Online Program

Correlates of ever and current use of emerging tobacco products among Mississippi youth

Tuesday, November 5, 2013

Nell Valentine, MS, Social Science Research Center, Mississippi State University, Starkville, MS
Lauren Colvin, MS, Social Science Research Center, Mississippi State University, Starkville, MS
Emily McClelland, MS, Social Science Research Center, Mississippi State University, Starkville, MS
Lei Zhang, PhD MBA, Office of Health Data and Research, Mississippi State Department of Health, Jackson, MS
Robert C. McMillen, PhD, Social Science Research Center, Mississippi State University, Starkville, MS
Background: Recently, snus and electronic cigarettes have been introduced to the US market, while waterpipes have gained popularity. The purpose is to assess use of these products among youth and identify demographic, behavioral, and situational predictors of use.

Methods: We administered the Mississippi Youth Tobacco Survey to high school students in the Fall of 2011. We applied a multi-stage sample design with public schools selected with a probability proportional to enrollment size. We randomly selected Classrooms within schools and all students in selected classes were eligible for participation. Data were collected by means of anonymous, self-administered questionnaires.

Results: 90% of sampled schools and 79% of sampled students participated (overall response rate 71%). Ever use for hookah, snus, and e-cigarettes was 4.4%, 8.5%, and 5.9%, respectively; and current use was 1.6%, 3.7%, and 2.3%. Bivariate analyses demonstrated ever use of these products tended to be higher for males, whites, and those in higher grades. Significant behavioral and situational predictors of ever use included current cigarette smoking, being a susceptible nonsmoker, living in home that allowed smoking, past 7 day SHS exposure, at least one of closest four friends smokes, believing that smoking helps you look cool, and regarding secondhand smoke as not very harmful.

Conclusions: Use of these products raises concerns about students being at risk for nicotine dependence or maintaining their dependence. Greater awareness of emerging tobacco product prevalence and high risk characteristics might inform efforts to determine public health policy and regulatory action.

Learning Areas:

Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Describe the lifetime and current prevalence of use of emerging tobacco products among Mississippi youth. Discuss situational, behavioral, and demographic predictors of use.

Keyword(s): Tobacco Control, Tobacco Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator for the state funded Mississippi Youth Tobacco Survey and I am the Project Coordinator for the Mississippi Tobacco Data Unit at the Social Science Research Center. This Unit works with National and State agencies to examine tobacco policies as well as the knowledge, behaviors, and attitudes of youth and adults regarding tobacco.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.