Use of Conventional and Alternative Tobacco and Nicotine Products Among a Sample of Canadian Youth.
OBJECTIVE
The purpose of this study was to examine the use of conventional and alternative tobacco and nicotine products among secondary school students.


METHODS
Respondents were 44,163 grade 9-12 students who participated in Year 2 (2013-2014) of COMPASS, a cohort study of 89 purposefully sampled secondary schools in Ontario and Alberta, Canada. Past-month use of various tobacco and nicotine products was assessed, as well as correlates of use, using a generalized linear mixed effects model.


RESULTS
Overall, 21.2% of the sample reported past-month use of any tobacco or nicotine product, with 7.2% reporting past-month use of e-cigarettes. E-cigarette users reported significantly greater prevalence of current use for all products. Students who were male, white, had more spending money, and had a history of tobacco use were more likely to report past-month use of e-cigarettes.


CONCLUSIONS
Approximately one fifth of youth reported past-month use of a nicotine product, with e-cigarettes being the third most common product. Overall, the findings suggest a rapidly evolving nicotine market.
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Christine D
CD
Czoli
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada. Electronic address: dhammond@uwaterloo.ca.
David
D
Hammond
Propel Centre for Population Health Impact, University of Waterloo, Waterloo, Ontario, Canada.
Jessica L
JL
Reid
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Adam G
AG
Cole
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Scott T
ST
Leatherdale
D000293:Adolescent; D002170:Canada / Q000453:epidemiology; D066300:Electronic Nicotine Delivery Systems / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D012737:Sex Factors; D012959:Socioeconomic Factors; D064424:Tobacco Use / Q000453:epidemiology*
Alternative tobacco products; Electronic cigarettes; Nicotine