Introduction
E-cigarette use in young people has emerged as a public health concern in the U.S.
Previous studies have shown that individuals with attention-deficit/hyperactivity
disorder are more likely to use conventional cigarettes. However, little is known
about their use of E-cigarettes. This study examines the association of attention-deficit/hyperactivity
disorder with E-cigarette and other tobacco product use among undergraduate and graduate
students in the U.S.
Methods
This study included data from 195,443 U.S. undergraduate and graduate students aged
18–39 years who participated in the National College Health Assessment surveys from
spring 2017 to fall 2018. History of attention-deficit/hyperactivity disorder diagnosis
and current use of conventional cigarettes, E-cigarettes, and other tobacco products
were ascertained by questionnaires. Logistic regression models estimated the ORs and
99% CIs of use of conventional cigarettes, E-cigarettes, and other tobacco products
according to attention-deficit/hyperactivity disorder history.
Results
Among the 195,443 students, 16,800 (8.35%) were current conventional cigarette users
and 15,863 (7.89%) were current E-cigarette users; 16,283 (8.10%) had a history of
attention-deficit/hyperactivity disorder diagnosis. After adjustment for demographics,
socioeconomics, lifestyle factors, BMI, anxiety, and depression, the OR of E-cigarette
use among participants with attention-deficit/hyperactivity disorder, compared with
those without attention-deficit/hyperactivity disorder, was 1.72 (99% CI=1.60, 1.85),
which was comparable to the magnitude of associations for other tobacco products.
Conclusions
Among U.S. undergraduate and graduate students, there is a significant association
between attention-deficit/hyperactivity disorder diagnosis and current use of E-cigarettes.
Health consequences of E-cigarette use among individuals with an attention-deficit/hyperactivity
disorder diagnosis warrant further investigation.
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