Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study
Abstract BackgroundLittle is known about the role of exposure to e-cigarette–related digital content, behavioral and mental health factors, and social environment on the change in adolescent e-cigarette use during COVID-19 shelter-in-place orders and remote schooling....
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JMIR Publications
2024-10-01
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| Series: | JMIR Pediatrics and Parenting |
| Online Access: | https://pediatrics.jmir.org/2024/1/e49779 |
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| author | Vira Pravosud Pamela M Ling Bonnie Halpern-Felsher Valerie Gribben |
| author_facet | Vira Pravosud Pamela M Ling Bonnie Halpern-Felsher Valerie Gribben |
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Abstract
BackgroundLittle is known about the role of exposure to e-cigarette–related digital content, behavioral and mental health factors, and social environment on the change in adolescent e-cigarette use during COVID-19 shelter-in-place orders and remote schooling.
ObjectiveThe aim of the study was to examine changes in adolescent e-cigarette use during shelter-in-place and remote schooling in association with exposure to e-cigarette–related digital content and other correlates: stronger e-cigarette dependence, feeling lonely, inability to socialize, e-cigarette use to cope with shelter-in-place, and the number of family members aware of participants’ e-cigarette use.
MethodsA cross-sectional survey conducted between August 2020 and March 2021 included 85 California adolescents (mean age 16.7, SD 1.2 years; 39/85, 46% identified as female and 37/85, 44% as Hispanic) who reported e-cigarette use in the past 30 days. Multivariable penalized logistic regressions determined associations adjusted for age, race and ethnicity, and mother’s education. The outcome of increased e-cigarette use was defined as more frequent use of e-cigarettes of the same or stronger nicotine or tetrahydrocannabinol concentration.
ResultsAlmost all respondents (83/85, 98%) reported using social media more since shelter-in-place, and 74% (63/85) reported seeing e-cigarette digital content. More than half (46/85, 54%) reported increased e-cigarette use during shelter-in-place. Most individuals who increased use were exposed to e-cigarette digital content (38/46, 83%) compared to those who did not increase e-cigarette use (25/39, 64%), but the association was nonsignificant after adjusting for demographics (adjusted odds ratio [AOR] 2.34, 95% CI 0.71‐8.46). Respondents who felt lonely (AOR 3.33, 95% CI 1.27‐9.42), used e-cigarettes to cope with shelter-in-place (AOR 4.06, 95% CI 1.39‐13.41), or had ≥2 family members aware of participants’ e-cigarette use (AOR 6.42, 95% CI 1.29‐39.49) were more likely to report increased e-cigarette use.
ConclusionsAlmost all participants reported using social media more during shelter-in-place, with many respondents reporting increased e-cigarette use, and significant associations with loneliness and use to cope with shelter-in-place. Future interventions should consider leveraging digital platforms for e-cigarette use prevention and cessation and address the mental health consequences of the COVID-19 pandemic. |
| format | Article |
| id | doaj-art-4760f947bd4a45cd91b8113752542e84 |
| institution | OA Journals |
| issn | 2561-6722 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | JMIR Publications |
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| series | JMIR Pediatrics and Parenting |
| spelling | doaj-art-4760f947bd4a45cd91b8113752542e842025-08-20T02:12:20ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222024-10-017e49779e4977910.2196/49779Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional StudyVira Pravosudhttp://orcid.org/0000-0002-5762-6632Pamela M Linghttp://orcid.org/0000-0001-6166-9347Bonnie Halpern-Felsherhttp://orcid.org/0000-0001-9276-1322Valerie Gribbenhttp://orcid.org/0000-0003-0006-3557 Abstract BackgroundLittle is known about the role of exposure to e-cigarette–related digital content, behavioral and mental health factors, and social environment on the change in adolescent e-cigarette use during COVID-19 shelter-in-place orders and remote schooling. ObjectiveThe aim of the study was to examine changes in adolescent e-cigarette use during shelter-in-place and remote schooling in association with exposure to e-cigarette–related digital content and other correlates: stronger e-cigarette dependence, feeling lonely, inability to socialize, e-cigarette use to cope with shelter-in-place, and the number of family members aware of participants’ e-cigarette use. MethodsA cross-sectional survey conducted between August 2020 and March 2021 included 85 California adolescents (mean age 16.7, SD 1.2 years; 39/85, 46% identified as female and 37/85, 44% as Hispanic) who reported e-cigarette use in the past 30 days. Multivariable penalized logistic regressions determined associations adjusted for age, race and ethnicity, and mother’s education. The outcome of increased e-cigarette use was defined as more frequent use of e-cigarettes of the same or stronger nicotine or tetrahydrocannabinol concentration. ResultsAlmost all respondents (83/85, 98%) reported using social media more since shelter-in-place, and 74% (63/85) reported seeing e-cigarette digital content. More than half (46/85, 54%) reported increased e-cigarette use during shelter-in-place. Most individuals who increased use were exposed to e-cigarette digital content (38/46, 83%) compared to those who did not increase e-cigarette use (25/39, 64%), but the association was nonsignificant after adjusting for demographics (adjusted odds ratio [AOR] 2.34, 95% CI 0.71‐8.46). Respondents who felt lonely (AOR 3.33, 95% CI 1.27‐9.42), used e-cigarettes to cope with shelter-in-place (AOR 4.06, 95% CI 1.39‐13.41), or had ≥2 family members aware of participants’ e-cigarette use (AOR 6.42, 95% CI 1.29‐39.49) were more likely to report increased e-cigarette use. ConclusionsAlmost all participants reported using social media more during shelter-in-place, with many respondents reporting increased e-cigarette use, and significant associations with loneliness and use to cope with shelter-in-place. Future interventions should consider leveraging digital platforms for e-cigarette use prevention and cessation and address the mental health consequences of the COVID-19 pandemic.https://pediatrics.jmir.org/2024/1/e49779 |
| spellingShingle | Vira Pravosud Pamela M Ling Bonnie Halpern-Felsher Valerie Gribben Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study JMIR Pediatrics and Parenting |
| title | Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study |
| title_full | Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study |
| title_fullStr | Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study |
| title_full_unstemmed | Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study |
| title_short | Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study |
| title_sort | social media exposure and other correlates of increased e cigarette use among adolescents during remote schooling cross sectional study |
| url | https://pediatrics.jmir.org/2024/1/e49779 |
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