Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults

Background: Dual use of e-cigarettes and combustible tobacco products is common in young adults. We aimed to explore how ratings of subjective and contextual factors differed between discrete episodes of e-cigarette use vs. combustible tobacco product smoking among a sample of young adults. Methods:...

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Autores principales:	Deepa R. Camenga, Angela M. Haeny, Suchitra Krishnan-Sarin, Stephanie S. O’Malley, Krysten W. Bold
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	tobacco young adult e-cigarette Medicine R
Acceso en línea:	https://doaj.org/article/d8132965e5fd4279ad79b2bc50679901
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spelling	oai:doaj.org-article:d8132965e5fd4279ad79b2bc506799012021-11-11T16:09:54ZPilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults10.3390/ijerph1821110051660-46011661-7827https://doaj.org/article/d8132965e5fd4279ad79b2bc506799012021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11005https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Dual use of e-cigarettes and combustible tobacco products is common in young adults. We aimed to explore how ratings of subjective and contextual factors differed between discrete episodes of e-cigarette use vs. combustible tobacco product smoking among a sample of young adults. Methods: Young adults (N = 29, ages 18–30) who used e-cigarettes and ≥1 combustible tobacco product at least once weekly completed a 1-week smartphone-based ecological momentary assessment (EMA). Twice daily random prompts assessed past-15-min use of tobacco products, ratings of subjective factors (e.g., negative affect, craving), and contextual factors related to activity, location, and companionship. A multivariable GEE model assessed whether subjective or contextual factors were associated with e-cigarette vs. combustible tobacco product episodes. Results: 184 tobacco use episodes were reported (39.7% e-cigarette, 60.3% combustible tobacco product). High baseline cigarette dependence, as measured by the Fagerström Test for Cigarette Dependence, was associated with lower odds of e-cigarette vs. combustible tobacco product episodes (aOR 0.01, 95% CI (0.002–0.08); <i>p</i> < 0.001). Neither between- or within-subjects negative affect or craving scores were associated with e-cigarette use. Activities of eating/drinking (aOR 0.20, 95% CI (0.08–0.49); <i>p</i> = 0.001) and being in the companionship of a person who smoked cigarettes (aOR 0.13, 95% CI (0.04–0.43); <i>p</i> = 0.001) were associated with lower odds of e-cigarette vs. combustible tobacco product use episodes. However, traveling (aOR 12.02, 95% CI (3.77–38.26); <i>p</i> ≤ 0.001) and being in a public space (aOR 2.76, 95% CI (1.10–6.96); <i>p</i> = 0.03) were associated with higher odds of e-cigarette than combustible tobacco product use episodes. Conclusions: This pilot data suggests that unique contextual factors may be associated with e-cigarette use, compared to combustible tobacco smoking in a sample of young adults who use both e-cigarettes and combustible tobacco products. Future research with larger samples is needed to better characterize varying contexts and cues for tobacco use among young adults who are dual users.Deepa R. CamengaAngela M. HaenySuchitra Krishnan-SarinStephanie S. O’MalleyKrysten W. BoldMDPI AGarticletobaccoyoung adulte-cigaretteMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11005, p 11005 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tobacco young adult e-cigarette Medicine R
spellingShingle	tobacco young adult e-cigarette Medicine R Deepa R. Camenga Angela M. Haeny Suchitra Krishnan-Sarin Stephanie S. O’Malley Krysten W. Bold Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults
description	Background: Dual use of e-cigarettes and combustible tobacco products is common in young adults. We aimed to explore how ratings of subjective and contextual factors differed between discrete episodes of e-cigarette use vs. combustible tobacco product smoking among a sample of young adults. Methods: Young adults (N = 29, ages 18–30) who used e-cigarettes and ≥1 combustible tobacco product at least once weekly completed a 1-week smartphone-based ecological momentary assessment (EMA). Twice daily random prompts assessed past-15-min use of tobacco products, ratings of subjective factors (e.g., negative affect, craving), and contextual factors related to activity, location, and companionship. A multivariable GEE model assessed whether subjective or contextual factors were associated with e-cigarette vs. combustible tobacco product episodes. Results: 184 tobacco use episodes were reported (39.7% e-cigarette, 60.3% combustible tobacco product). High baseline cigarette dependence, as measured by the Fagerström Test for Cigarette Dependence, was associated with lower odds of e-cigarette vs. combustible tobacco product episodes (aOR 0.01, 95% CI (0.002–0.08); <i>p</i> < 0.001). Neither between- or within-subjects negative affect or craving scores were associated with e-cigarette use. Activities of eating/drinking (aOR 0.20, 95% CI (0.08–0.49); <i>p</i> = 0.001) and being in the companionship of a person who smoked cigarettes (aOR 0.13, 95% CI (0.04–0.43); <i>p</i> = 0.001) were associated with lower odds of e-cigarette vs. combustible tobacco product use episodes. However, traveling (aOR 12.02, 95% CI (3.77–38.26); <i>p</i> ≤ 0.001) and being in a public space (aOR 2.76, 95% CI (1.10–6.96); <i>p</i> = 0.03) were associated with higher odds of e-cigarette than combustible tobacco product use episodes. Conclusions: This pilot data suggests that unique contextual factors may be associated with e-cigarette use, compared to combustible tobacco smoking in a sample of young adults who use both e-cigarettes and combustible tobacco products. Future research with larger samples is needed to better characterize varying contexts and cues for tobacco use among young adults who are dual users.
format	article
author	Deepa R. Camenga Angela M. Haeny Suchitra Krishnan-Sarin Stephanie S. O’Malley Krysten W. Bold
author_facet	Deepa R. Camenga Angela M. Haeny Suchitra Krishnan-Sarin Stephanie S. O’Malley Krysten W. Bold
author_sort	Deepa R. Camenga
title	Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults
title_short	Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults
title_full	Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults
title_fullStr	Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults
title_full_unstemmed	Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults
title_sort	pilot ecological momentary assessment study of subjective and contextual factors surrounding e-cigarette and combustible tobacco product use among young adults
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/d8132965e5fd4279ad79b2bc50679901
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Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults

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