Journal article
Sociodemographic and psychosocial characteristics of e-cigarette ever-use: U.S. HINTS 6 Survey
Preventive medicine reports, v 55, 103113
Jul 2025
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
With high U.S. e-cigarette use prevalence and e-cigarette health risks, we examined associated factors for ongoing public health efforts.
We used national data from the 2022 Health Information National Trends Survey to estimate the overall U.S. prevalence of e-cigarette ever- and current-use and to examine associations by sociodemographics (i.e., age, race/ethnicity, gender, marital status, employment status, education level) and depressive symptoms (i.e., PHQ-4; no, mild, moderate or severe symptoms) using weighted multivariable logistic regressions adjusted for cigarette smoking status (n = 5924).
In 2022, 17.1 % of U.S. adults ever-used e-cigarettes; of which, 4.3 % currently-used e-cigarettes. Weighted multivariable logistic regressions found that age, race/ethnicity, education level, marital status, and experiencing severe depressive symptoms were associated with e-cigarette ever-use: younger age groups (vs. ≥65-years-old), formerly married (vs. married), and those experiencing severe depressive symptoms (vs. no symptoms) were more likely to ever-use e-cigarettes, while Black adults (vs. White) and those with <high school education (vs. ≥college graduate) were less likely to ever-use e-cigarettes. Younger adult age groups (vs. ≥65-years-old) and those with a high school diploma (vs. ≥college graduate) were more likely to currently use e-cigarettes.
Our findings suggest that sub-populations may be at varying risks of engaging in e-cigarette ever-use and current-use behaviors. Experiencing severe depressive symptoms was associated with e-cigarette ever-use, but not current use. Future research is needed to continue to explore the relationship (e.g., bidirectional) between experiencing depressive symptoms and e-cigarette behaviors and the potential role of marital support in helping to prevent e-cigarette uptake.
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Details
- Title
- Sociodemographic and psychosocial characteristics of e-cigarette ever-use: U.S. HINTS 6 Survey
- Creators
- Lilianna Phan - Drexel UniversityKuang-Yi Wen - Thomas Jefferson UniversityHee Jun Kim - George Washington UniversityJulie A. Barta - Thomas Jefferson UniversityHee-Soon Juon - Thomas Jefferson University
- Publication Details
- Preventive medicine reports, v 55, 103113
- Publisher
- Elsevier
- Number of pages
- 5
- Grant note
- Pathway to Independence Award in Tobacco Regulatory Research from the National Cancer Institute of the National Institutes of Health and the Office of the Director, National Institutes of Health
Lilianna Phan was partly supported by U54CA267735 and supported by the Pathway to Independence Award in Tobacco Regulatory Research from the National Cancer Institute of the National Institutes of Health and the Office of the Director, National Institutes of Health under Award Number R00CA272919. The content is solely the responsibility of the authors and does not necessarily represent the official views of the US Government, Department of Health and Human Services, and National Institutes of Health.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel FIRST (Center for Firefighter Injury Research and Safety Trends); Community Health and Prevention
- Web of Science ID
- WOS:001500906500003
- Scopus ID
- 2-s2.0-105005595217
- Other Identifier
- 991022054236304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health