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. 2019 Jul 1;144(1):e20182935. doi: 10.1542/peds.2018-2935

TABLE 2.

Characteristics Associated With Initiation of E-cigarette, Combustible Cigarette, and Dual-Product Use at 12-Month Follow-Up Among US Youth Reporting No Lifetime Nicotine- and/or Tobacco-Product Use at Baseline in the PATH Study, 2013–2015.

Predictor Neither (n = 7154), % E-cigarettes Only (n = 316) Combustible Cigarettes Only (n = 122) Dual Use (n = 110)
% Initiating RRR (95% CI) aRRR (95% CI) % Initiating RRR (95% CI) aRRR (95% CI) % Initiating RRR (95% CI) aRRR (95% CI)
Internalizing problems
 Low 95.4 2.7 Reference Reference 0.8 Reference Reference 1.1 Reference Reference
 Moderate 92.4 4.6 1.73 (1.26–2.37)* 1.22 (0.90–1.67) 1.7 2.18 (1.33–3.58)* 1.25 (0.73–2.15) 1.3 1.25 (0.77–2.03) 0.87 (0.51–1.50)
 High 86.7 7.4 2.98 (2.18–4.08)* 1.61 (1.12–2.33)* 3.4 4.59 (2.82–7.48)* 1.63 (0.88–3.01) 2.6 2.60 (1.60–4.21)* 1.15 (0.64–2.08)
Externalizing problems
 Low 96.9 1.8 Reference Reference 0.4 Reference Reference 0.9 Reference Reference
 Moderate 92.5 4.6 2.62 (1.83–3.76)* 2.22 (1.50–3.27)* 1.5 3.81 (1.87–7.76)* 3.29 (1.56–6.93)* 1.4 1.67 (0.95–2.92) 1.52 (0.83–2.76)
 High 87.7 6.8 4.09 (2.78–6.03)* 2.78 (1.76–4.40)* 3.1 8.31 (4.30–16.06)* 5.59 (2.63–11.90)* 2.3 3.05 (1.79–5.18)* 2.23 (1.15–4.31)*
Sex
 Female 92.6 3.9 Reference Reference 1.8 Reference Reference 1.6 Reference Reference
 Male 93.0 4.4 1.11 (0.87–1.43) 1.29 (0.98–1.70) 1.3 0.71 (0.48–1.05) 0.85 (0.56–1.30) 1.3 0.78 (0.50–1.20) 0.87 (0.56–1.37)
Age, y
 12–14 94.3 3.3 Reference Reference 1.3 Reference Reference 1.1 Reference Reference
 15–17 90.1 5.7 1.79 (1.43–2.25)* 1.46 (1.16–1.83)* 2.0 1.56 (1.10–2.21)* 1.17 (0.81–1.71) 2.2 2.13 (1.44–3.13)* 1.61 (1.06–2.44)*
Race
 White 91.9 4.7 Reference Reference 1.7 Reference Reference 1.7 Reference Reference
 African American 95.7 2.4 0.50 (0.33–0.74)* 0.52 (0.35–0.77)* 1.6 0.80 (0.47–1.36) 0.76 (0.45–1.30) 0.4 0.23 (0.08–0.62)* 0.22 (0.08–0.62)*
 Other 94.3 3.5 0.73 (0.52–1.02) 0.76 (0.53–1.08) 0.8 0.45 (0.25–0.80)* 0.44 (0.24–0.81)* 1.4 0.82 (0.43–1.58) 0.85 (0.44–1.63)
Parent education level
 Less than high school 93.4 3.6 Reference Reference 1.9 Reference Reference 1.1 Reference Reference
 High school 91.3 4.4 1.26 (0.82–1.95) 1.09 (0.70–1.68) 2.1 1.13 (0.63–2.05) 0.93 (0.52–1.68) 2.2 1.94 (0.96–3.94) 1.68 (0.81–3.45)
 Some college 92.3 4.3 1.21 (0.85–1.73) 1.01 (0.70–1.47) 1.7 0.89 (0.53–1.48) 0.70 (0.42–1.17) 1.7 1.56 (0.84–2.90) 1.37 (0.74–2.51)
 Bachelor’s degree 93.4 4.6 1.30 (0.84–2.00) 1.01 (0.65–1.57) 1.0 0.50 (0.24–1.05) 0.38 (0.18–0.79) 1.0 0.92 (0.43–2.00) 0.71 (0.32–1.59)
 More than bachelor’s degree 94.3 3.7 1.03 (0.63–1.69) 0.82 (0.50–1.34) 1.0 0.53 (0.23–1.22) 0.44 (0.19–1.02) 0.9 0.81 (0.32–2.06) 0.64 (0.25–1.68)
Past-year marijuana use
 No 93.3 4.0 Reference Reference 1.4 Reference Reference 1.3 Reference Reference
 Yes 66.1 12.5 4.39 (2.48–7.76)* 1.65 (0.82–3.32) 10.7 10.69 (5.39–21.20)* 4.18 (1.78–9.84)* 10.6 11.57 (5.96–22.47)* 4.27 (1.89–9.64)*
Past-year alcohol use
 No 93.9 3.6 Reference Reference 1.3 Reference Reference 1.2 Reference Reference
 Yes 78.0 11.9 4.00 (2.77–5.77)* 2.50 (1.62–3.86)* 5.0 4.60 (2.90–7.28)* 2.13 (1.22–3.72)* 5.1 5.15 (3.13–8.48)* 2.51 (1.38–4.54)*

All percentages are weighted to be representative of adolescents ages 12–17 y by using the wave 2 replicate weights. Adjusted models are simultaneously adjusted for all covariates in the analysis.

*

Statistical significance at P < .05.