To the Editor The article by Dutra and Glantz1 focused on electronic cigarettes (e-cigarettes) as an emerging tobacco product among youth and explored the relationship between e-cigarette trials and established smoking. Despite the significance of their findings, the study explored e-cigarette use in a vacuum and did not recognize that youth tobacco-use behaviors are complex and experimentation with multiple tobacco products is common. As noted in the 2012 Surgeon General’s report on youth, concurrent use of multiple tobacco products is prevalent among youth most notably among adolescent boys, white individuals, and older youth.2 Using 2012 National Youth Tobacco Survey data, we modeled established smoking, defined by Dutra and Glantz1 as having smoked 100 cigarettes in a lifetime and having smoked in the past 30 days, among experimenters (n = 6361) controlling for age, race/ethnicity, and sex as well as use of cigars, smokeless tobacco, and hookah. Additionally, we estimated the adjusted odds ratio (AOR) for each tobacco product separately.
Delnevo CD, Bover Manderski MT, Giovino GA. Youth Tobacco Use and Electronic Cigarettes. JAMA Pediatr. 2014;168(8):775-776. doi:10.1001/jamapediatrics.2014.733