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  • Understanding susceptibilit...
    Carey, Felicia R.; Rogers, Shannon M.; Cohn, Elizabeth A.; Harrell, Melissa B.; Wilkinson, Anna V.; Perry, Cheryl L.

    Addictive behaviors, 04/2019, Letnik: 91
    Journal Article

    The primary objective of this study was to identify risk factors associated with becoming susceptible to e-cigarette use over the course of a year among e-cigarette-naive adolescents considering a comprehensive model of risk factors (risk perceptions, social influences and norms, affective risk factors, and other behavioral risk factors). Data came from the Texas Adolescent Tobacco and Marketing Surveillance system (TATAMS), a longitudinal cohort study of students who were in the 6th, 8th, and 10th grades (n = 3907) during the 2014–2015 academic year. Weighted generalized linear mixed models assessed multiple predictors' associated with the transition to susceptibility to e-cigarettes at 12 months. Among 6th graders, family influence, use of other substances, and positive affect were important. Adolescents transitioning from 8th grade to high school presented the greatest number of risk factors (e.g., social and normative influences). Only sensation seeking increased the risk of susceptibility to e-cigarettes among 10th graders. Overall, by grade level, incidence of susceptibility to e-cigarettes at 12 months did not vary, but risk factor profiles varied substantially. •Incident susceptibility to e-cigarettes at 12 months did not vary by grade (6th, 8th, or 10th); risk factor profiles did vary•Family influence andr substance use increased risk e-cigarette susceptibility for grade 6; positive affect was protective•Social and normative influences for becoming susceptible to e-cigarettes were important during the transition to high school•Only higher sensation seeking increased risk of becoming susceptible to e-cigarettes among the 10th graders•Tailoring intervention efforts to developmental stage can maximize prevention against e-cigarette susceptibility transitions