What is the draw? Assessing a risk model and conventional exploration model of e-cigarette use

ABSTRACT

Background/Objective: The use of electronic cigarettes (e-cigarettes) among young adults has been increasing, leading to concern due to unknown health effects. The purpose of the current study is to replicate and expand research on two contrasting models of e-cigarette use: risk model and conventional exploration model. Methods: An anonymous online survey was distributed at a midwestern university in fall 2015. There were 3,626 respondents, aged between 18 and 25, who answered the study’s measures: sensation seeking, risk perception, public use attitudes, and policy views. Results: Respondents were categorized into mutually exclusive groups: nonuser (58.8%), e-cigarette only user (24.2%), cigarette only user (2.7%), and dual user (13.2%). Lending support to the risk model, higher disinhibition and endorsing e-cigarette use in public was associated with lower odds of being nonusers compared to e-cigarette only users. Support for the conventional model was found with higher perceived likelihood of getting heart disease, a risk of harm, and a risk of addiction due to e-cigarette use being associated with higher odds of being nonusers compared to e-cigarette only users. Conclusions: Results provide some support for both models. Findings can be used to inform prevention and intervention programs and services.

KEYWORDS:

• Electronic Cigarettes
• Sensation Seeking
• Risk Perception
• Public Use Attitudes
• Policy Views

Acknowledgments

The authors would like to thank Dr. Lynn Falletta, Kelsey Hamilton, James Cairns, Chelsea Kennedy, and Jessica Mulvany for comments and suggestions that greatly improved the manuscript. We would also like to thank Anisha Akella Naga Venkataand Surya Sruthi Bhamidipalli for their assistance with reviewing the data in the earlier stages of the manuscript.