Differences in health care provider advice on abstaining from tobacco use: Findings from the 2020 National Youth Tobacco Survey

Osayande Agbonlahor; Delvon T Mattingly; Joy L Hart; Jayesh Rai; Alison C McLeish; Kandi L Walker

doi:10.1016/j.addbeh.2023.107726

Differences in health care provider advice on abstaining from tobacco use: Findings from the 2020 National Youth Tobacco Survey

Addict Behav. 2023 Sep:144:107726. doi: 10.1016/j.addbeh.2023.107726. Epub 2023 Apr 17.

Authors

Osayande Agbonlahor¹, Delvon T Mattingly², Joy L Hart³, Jayesh Rai⁴, Alison C McLeish⁵, Kandi L Walker⁶

Affiliations

¹ Department of Communication, University of Louisville, Louisville, KY, USA; Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA. Electronic address: osayande.agbonlahor@louisville.edu.
² Department of Communication, University of Louisville, Louisville, KY, USA; Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA. Electronic address: delvon@umich.edu.
³ Department of Communication, University of Louisville, Louisville, KY, USA; Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA; American Heart Association Tobacco Center for Regulatory Science, Dallas, TX USA. Electronic address: joy.hart@louisville.edu.
⁴ American Heart Association Tobacco Center for Regulatory Science, Dallas, TX USA. Electronic address: raijp@ucmail.uc.edu.
⁵ Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA; American Heart Association Tobacco Center for Regulatory Science, Dallas, TX USA; Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, USA. Electronic address: alison.mcleish@louisville.edu.
⁶ Department of Communication, University of Louisville, Louisville, KY, USA; Christina Lee Brown Envirome Institute, School of Medicine, University of Louisville, Louisville, KY, USA; American Heart Association Tobacco Center for Regulatory Science, Dallas, TX USA. Electronic address: kandi.walker@louisville.edu.

PMID: 37087767
PMCID: PMC10348817 (available on 2024-09-01)
DOI: 10.1016/j.addbeh.2023.107726

Abstract

Background: Health care providers' (HCP) advice on tobacco prevention and cessation is critical in addressing the tobacco use epidemic among adolescents. However, examination of whether receiving advice from HCPs differs by adolescent sociodemographic characteristics and tobacco use is limited.

Methods: HCP advice to abstain from using tobacco was examined using the 2020 National Youth Tobacco Survey (N = 12,483). Sociodemographic (age, sex, sexual orientation, race/ethnicity, and region) and tobacco use (non-current, sole, dual/poly) differences by HCP advice were evaluated using adjusted logistic regression models.

Results: Among the sample, 37.26% of adolescents received HCP advice to abstain from using tobacco products, and 31.35% received HCP advice to abstain from using e-cigarettes specifically. Adolescents who were non-Hispanic Black (vs. non-Hispanic White) were more likely not to receive HCP advice to abstain from all tobacco products (OR = 1.31, 95% CI: 1.08-1.59). Adolescents who were non-Hispanic Black (vs. non-Hispanic White) (OR = 1.41, 95% CI: 1.16-1.73) or sexual minority (vs. heterosexual) (OR = 1.16, 95% CI: 1.02-1.33) were more likely not to receive HCP advice to abstain from e-cigarettes. Adolescents who were aged 16-18 (vs. aged 9-12) (OR = 0.68, 95% CI: 0.56-0.83) or currently use dual/poly tobacco products (vs. adolescents who do not currently use tobacco) (OR = 0.56, 95% CI: 0.43-0.74) were more likely to receive HCP advice to abstain from using e-cigarettes).

Conclusions: Many U.S. adolescents do not receive HCP advice to abstain from using tobacco. HCPs should increase tobacco prevention and cessation advice across adolescent groups, particularly racial/ethnic and sexual minorities. HCP training and public health policies that improve delivery of e-cigarette advice to adolescents are essential.

Keywords: Adolescents; E-cigarettes; Health care provider advice; Tobacco product use.

Publication types

Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural

MeSH terms

Adolescent
Electronic Nicotine Delivery Systems*
Ethnicity
Female
Health Personnel
Humans
Male
Tobacco Products*
Tobacco Use / prevention & control

Grants and funding

U54 HL120163/HL/NHLBI NIH HHS/United States