Chronic disease as a risk factor for cigarette and e-cigarette use from young adulthood to adulthood

Citation

Cheney, M. K.; Song, H.; Bhochhibhoya, S.; & Lu, Y. (2023). Chronic disease as a risk factor for cigarette and e-cigarette use from young adulthood to adulthood. Preventive Medicine Reports. vol. 36 , PMCID: PMC10594544

Abstract

Chronic disease prevalence in young adults is increasing with 15-20 % reporting 1 or more chronic diseases. This study examined cross-sectional and prospective relationships between chronic disease and e-cigarette/cigarette use from young adulthood to adulthood utilizing the U.S.- based National Longitudinal Study of Adolescent to Adult Health (Add Health). Add Health Study wave 3 (2001-2002; ages 18-26), wave 4 (2008; ages 24-34), and wave 5 (2016-2018; ages 33-44) were used. Past 30-day cigarette use at waves 3-5 and past 30-day e-cigarette use at wave 5 were assessed. Two measures of chronic disease were used: asthma (yes/no) and non-asthmatic chronic disease (yes/no) composed of 7 additional chronic diseases (diabetes, migraine, heart problem, hepatitis B/C, high blood pressure, epilepsy, and cancer). Weighted multilevel logistic regression (controlling for age, race/ethnicity, gender, and education) was used to assess cross-sectional associations at wave 3, and then prospective associations of wave 3 chronic disease (asthma and non-asthmatic) with waves 4 and 5 cigarette and wave 5 e-cigarette use. Logistic regressions showed no significant cross-sectional or prospective relationships between asthma and cigarette and e-cigarette use. However, wave 3 non-asthmatic chronic disease was significantly associated with wave 4 cigarette use (aOR 1.38, p <.001, 95 % CI: 1.15, 1.65) and with wave 5 cigarette use (aOR 1.49, p <.001, 95 % CI: 1.21, 1.84) but not e-cigarette use. The association between chronic disease in young adulthood and tobacco use in adulthood differed by type of chronic disease and tobacco product, indicating the need for targeted interventions.

URL

https://doi.org/10.1016/j.pmedr.2023.102473

Keyword(s)

Asthma

Reference Type

Journal Article

Journal Title

Preventive Medicine Reports

Author(s)

Cheney, M. K.
Song, H.
Bhochhibhoya, S.
Lu, Y.

Year Published

2023

Volume Number

Edition

October 14, 2023

ISSN/ISBN

2211-3355

DOI

10.1016/j.pmedr.2023.102473

PMCID

PMC10594544

Reference ID

10147