PMID- 34487749 OWN - NLM STAT- MEDLINE DCOM- 20220321 LR - 20221202 IS - 1096-0260 (Electronic) IS - 0091-7435 (Print) IS - 0091-7435 (Linking) VI - 153 DP - 2021 Dec TI - E-cigarette initiation predicts subsequent academic performance among youth: Results from the PATH Study. PG - 106781 LID - S0091-7435(21)00350-9 [pii] LID - 10.1016/j.ypmed.2021.106781 [doi] AB - Research shows cigarette smoking is associated with lower academic performance among youth. This study examines how initiating e-cigarette use is associated with subsequent academic performance. Data from Waves 2-4 youth and parent surveys of the Population Assessment of Tobacco and Health (PATH) Study were analyzed. Youth (12-15 years old) who reported never using any tobacco products at Wave 2 were included in the analysis (n = 4960). Initiation of e-cigarettes and cigarettes was assessed at Wave 3. Weighted multivariable linear regression models were tested to assess the association between e-cigarette and cigarette initiation at Wave 3 and academic performance at Wave 4, controlling for covariates at Wave 2. At Wave 3, 4.3% and 1.9% of youth initiated e-cigarette and cigarette use, respectively. Youth who initiated e-cigarette use at Wave 3 had lower academic performance at Wave 4, compared to those who did not initiate e-cigarette use (adjusted regression coefficient [ARC] -0.22, 95% confidence interval [CI] -0.43, -0.02). Initiating cigarettes was also associated with lower academic performance (ARC -0.51, 95% CI -0.84, -0.18). Results indicate that e-cigarette use initiation is associated with lower subsequent academic performance, independent from the association between cigarette use initiation and lower academic performance among U.S. youth. Future research needs to examine whether preventing youth e-cigarette and cigarette use can lead to improvement in academic performance. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Dearfield, Craig T AU - Dearfield CT AD - The George Washington University, Washington, DC, United States of America. Electronic address: cdearfield@gwu.edu. FAU - Chen-Sankey, Julia C AU - Chen-Sankey JC AD - Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, United States of America. FAU - McNeel, Timothy S AU - McNeel TS AD - Information Management Services, Inc., Rockville, MD, United States of America. FAU - Bernat, Debra H AU - Bernat DH AD - The George Washington University, Washington, DC, United States of America. FAU - Choi, Kelvin AU - Choi K AD - Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, United States of America. LA - eng GR - K99 CA242589/CA/NCI NIH HHS/United States GR - R00 CA242589/CA/NCI NIH HHS/United States GR - ZIA MD000006/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20210903 PL - United States TA - Prev Med JT - Preventive medicine JID - 0322116 SB - IM MH - *Academic Performance MH - Adolescent MH - Child MH - *Cigarette Smoking/epidemiology MH - *Electronic Nicotine Delivery Systems MH - Humans MH - *Tobacco Products MH - *Vaping/epidemiology PMC - PMC8595658 MID - NIHMS1741986 OTO - NOTNLM OT - Academic achievement OT - Adolescents OT - E-cigarettes OT - Longitudinal analysis OT - Tobacco initiation COIS- Financial Disclosures: The remaining authors have no financial relationships relevant to this article to disclose. Conflict of Interest: The other authors have no conflicts of interest to disclose. Declaration of interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/09/07 06:00 MHDA- 2022/03/22 06:00 PMCR- 2022/12/01 CRDT- 2021/09/06 20:10 PHST- 2021/03/03 00:00 [received] PHST- 2021/06/19 00:00 [revised] PHST- 2021/09/01 00:00 [accepted] PHST- 2021/09/07 06:00 [pubmed] PHST- 2022/03/22 06:00 [medline] PHST- 2021/09/06 20:10 [entrez] PHST- 2022/12/01 00:00 [pmc-release] AID - S0091-7435(21)00350-9 [pii] AID - 10.1016/j.ypmed.2021.106781 [doi] PST - ppublish SO - Prev Med. 2021 Dec;153:106781. doi: 10.1016/j.ypmed.2021.106781. Epub 2021 Sep 3.