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E-Cigarette Use in Young Adult Never Cigarette Smokers with Disabilities: Results from the Behavioral Risk Factor Surveillance System Survey

Author

Listed:
  • Nkiruka C. Atuegwu

    (Department of Medicine, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Mark D. Litt

    (Division of Behavioral Sciences and Community Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Suchitra Krishnan-Sarin

    (Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA)

  • Reinhard C. Laubenbacher

    (Laboratory for Systems Medicine, Department of Medicine, University of Florida, Gainesville, FL 32610, USA)

  • Mario F. Perez

    (Department of Medicine, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Eric M. Mortensen

    (Department of Medicine, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

Abstract

Young adult never cigarette smokers with disabilities may be at particular risk for adopting e-cigarettes, but little attention has been paid to these people. This study examines the associations between different types of disability and e-cigarette use in this population. Young adult never-smokers from the 2016–2017 Behavioral Risk Factor Surveillance System (BRFSS) survey who were either never or current e-cigarette users ( n = 79,177) were selected for the analysis. The Least Absolute Shrinkage and Selection Operator (LASSO) algorithm was used to select confounders for multivariable logistic regression models. Multivariable logistic regression models were used to determine the associations between current e-cigarette use and different types of disability after incorporating BRFSS survey design and adjusting for confounders. Young adult never-smokers who reported any disability had increased odds (OR 1.44, 95% CI 1.18–1.76) of e-cigarette use compared to those who reported no disability. Young adult never-smokers who reported self-care, cognitive, vision, and independent living disabilities had higher odds of e-cigarette use compared to those who reported no disability. There was no statistically significant difference in the odds of e-cigarette use for those reporting hearing and mobility disabilities compared to those who reported no disability. This study highlights the need for increased public education and cessation programs for this population.

Suggested Citation

  • Nkiruka C. Atuegwu & Mark D. Litt & Suchitra Krishnan-Sarin & Reinhard C. Laubenbacher & Mario F. Perez & Eric M. Mortensen, 2021. "E-Cigarette Use in Young Adult Never Cigarette Smokers with Disabilities: Results from the Behavioral Risk Factor Surveillance System Survey," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5476-:d:558576
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    References listed on IDEAS

    as
    1. Su Hyun Park & Lily Lee & Jenni A Shearston & Michael Weitzman, 2017. "Patterns of electronic cigarette use and level of psychological distress," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-13, March.
    2. Krahn, G.L. & Walker, D.K. & Correa-De-Araujo, R., 2015. "Persons with disabilities as an unrecognized health disparity population," American Journal of Public Health, American Public Health Association, vol. 105, pages 198-206.
    3. Friedman, Jerome H. & Hastie, Trevor & Tibshirani, Rob, 2010. "Regularization Paths for Generalized Linear Models via Coordinate Descent," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 33(i01).
    4. Nkiruka C. Atuegwu & Cheryl Oncken & Reinhard C. Laubenbacher & Mario F. Perez & Eric M. Mortensen, 2020. "Factors Associated with E-Cigarette Use in U.S. Young Adult Never Smokers of Conventional Cigarettes: A Machine Learning Approach," IJERPH, MDPI, vol. 17(19), pages 1-16, October.
    5. Nkiruka C. Atuegwu & Mario F. Perez & Cheryl Oncken & Sejal Thacker & Erin L. Mead & Eric M. Mortensen, 2019. "Association between Regular Electronic Nicotine Product Use and Self-Reported Periodontal Disease Status: Population Assessment of Tobacco and Health Survey," IJERPH, MDPI, vol. 16(7), pages 1-9, April.
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