The Prevalence of E-cigarette Use in a Sample of U.S. Air Force Recruits

Melissa A. Little, Karen J. Derefinko, Lauren Colvin, Jon Owen Ebbert, Zoran Bursac, Gerald W. Talcott, Phyllis A. Richey, Robert C. Klesges

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Introduction The prevalence of electronic cigarette (e-cigarette) use is increasing markedly in the general population. Yet, remarkably little research exists to examine these ongoing trends in at-risk populations, and nothing is known about the prevalence of e-cigarette use among military personnel. The purpose of the current study is to provide recent (2013-2014) data on the prevalence of regular e-cigarette use in a population of recruits prior to their entry into the U.S. military. Methods The study utilized a cross-sectional assessment of e-cigarette and other tobacco and nicotine-containing product (TNCP) use in 2013-2014 among 10,043 U.S. Air Force (USAF) recruits in Technical Training. Chi-square tests, the Cochran-Armitage test for trend, and logistic regression models tested differences and trends across time for e-cigarette use. Results The rate of e-cigarette use among recruits was 5.2%, which doubled (3% to 6.5%, p<0.0001) across a 1-year period. E-cigarette use was associated with increased odds of all measured TNCPs, as well as dual and poly use (all p<0.0001). Conclusions Rates of e-cigarette use are slightly higher in young USAF recruits than in the general population, and e-cigarette users are likely to be using other TNCPs in tandem. Although additional work is needed to understand the reasons for this concomitant use, this is a necessary first step to understanding e-cigarette use prevalence in military populations. Historic trends suggest that, like general populations, e-cigarette use is on the rise for those entering the USAF and should be monitored to inform future prevention programming.

Original languageEnglish (US)
Article number4362
Pages (from-to)402-408
Number of pages7
JournalAmerican Journal of Preventive Medicine
Volume49
Issue number3
DOIs
StatePublished - Sep 1 2015

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Air
Population
Electronic Cigarettes
Logistic Models
Military Personnel
Chi-Square Distribution
Nicotine
Tobacco
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Little, M. A., Derefinko, K. J., Colvin, L., Ebbert, J. O., Bursac, Z., Talcott, G. W., ... Klesges, R. C. (2015). The Prevalence of E-cigarette Use in a Sample of U.S. Air Force Recruits. American Journal of Preventive Medicine, 49(3), 402-408. [4362]. https://doi.org/10.1016/j.amepre.2015.02.019

The Prevalence of E-cigarette Use in a Sample of U.S. Air Force Recruits. / Little, Melissa A.; Derefinko, Karen J.; Colvin, Lauren; Ebbert, Jon Owen; Bursac, Zoran; Talcott, Gerald W.; Richey, Phyllis A.; Klesges, Robert C.

In: American Journal of Preventive Medicine, Vol. 49, No. 3, 4362, 01.09.2015, p. 402-408.

Research output: Contribution to journalArticle

Little, MA, Derefinko, KJ, Colvin, L, Ebbert, JO, Bursac, Z, Talcott, GW, Richey, PA & Klesges, RC 2015, 'The Prevalence of E-cigarette Use in a Sample of U.S. Air Force Recruits', American Journal of Preventive Medicine, vol. 49, no. 3, 4362, pp. 402-408. https://doi.org/10.1016/j.amepre.2015.02.019
Little, Melissa A. ; Derefinko, Karen J. ; Colvin, Lauren ; Ebbert, Jon Owen ; Bursac, Zoran ; Talcott, Gerald W. ; Richey, Phyllis A. ; Klesges, Robert C. / The Prevalence of E-cigarette Use in a Sample of U.S. Air Force Recruits. In: American Journal of Preventive Medicine. 2015 ; Vol. 49, No. 3. pp. 402-408.
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abstract = "Introduction The prevalence of electronic cigarette (e-cigarette) use is increasing markedly in the general population. Yet, remarkably little research exists to examine these ongoing trends in at-risk populations, and nothing is known about the prevalence of e-cigarette use among military personnel. The purpose of the current study is to provide recent (2013-2014) data on the prevalence of regular e-cigarette use in a population of recruits prior to their entry into the U.S. military. Methods The study utilized a cross-sectional assessment of e-cigarette and other tobacco and nicotine-containing product (TNCP) use in 2013-2014 among 10,043 U.S. Air Force (USAF) recruits in Technical Training. Chi-square tests, the Cochran-Armitage test for trend, and logistic regression models tested differences and trends across time for e-cigarette use. Results The rate of e-cigarette use among recruits was 5.2{\%}, which doubled (3{\%} to 6.5{\%}, p<0.0001) across a 1-year period. E-cigarette use was associated with increased odds of all measured TNCPs, as well as dual and poly use (all p<0.0001). Conclusions Rates of e-cigarette use are slightly higher in young USAF recruits than in the general population, and e-cigarette users are likely to be using other TNCPs in tandem. Although additional work is needed to understand the reasons for this concomitant use, this is a necessary first step to understanding e-cigarette use prevalence in military populations. Historic trends suggest that, like general populations, e-cigarette use is on the rise for those entering the USAF and should be monitored to inform future prevention programming.",
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