Department of Family Medicine and Community Health, Program in Health Disparities Research, University of Minnesota Health, 717 Delaware St. SE, Suite 166, Minneapolis, MN, 55414, USA.
Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota Health, Minneapolis, USA.
Prev Sci. 2024 Jul;25(5):724-733. doi: 10.1007/s11121-024-01643-4. Epub 2024 Jan 20.
Adolescent school connectedness generally protects from risk behaviors such as tobacco use; however, its relationship to e-cigarette use is unclear. This study examines the relationship between adolescent school connectedness and e-cigarette susceptibility in a diverse longitudinal sample. This secondary analysis of a school-based intervention surveyed 608 middle (66%) and high school (34%) students from 10 schools at 3 time points over 1 year. At baseline, respondents had a mean age of 14 years, 54% were female, and 71% were BIPOC (Black, Indigenous, People of Color). Logistic regression models examined unadjusted and adjusted associations between school connectedness (both baseline and concurrent) and e-cigarette susceptibility over time. E-cigarettes represented the most prevalent form of current nicotine-containing product use in spring 2019 (2.3%), and most respondents reported no e-cigarette susceptibility (69%). E-cigarette susceptibility remained relatively stable during the study. Higher baseline school connectedness levels were associated with lower odds of e-cigarette susceptibility over time. Similarly, higher concurrent school connectedness scores were associated with lower odds of e-cigarette susceptibility over time: spring 2019 (OR, 0.39; 95% CI, 0.32, 0.47), fall 2019 (OR, 0.49; 95% CI, 0.34, 0.72), and spring 2020 (OR, 0.64; 95% CI, 0.47, 0.87). Findings were similar for middle and high school students and did not differ significantly after adjusting for other covariates. Adolescents' school connectedness appears to protect from e-cigarette susceptibility over time, underscoring the importance of promoting positive school experiences to reduce adolescent risk e-cigarette use.
青少年与学校的联系通常可以预防吸烟等风险行为；然而，其与电子烟使用的关系尚不清楚。本研究在一个多样化的纵向样本中考察了青少年与学校的联系与电子烟易感性之间的关系。这项基于学校的干预措施的二次分析调查了来自 10 所学校的 608 名中学生（66%）和高中生（34%），在 1 年内进行了 3 次调查。在基线时，受访者的平均年龄为 14 岁，54%为女性，71%为 BIPOC（黑人、原住民和有色人种）。逻辑回归模型检验了基线和同期学校联系与随时间推移的电子烟易感性之间的未经调整和调整后的关联。电子烟是 2019 年春季最常见的含尼古丁产品（2.3%），大多数受访者报告没有电子烟易感性（69%）。在研究期间，电子烟易感性相对稳定。较高的基线学校联系水平与随时间推移电子烟易感性的降低几率相关。同样，较高的同期学校联系得分与随时间推移电子烟易感性的降低几率相关：2019 年春季（OR，0.39；95%CI，0.32，0.47），2019 年秋季（OR，0.49；95%CI，0.34，0.72）和 2020 年春季（OR，0.64；95%CI，0.47，0.87）。这些发现对于中学生和高中生都是相似的，并且在调整了其他协变量后没有显著差异。青少年的学校联系似乎随着时间的推移保护他们免受电子烟易感性的影响，这突显了促进积极的学校体验以减少青少年风险电子烟使用的重要性。
