Associations between interpersonal violence and cigarette smoking, e-cigarette use, and dual use among Mexican adolescent students

ObjectiveTo assess associations between experienced violence and the use of combustible cigarettes, e-cigarettes, and of both products (“dual use”) among adolescent students from Mexico.MethodsData comes from an online survey among 3,046 adolescents (12–19 years) conducted between September and Dece...

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Main Authors: Rosibel Rodríguez-Bolaños, Evangelina Díaz-Andrade, Paula Ramírez-Palacios, Anabel Rojas-Carmona, Katia Gallegos-Carrillo, Inti Barrientos-Gutiérrez, Lizeth Cruz-Jiménez, Dèsirée Vidaña-Pérez, Edna Arillo-Santillán, James F. Thrasher
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1516135/full
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author Rosibel Rodríguez-Bolaños
Evangelina Díaz-Andrade
Evangelina Díaz-Andrade
Paula Ramírez-Palacios
Anabel Rojas-Carmona
Anabel Rojas-Carmona
Katia Gallegos-Carrillo
Inti Barrientos-Gutiérrez
Lizeth Cruz-Jiménez
Dèsirée Vidaña-Pérez
Edna Arillo-Santillán
James F. Thrasher
James F. Thrasher
author_facet Rosibel Rodríguez-Bolaños
Evangelina Díaz-Andrade
Evangelina Díaz-Andrade
Paula Ramírez-Palacios
Anabel Rojas-Carmona
Anabel Rojas-Carmona
Katia Gallegos-Carrillo
Inti Barrientos-Gutiérrez
Lizeth Cruz-Jiménez
Dèsirée Vidaña-Pérez
Edna Arillo-Santillán
James F. Thrasher
James F. Thrasher
author_sort Rosibel Rodríguez-Bolaños
collection DOAJ
description ObjectiveTo assess associations between experienced violence and the use of combustible cigarettes, e-cigarettes, and of both products (“dual use”) among adolescent students from Mexico.MethodsData comes from an online survey among 3,046 adolescents (12–19 years) conducted between September and December 2021. Students reported experiences of neglect, physical, psychological, and sexual violence perpetrated by household members, and digital violence (by anyone) in the previous 12 months, as well as current (last 30 day) use of cigarettes and e-cigarette. In multinomial logistic models, exclusive cigarette use, exclusive e-cigarette use, and dual use (reference = no use) were regressed on experienced violence and covariates.ResultsThe prevalence of exclusive use of cigarettes was 1.4%, exclusive e-cigarette use was 6.1, and 2.4% for dual use. Almost half (46.9%) of adolescents reported having been the target of physical violence, followed by psychological violence (42.6%), neglect (34.9%), digital violence (12.3%), and sexual violence (5.2%). In adjusted multinomial models, adolescents who experienced physical violence (Adjusted Relative Risk Ratios: ARRR = 2.28, 95% CI [1.05–4.96]) were more likely to exclusively smoke cigarettes. Adolescents were also more likely to exclusively use e-cigarettes if they had been targeted by psychological or digital violence (ARRR = 1.55, 95% CI [1.05–2.29] and ARRR = 1.69, 95% CI [1.12–2.54], respectively). Experience of physical, digital, neglect, and sexual violence were positively associated with dual use.ConclusionExperiences of violence may increase the likelihood of tobacco use, particularly dual use. Prevention programs may need to include the family environment to reduce violence.
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spelling doaj-art-ab4cca35f9224a3bbbc4eb913be072a82025-02-12T07:26:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.15161351516135Associations between interpersonal violence and cigarette smoking, e-cigarette use, and dual use among Mexican adolescent studentsRosibel Rodríguez-Bolaños0Evangelina Díaz-Andrade1Evangelina Díaz-Andrade2Paula Ramírez-Palacios3Anabel Rojas-Carmona4Anabel Rojas-Carmona5Katia Gallegos-Carrillo6Inti Barrientos-Gutiérrez7Lizeth Cruz-Jiménez8Dèsirée Vidaña-Pérez9Edna Arillo-Santillán10James F. Thrasher11James F. Thrasher12Department of Reproductive Health, Population Health Research Center, National Institute of Public Health, Cuernavaca, Morelos, MexicoDepartment of Research, Health Services of Jalisco, Secretary of Health, Health Region VI, Ciudad Guzmán, Jalisco, MexicoSouthern Region University Center, University of Guadalajara, Ciudad Guzmán, Jalisco, MexicoEvaluation and Survey Research Center, National Institute of Public Health, Cuernavaca, Morelos, MexicoFaculty of Nursing, University of the Sea, Puerto Escondido, Oaxaca, MexicoFaculty of Medicine, Graduate Program in Public Health, University Federal of Ceará, Fortaleza, Ceará, BrazilEpidemiology and Health Services Research Unit, Mexican Social Security Institute, Cuernavaca, Morelos, MexicoEvaluation and Survey Research Center, National Institute of Public Health, Cuernavaca, Morelos, MexicoDepartment of Health Promotion, Education & Behavior, University of South Carolina, Columbia, SC, United StatesDepartment of Health Promotion, Education & Behavior, University of South Carolina, Columbia, SC, United StatesDepartment of Tobacco Control, Population Health Research Center, National Institute of Public Health, Cuernavaca, Morelos, MexicoDepartment of Health Promotion, Education & Behavior, University of South Carolina, Columbia, SC, United StatesDepartment of Tobacco Control, Population Health Research Center, National Institute of Public Health, Cuernavaca, Morelos, MexicoObjectiveTo assess associations between experienced violence and the use of combustible cigarettes, e-cigarettes, and of both products (“dual use”) among adolescent students from Mexico.MethodsData comes from an online survey among 3,046 adolescents (12–19 years) conducted between September and December 2021. Students reported experiences of neglect, physical, psychological, and sexual violence perpetrated by household members, and digital violence (by anyone) in the previous 12 months, as well as current (last 30 day) use of cigarettes and e-cigarette. In multinomial logistic models, exclusive cigarette use, exclusive e-cigarette use, and dual use (reference = no use) were regressed on experienced violence and covariates.ResultsThe prevalence of exclusive use of cigarettes was 1.4%, exclusive e-cigarette use was 6.1, and 2.4% for dual use. Almost half (46.9%) of adolescents reported having been the target of physical violence, followed by psychological violence (42.6%), neglect (34.9%), digital violence (12.3%), and sexual violence (5.2%). In adjusted multinomial models, adolescents who experienced physical violence (Adjusted Relative Risk Ratios: ARRR = 2.28, 95% CI [1.05–4.96]) were more likely to exclusively smoke cigarettes. Adolescents were also more likely to exclusively use e-cigarettes if they had been targeted by psychological or digital violence (ARRR = 1.55, 95% CI [1.05–2.29] and ARRR = 1.69, 95% CI [1.12–2.54], respectively). Experience of physical, digital, neglect, and sexual violence were positively associated with dual use.ConclusionExperiences of violence may increase the likelihood of tobacco use, particularly dual use. Prevention programs may need to include the family environment to reduce violence.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1516135/fullviolenceneglecttobacco useelectronic cigaretteadolescents
spellingShingle Rosibel Rodríguez-Bolaños
Evangelina Díaz-Andrade
Evangelina Díaz-Andrade
Paula Ramírez-Palacios
Anabel Rojas-Carmona
Anabel Rojas-Carmona
Katia Gallegos-Carrillo
Inti Barrientos-Gutiérrez
Lizeth Cruz-Jiménez
Dèsirée Vidaña-Pérez
Edna Arillo-Santillán
James F. Thrasher
James F. Thrasher
Associations between interpersonal violence and cigarette smoking, e-cigarette use, and dual use among Mexican adolescent students
Frontiers in Public Health
violence
neglect
tobacco use
electronic cigarette
adolescents
title Associations between interpersonal violence and cigarette smoking, e-cigarette use, and dual use among Mexican adolescent students
title_full Associations between interpersonal violence and cigarette smoking, e-cigarette use, and dual use among Mexican adolescent students
title_fullStr Associations between interpersonal violence and cigarette smoking, e-cigarette use, and dual use among Mexican adolescent students
title_full_unstemmed Associations between interpersonal violence and cigarette smoking, e-cigarette use, and dual use among Mexican adolescent students
title_short Associations between interpersonal violence and cigarette smoking, e-cigarette use, and dual use among Mexican adolescent students
title_sort associations between interpersonal violence and cigarette smoking e cigarette use and dual use among mexican adolescent students
topic violence
neglect
tobacco use
electronic cigarette
adolescents
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1516135/full
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