Subjective experiences at first use of cigarette, e-cigarettes, hookah, and cigar products among Texas adolescents.
Subjective experiences ("SEs") at first cigarette use have been thoroughly examined; however, limited research has examined SEs at first use of non-cigarette products. This study addresses this gap in the literature.



Cross-sectional data from 6th, 8th and 10th grade students in four metropolitan areas of Texas (n=3907/N=461,069). Nausea, coughing, relaxation, rush/buzz, and dizziness at first use were assessed for cigarettes, e-cigarettes, hookah, and cigar products. Chi-square analyses examined differences in the prevalence of first use SEs by product. Weighted multiple logistic regression analyses examined the association of SEs and current product use. Covariates were grade, gender, race/ethnicity, and current other tobacco product use.



Exploratory factor analysis of SEs determined differing factor structures across tobacco products. For example, the following items loaded onto the positive SE factor: 1) relaxation, rush, and dizziness for cigarettes, and 2) relaxation and rush for e-cigarettes, hookah, and cigar products. Prevalence of negative SEs (coughing and nausea) were higher for cigarette and cigar products compared to e-cigarettes and hookah. Positive SEs for cigarettes were associated with increased odds of current cigarette use (AOR=1.51); similarly positive SEs for cigars were associated with increased odds of current cigar use (AOR=2.11). Feeling nauseous at first use of cigars was associated with decreased odds of current cigar use (AOR=0.18). No SEs were associated with current e-cigarette or hookah use.



Subjective experiences at first use differ by tobacco product. Longitudinal studies are needed to examine temporal relationships between SEs at first use and sustained tobacco use.
University of Texas School of Public Health, 1616 Guadalupe St., Suite 6.300, Austin, Texas 78701, USA. Electronic address: dale.s.mantey@uth.tmc.edu.
Dale S
DS
Mantey
University of Texas School of Public Health, 1616 Guadalupe St., Suite 6.300, Austin, Texas 78701, USA.
Melissa B
MB
Harrell
University of Texas School of Public Health, 1616 Guadalupe St., Suite 6.300, Austin, Texas 78701, USA.
Kathleen
K
Case
Center for Health Communication Affiliated Fellow, Moody College of Communication, University of Texas at Austin,300 W. Dean Keeton St., Austin, TX 78712, USA.
Brittani
B
Crook
University of Texas School of Public Health, 1616 Guadalupe St., Suite 6.300, Austin, Texas 78701, USA.
Steven H
SH
Kelder
University of Texas School of Public Health, 1616 Guadalupe St., Suite 6.300, Austin, Texas 78701, USA.
Cheryl L
CL
Perry
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D003371:Cough / Q000453:epidemiology / Q000209:etiology; D003430:Cross-Sectional Studies; D066300:Electronic Nicotine Delivery Systems / Q000009:adverse effects / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009325:Nausea / Q000453:epidemiology / Q000209:etiology; D015995:Prevalence; D012907:Smoking / Q000009:adverse effects / Q000523:psychology*; D013781:Texas; D062789:Tobacco Products / Q000009:adverse effects; D064424:Tobacco Use / Q000009:adverse effects / Q000523:psychology*
Adolescents; Subjective experiences; Tobacco