Electronic nicotine delivery systems (ENDS) use, including e-cigarettes, has surpassed the use of conventional tobacco products. Emerging research suggests that susceptibility to e-cigarette use is associated with actual use among adolescents. However, few studies exist involving adolescents in high-risk, rural, socioeconomically distressed environments. This study examines susceptibility to and subsequent usage in school-going adolescents in a rural distressed county in Appalachian Tennessee using data from an online survey (N = 399). Relying on bivariate analyses and logistic regression, this study finds that while 30.6% of adolescents are ever e-cigarette users, 15.5% are current users. Approximately one in three adolescents are susceptible to e-cigarettes use, and susceptibility is associated with lower odds of being a current e-cigarette user (OR = 0.03; CI: 0.01–0.12; p < 0.00). The age of tobacco use initiation was significantly associated with decreased current use of e-cigarettes (OR = 0.89; CI: 0.83–0.0.97; p < 0.01). Overall, the results of this exploratory study suggest the need for larger studies to identify unique and generalizable factors that predispose adolescents in this high-risk rural, socioeconomically disadvantaged region to ENDS use. Nevertheless, this study offers insight into e-cigarette usage among U.S adolescents in rural, socioeconomically disadvantaged environments and provides a foundation for a closer examination of this vulnerable population.
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Mamudu, Hadii M.; Nwabueze, Christen; Weierbach, Florence M.; Yang, Joshua; Jones, Antwan; McNabb, Michelle; Adeniran, Esther; Liu, Ying; Wang, Liang; Blair, Cynthia J.; Awujoola, Adeola; and Wood, David L.. 2020. Exploring Associations Between Susceptibility to the Use of Electronic Nicotine Delivery Systems and E-Cigarette Use Among School-Going Adolescents in Rural Appalachia. International Journal of Environmental Research and Public Health. Vol.17(14). 1-13. https://doi.org/10.3390/ijerph17145133 PMID: 32708622 ISSN: 1661-7827