent Receipt of Provider E-Cigarette Screening and Advice and the Impact on Harm Perception |
| title_fullStr | Demographic Characteristics Associated With Adolescent Receipt of Provider E-Cigarette Screening and Advice and the Impact on Harm Perception |
| title_full_unstemmed | Demographic Characteristics Associated With Adolescent Receipt of Provider E-Cigarette Screening and Advice and the Impact on Harm Perception |
| title_short | Demographic Characteristics Associated With Adolescent Receipt of Provider E-Cigarette Screening and Advice and the Impact on Harm Perception |
| title_sort | demographic characteristics associated with adolescent receipt of provider e cigarette screening and advice and the impact on harm perception |
| topic | Screening harm perception adolescents nicotine dependence E-cigarettes |
| url | http://www.sciencedirect.com/science/article/pii/S2773065424001275 |
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