Titre : | Community- and individual-level risk factors of past month e-cigarette use among adolescents in France (2021) |
Auteurs : | M. VUOLO ; E. JANSSEN ; O. LE NEZET ; S. SPILKA |
Type de document : | Article : Périodique |
Dans : | Drug and Alcohol Dependence (Vol.226, September 2021) |
Article en page(s) : | art. 108823 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique FRANCEThésaurus mots-clés ESCAPAD ; E-CIGARETTE ; FACTEUR DE RISQUE ; ADOLESCENT ; TABAC ; ETUDE TRANSVERSALE ; GEOGRAPHIE ; DEPARTEMENT ; PROFIL SOCIO-DEMOGRAPHIQUE |
Résumé : |
Purpose: Studies of adolescent e-cigarette use infrequently consider how environmental effects impact use. Adolescent e-cigarette use in France is also understudied, yet an important contrast since e-cigarette use rarely precedes conventional tobacco use and daily tobacco use is common. We examine whether there is significant variation in e-cigarette use across the geographic unit of départements (n = 95), and whether community factors explain these differences and individual-level probabilities of e-cigarette use.
Methods: The ESCAPAD survey is a cross-sectional, nationally representative survey collected at a day of civic and military information mandatory for French 17-year-olds. We use the 2014 (n = 22,023) and 2017 (n = 39,115) surveys and geographic information from Eurostat and INSEE. Multilevel, multiple logistic regression models examine any and daily past month e-cigarette use. Results: We find significant département-level variation in both outcomes, with a considerable proportion of this variation explained by département-level factors. Net of numerous significant individual-level covariates, département-level unemployment (OR = 1.049, p < .05), poverty (OR=0.975, p < .05), age structure (OR=0.720, p < .01), and population growth (OR=0.987 p < .01) were associated with any past month use. The département-level percentage of adolescents using conventional tobacco daily was associated with individual-level any (OR=1.029, p < .001) and daily (OR=1.033, p < .01) e-cigarette use. Predicted probabilities demonstrate that département-level and individual-level tobacco use together were associated with e-cigarette use. Conclusions: Researchers should incorporate community effects into studies of e-cigarette use. Particularly, the tobacco use environment contributes to risk of e-cigarette use. For policymakers, resources may be mobilized to address local socioeconomic, demographic, and tobacco use patterns to potentially affect adolescent e-cigarette use. Highlights: • Aside from schools, multilevel studies of adolescent e-cigarette use are rare. • France is a unique context where daily tobacco use is high and typically precedes e-cigarette use. • Individual-level e-cigarette use is associated with geographic-level demographics, socioeconomics, and youth substance use. • Tobacco use environment impacts e-cigarette use and is particularly consequential when the adolescent uses tobacco daily. • E-cigarette research, prevention, and intervention should incorporate environmental effects. |
Domaine : | Tabac / Tobacco / e-cigarette |
Affiliation : |
Department of Sociology, The Ohio State University, Columbus, OH, USA French Monitoring Centre for Drugs and Drug Addiction - Observatoire français des drogues et des toxicomanies (OFDT), Paris, France |
Lien : | https://doi.org/10.1016/j.drugalcdep.2021.108823 |
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