Table II:

Multinomial logistic regression model of tobacco use status, Guatemala 2019 (n=998)

	Noncurrent (base outcome)	Current Exclusive Smoker		Current Exclusive E-cigarette user		Current Dual User
	%	%	RR (95% CI)	%	RR (95% CI)	%	RR (95% CI)
First tobacco use
Cigarette	40	5	Ref	27	Ref	28	Ref
Flavored cigarette (inc. flavor capsules)	33	11	1.66 (1.13 – 2.42)**	29	0.91 (0.66 – 1.26)	27	0.77 (0.37 – 1.61)
E-cigarette	44	1	0.19 (0.11 – 0.31)***	45	1.08 (0.73 – 1.59)	10	0.26 (0.14 – 0.49)***
Sex
Female	42	4	Ref	38	Ref	16	Ref
Male	39	4	0.95 (0.63 – 1.45)	37	1.10 (0.84 – 1.45)	20	1.33 (1.02 – 1.72)*
Age
13	60	0	Ref	31	Ref	9	Ref
14	58	2	0.58 (0.21 – 1.60)	33	0.76 (0.45 – 1.27)	7	0.29 (0.12 – 0.69)**
15	40	5	1.29 (0.66 – 2.52)	40	1.13 (0.61 – 2.09)	15	0.67 (0.30 – 1.53)
16	36	4	1.10 (0.51 – 2.38)	38	1.22 (0.60 – 2.51)	23	1.20 (0.53 – 2.73)
17	32	6	1.19 (0.52 – 2.69)	38	1.40 (0.65 – 3.02)	23	1.13 (0.43 – 2.94)
Parental education
High school or less	43	4	Ref	35	Ref	18	Ref
University degree or more	40	4	0.21 (0.09 – 0.52)**	38	0.46 (0.28 – 0.75)**	18	0.28 (0.13 – 0.61)**
Unknown	53	5	0.27 (0.02 – 3.55)	37	0.49 (0.15 – 1.62)	5	0.12 (0.02 – 0.90)*
FAS			0.83 (0.72 – 0.95)**		0.90 (0.81 – 1.00)*		0.93 (0.82 – 1.04)
Family member smokes
No	45	2	Ref	40	Ref	13	Ref
Yes	35	7	3.05 (1.62 – 5.74)**	34	0.80 (0.60 – 1.06)	23	1.27 (0.83 – 1.94)
Family member e-cigarette user
No	46	5	Ref	34	Ref	15	Ref
Yes	27	2	0.41 (0.29 – 0.59)***	45	2.29 (1.85 – 2.84)***	26	2.48 (1.47 – 4.19)**
Friend smokes
No	56	2	Ref	35	Ref	8	Ref
Yes	35	5	2.39 (1.22 – 4.72)*	38	0.88 (0.60 – 1.28)	22	1.43 (0.96 – 2.15)
Friend e-cigarette user
No	70	8	Ref	16	Ref	6	Ref
Yes	34	3	0.73 (0.54 – 0.99)*	42	4.46 (2.94 – 6.76)***	21	3.56 (2.12 – 5.98)***

Note: Ref=reference level; RR=relative risk; CI=confidence interval; FAS=Family affluent scale

^*=p<0.05;

^**=p<0.01;

^***=p<0.001