Alternate tobacco product and drug use among adolescents who use electronic cigarettes, cigarettes only, and never smokers

J Adolesc Health. 2014 Oct;55(4):588-91. doi: 10.1016/j.jadohealth.2014.06.016. Epub 2014 Jul 29.


Purpose: To determine whether use of alternative tobacco products (i.e., cigars, blunts, hookah, smokeless tobacco), alcohol, and marijuana differs among adolescents who currently use (1) electronic cigarettes (e-cigarettes); (2) cigarettes only; and (3) never smokers.

Methods: Analysis of a self-reported survey from four high schools in 2010-2011 (n = 3,102) with a subsample (n = 1,556) surveyed on alcohol and marijuana. Analyses were conducted with multinomial logistic regression models accounting for clustering by schools.

Results: The sample contained 2.4% (n = 76) e-cigarette users, 12.4% (n = 386) cigarette smokers, and 85.1% (n = 3,197) never smokers. E-cigarette users were more likely than cigarette-only smokers to report blunt (adjusted odds ratio, 1.81; 95% confidence interval, 1.21-2.71) and hookah use (adjusted odds ratio, 3.12; 95% confidence interval, 1.90-5.13), but not cigar, smokeless tobacco, alcohol, or marijuana use.

Conclusions: E-cigarette users are more likely than cigarette smokers to use hookah and blunts.

Keywords: Adolescent; Alcohol; Marijuana; Tobacco products.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Connecticut / epidemiology
  • Data Collection
  • Electronic Nicotine Delivery Systems / statistics & numerical data*
  • Female
  • Humans
  • Male
  • New York / epidemiology
  • Smoking / epidemiology*
  • Tobacco Products / statistics & numerical data*
  • Tobacco, Smokeless / statistics & numerical data