@Article{info:doi/10.2196/49779,
author="Pravosud, Vira
and Ling, Pamela M
and Halpern-Felsher, Bonnie
and Gribben, Valerie",
title="Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study",
journal="JMIR Pediatr Parent",
year="2024",
month="Oct",
day="21",
volume="7",
pages="e49779",
keywords="adolescents; social media use; e-cigarette use; mental health; COVID-19 shelter-in-place orders; remote schooling; smoking; vape; e-cigarette implications; COVID-19; anxiety; depression",
abstract="Background: Little is known about the role of exposure to e-cigarette--related digital content, behavioral and mental health factors, and social environment on the change in adolescent e-cigarette use during COVID-19 shelter-in-place orders and remote schooling. Objective: The aim of the study was to examine changes in adolescent e-cigarette use during shelter-in-place and remote schooling in association with exposure to e-cigarette--related digital content and other correlates: stronger e-cigarette dependence, feeling lonely, inability to socialize, e-cigarette use to cope with shelter-in-place, and the number of family members aware of participants' e-cigarette use. Methods: A cross-sectional survey conducted between August 2020 and March 2021 included 85 California adolescents (mean age 16.7, SD 1.2 years; 39/85, 46{\%} identified as female and 37/85, 44{\%} as Hispanic) who reported e-cigarette use in the past 30 days. Multivariable penalized logistic regressions determined associations adjusted for age, race and ethnicity, and mother's education. The outcome of increased e-cigarette use was defined as more frequent use of e-cigarettes of the same or stronger nicotine or tetrahydrocannabinol concentration. Results: Almost all respondents (83/85, 98{\%}) reported using social media more since shelter-in-place, and 74{\%} (63/85) reported seeing e-cigarette digital content. More than half (46/85, 54{\%}) reported increased e-cigarette use during shelter-in-place. Most individuals who increased use were exposed to e-cigarette digital content (38/46, 83{\%}) compared to those who did not increase e-cigarette use (25/39, 64{\%}), but the association was nonsignificant after adjusting for demographics (adjusted odds ratio [AOR] 2.34, 95{\%} CI 0.71‐8.46). Respondents who felt lonely (AOR 3.33, 95{\%} CI 1.27‐9.42), used e-cigarettes to cope with shelter-in-place (AOR 4.06, 95{\%} CI 1.39‐13.41), or had ≥2 family members aware of participants' e-cigarette use (AOR 6.42, 95{\%} CI 1.29‐39.49) were more likely to report increased e-cigarette use. Conclusions: Almost all participants reported using social media more during shelter-in-place, with many respondents reporting increased e-cigarette use, and significant associations with loneliness and use to cope with shelter-in-place. Future interventions should consider leveraging digital platforms for e-cigarette use prevention and cessation and address the mental health consequences of the COVID-19 pandemic. ",
issn="2561-6722",
doi="10.2196/49779",
url="https://pediatrics.jmir.org/2024/1/e49779",
url="https://doi.org/10.2196/49779"
}