Electronic Cigarette Use and Associated Risk Factors in U.S.-Dwelling Pacific Islander Young Adults.

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Subica, Andrew M

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Guerrero, Erick

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Wu, Li-Tzy

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Aitaoto, Nia

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Iwamoto, Derek

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Moss, Howard B

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2020-06-01T19:35:23Z

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2020-06-01T19:35:23Z

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2020-05-12

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2020-06-01T19:35:22Z

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Background: E-cigarette use is rapidly increasing among US young adults, heightening their risk for vaping-related illnesses. Yet, little is known about e-cigarette use among young adult Native Hawaiians and Pacific Islanders (NHPI): an indigenous-colonized US racial group rarely described in research literature. This exploratory study provides the first known data on e-cigarette use and potential risk factors in NHPI young adults. Method: Self-report data were collected from 143 NHPI young adults (age 18-30 years) living in two large NHPI communities: Samoans in urban Los Angeles County and Marshallese in rural Arkansas. We assessed rates of e-cigarette, cigarette, alcohol, and marijuana use, and positive and negative outcome expectancies from e-cigarettes, that is expected outcomes from e-cigarette use. To identify potential risk factors for NHPI e-cigarette use, regressions explored associations between participants' current e-cigarette use with current cigarette, alcohol, and marijuana use, and e-cigarette outcome expectancies. Results: Among NHPI young adults, lifetime e-cigarette use rate was 53% and current use rate was 39%. Current rate of dual e-cigarette/cigarette, e-cigarette/alcohol, and e-cigarette/marijuana use was 38%, 35%, and 25%, respectively. In our regression models, current marijuana use and positive e-cigarette outcome expectancies were significantly associated with current e-cigarette use. Conclusions: E-cigarette use is common among NHPI young adults, exceeding rates for other at-risk racial groups. Marijuana use and positive expectations about e-cigarette use may represent potential e-cigarette use risk factors. Collectively, findings underscore the need for additional research to further explore the scope of, and risk and protective factors for, e-cigarette use in this understudied high-risk population.

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1082-6084

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1532-2491

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https://hdl.handle.net/10161/20743

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eng

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Informa UK Limited

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Substance use & misuse

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10.1080/10826084.2020.1756855

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E-cigarettes

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Native Hawaiians and Pacific Islanders

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e-cigarette outcome expectancies

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Electronic Cigarette Use and Associated Risk Factors in U.S.-Dwelling Pacific Islander Young Adults.

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Journal article

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Wu, Li-Tzy|0000-0002-5909-2259

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1

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7

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School of Medicine

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Center for Child and Family Policy

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Duke Clinical Research Institute

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Duke Institute for Brain Sciences

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Psychiatry & Behavioral Sciences, Social and Community Psychiatry

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Medicine, General Internal Medicine

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Duke

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Sanford School of Public Policy

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Institutes and Centers

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences

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Clinical Science Departments

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Medicine

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