Sociodemographic Factors Associated With E-Cigarette Use Among US Adults With Diabetes, Pre-Diabetes, or Risk of Diabetes

Speaker(s)

Ghodke O1, Canedo J2, Bhattacharya K3
1Department of Pharmacy Administration, School of Pharmacy, University of Mississippi, Oxford, MS, USA, 2Department of Pharmacy Administration, School of Pharmacy, University of Mississippi, Vallejo, CA, USA, 3Department of Pharmacy Administration and Center for Pharmaceutical Marketing and Management, University of Mississippi School of Pharmacy, University, MS, USA

Presentation Documents

OBJECTIVES: To examine sociodemographic disparities in e-cigarette use among non-institutionalized US adults with diabetes, prediabetes, or at risk of diabetes.

METHODS: This cross-sectional study used the National Health and Nutrition Examination Survey (NHANES) data from 2017 to 2018 to assess sociodemographic disparities in e-cigarette use among adults with diabetes, pre-diabetes, or self-perceived risk of diabetes. Sociodemographic factors assessed in the study included age, sex, race, income, education, and marital status. Additionally, comorbidities, alcohol use, and traditional cigarette use were included as covariates in the analysis. The study outcome, e-cigarette use, was categorized into three groups: current user, ever user, and never user. Multinomial logistic regression was employed to identify factors associated with e-cigarette use, and the complex survey design was taken into account in all analyses.

RESULTS: A total of 2,532 individuals were included in the analysis, with 75.9% being never users, 21.9% being ever users, and 2.2% being current users. Compared to White individuals, Black individuals (aOR=0.38, 95% CI: 0.20-0.73), Hispanics (aOR=0.54, 95% CI: 0.32-0.91), Asians (aOR=0.42, 95% CI: 0.22-0.81), and other racial groups (aOR=0.57, 95% CI:0.36-0.90) had lower odds of being a never user relative to being a current e-cigarette user. Additionally, compared to White individuals, Hispanics had lower odds of being ever users relative to being a current e-cigarette user (aOR=0.16, 95% CI: 0.04-0.65). As compared to those with a high school degree or less, individuals with a college degree or higher had lower odds of being ever users relative to being current e-cigarette users (aOR=0.16, 95% CI: 0.03-0.84).

CONCLUSIONS: This study identified sociodemographic factors associated with e-cigarette use using population level data for US adults with diabetes, pre-diabetes, or risk of diabetes. Future research needs to further investigate these relationships in order to develop targeted public health interventions for individuals with diabetes who are more susceptible to using e-cigarettes.

Code

EPH117

Topic

Epidemiology & Public Health

Topic Subcategory

Public Health

Disease

Diabetes/Endocrine/Metabolic Disorders (including obesity), Respiratory-Related Disorders (Allergy, Asthma, Smoking, Other Respiratory)