Unadjusted | Model 1 adjusted | Model 2 adjusted | ||||
---|---|---|---|---|---|---|
Step 1 | Step 2 | Step 1 | Step 2 | |||
Predictor variable | % P30A | Unadjusted OR (95% CI) | aOR (95% CI) | aOR (95% CI) | aOR (95% CI) | aOR (95% CI) |
Sex | ||||||
Male | 55.7 | Ref. | Ref. | Ref. | Ref. | Ref. |
Female | 52.1 | 0.87 (0.80–0.94)** | 0.96 (0.86–1.07) | 0.96 (0.86–1.08) | 0.95 (0.85–1.06) | 0.95 (0.85–1.06) |
Transgender | 52.8 | 0.89 (0.52–1.53) | 0.82 (0.42–1.59) | 0.82 (0.42–1.59) | 0.87 (0.45–1.67) | 0.87 (0.45–1.67) |
Age | ||||||
21–24 | 61.7 | Ref. | Ref. | Ref. | Ref. | Ref. |
25–34 | 52.9 | 0.70 (0.63–0.77)*** | 0.96 (0.82–1.12) | 0.96 (0.82–1.12) | 0.96 (0.82–1.13) | 0.96 (0.82–1.13) |
35–44 | 47.2 | 0.56 (0.49–0.63)*** | 1.00 (0.79–1.25) | 1.00 (0.80–1.25) | 1.00 (0.80–1.25) | 1.00 (0.80–1.25) |
45–54 | 46.2 | 0.53 (0.46–0.62)*** | 1.09 (0.82–1.46) | 1.10 (0.83–1.47) | 1.10 (0.83–1.46) | 1.10 (0.82–1.46) |
55–64 | 53.5 | 0.71 (0.59–0.87)** | 0.9 (0.62–1.3) | 0.91 (0.63–1.32) | 0.91 (0.63–1.31) | 0.91 (0.63–1.31) |
≥ 65 | 31.9 | 0.29 (0.19–0.45)*** | 0.72 (0.39–1.36) | 0.72 (0.38–1.36) | 0.72 (0.38–1.35) | 0.72 (0.38–1.34) |
Race/ethnicity | ||||||
Non-Hispanic, White alone | 53.0 | Ref. | Ref. | Ref. | Ref. | Ref. |
Non-Hispanic, Black alone | 58.5 | 1.25 (0.94–1.66) | 1.38 (0.97–1.95) | 1.38 (0.97–1.96) | 1.35 (0.96–1.92) | 1.36 (0.96–1.92) |
Non-Hispanic, Others§ | 53.1 | 1.00 (0.88–1.14) | 0.95 (0.81–1.11) | 0.95 (0.81–1.11) | 0.96 (0.82–1.12) | 0.96 (0.82–1.12) |
Hispanic† | 59.1 | 1.28 (1.10–1.49)** | 1.08 (0.90–1.29) | 1.07 (0.90–1.29) | 1.07 (0.89–1.28) | 1.06 (0.89–1.28) |
Education | ||||||
Not HS graduate | 52.4 | Ref. | Ref. | Ref. | Ref. | Ref. |
GED | 57.5 | 1.23 (0.88–1.71) | 1.55 (1.03–2.34)* | 1.56 (1.03–2.35)* | 1.58 (1.05–2.37)* | 1.58 (1.05–2.38)* |
HS graduate | 59.4 | 1.33 (1.01–1.75)* | 1.09 (0.78–1.53) | 1.10 (0.79–1.54) | 1.10 (0.79–1.54) | 1.10 (0.79–1.54) |
Some college or associate’s degree | 52.5 | 1.01 (0.77–1.31) | 0.96 (0.70–1.33) | 0.97 (0.70–1.33) | 0.96 (0.70–1.33) | 0.97 (0.70–1.33) |
Bachelor’s degree or higher | 51.9 | 0.98 (0.75–1.28) | 0.90 (0.65–1.25) | 0.90 (0.65–1.26) | 0.92 (0.66–1.27) | 0.92 (0.66–1.27) |
Household income | ||||||
< $25,000 | 54.8 | Ref. | Ref. | Ref. | Ref. | Ref. |
$25,000 to $74,999 | 54.5 | 0.99 (0.88–1.11) | 1.07 (0.93–1.23) | 1.07 (0.93–1.23) | 1.08 (0.94–1.24) | 1.08 (0.94–1.24) |
≥ $75,000 | 53.1 | 0.93 (0.83–1.05) | 1.10 (0.94–1.29) | 1.10 (0.94–1.29) | 1.12 (0.95–1.30) | 1.12 (0.95–1.31) |
US census region | ||||||
Northeast | 51.5 | 0.75 (0.66–0.86)*** | 0.84 (0.71–0.99)* | 0.83 (0.70–0.99)* | 0.84 (0.71–1.00)* | 0.84 (0.71–1.00)* |
South | 54.7 | 0.85 (0.76–0.97)* | 0.97 (0.83–1.13) | 0.96 (0.83–1.13) | 0.97 (0.83–1.13) | 0.97 (0.83–1.13) |
Midwest | 52.5 | 0.78 (0.69–0.90)*** | 0.84 (0.71–0.99)* | 0.84 (0.71–0.99)* | 0.85 (0.72–1.00) | 0.85 (0.72–1.00) |
West | 58.5 | Ref. | Ref. | Ref. | Ref. | Ref. |
Age of first smoking | ||||||
≤ 11 years | 51.8 | Ref. | Ref. | Ref. | Ref. | Ref. |
12 to 14 years | 46.4 | 0.80 (0.63–1.03) | 0.74 (0.54–1.00) | 0.73 (0.54–1.00)* | 0.74 (0.55–1.01) | 0.74 (0.55–1.01) |
15 to 17 years | 52.4 | 1.02 (0.81–1.29) | 0.80 (0.59–1.07) | 0.79 (0.59–1.07) | 0.81 (0.60–1.08) | 0.80 (0.60–1.08) |
18 to 24 years | 60.4 | 1.42 (1.12–1.80)** | 0.91 (0.67–1.23) | 0.90 (0.66–1.22) | 0.91 (0.67–1.24) | 0.91 (0.67–1.24) |
≥ 25 years | 56.3 | 1.19 (0.82–1.74) | 0.89 (0.53–1.48) | 0.89 (0.53–1.50) | 0.86 (0.52–1.44) | 0.86 (0.52–1.44) |
Lifetime years of smoking | ||||||
≤ 1 year | 67.1 | 2.54 (2.13–3.03)*** | 1.99 (1.44–2.77)*** | 2.00 (1.44–2.77)*** | 2.00 (1.44–2.77)*** | 2.00 (1.44–2.77)*** |
1–5 years | 62.0 | 2.03 (1.79–2.31)*** | 1.62 (1.23–2.13)** | 1.63 (1.24–2.14)** | 1.63 (1.24–2.14)*** | 1.63 (1.24–2.14)*** |
6–10 years | 52.7 | 1.38 (1.21–1.58)*** | 1.27 (0.99–1.63) | 1.28 (0.99–1.64) | 1.27 (0.99–1.63) | 1.27 (0.99–1.62) |
11–20 years | 46.4 | 1.08 (0.94–1.23) | 1.16 (0.94–1.44) | 1.16 (0.94–1.44) | 1.16 (0.94–1.43) | 1.16 (0.94–1.43) |
≥ 20 years | 44.6 | Ref. | Ref. | Ref. | Ref. | Ref. |
Number of smoking days in 30 days prior to baseline | ||||||
1–9 days | 67.3 | 2.48 (2.17–2.83)*** | 2.37 (1.97–2.85)*** | 2.38 (1.98–2.87)*** | 2.36 (1.96–2.83)*** | 2.36 (1.96–2.83)*** |
10–19 days | 66.5 | 2.39 (2.09–2.74)*** | 2.15 (1.79–2.57)*** | 2.15 (1.80–2.58)*** | 2.15 (1.80–2.58)*** | 2.15 (1.80–2.58)*** |
20–29 days | 58.4 | 1.69 (1.52–1.88)*** | 1.49 (1.30–1.71)*** | 1.50 (1.30–1.72)*** | 1.49 (1.30–1.71)*** | 1.49 (1.30–1.72)*** |
30 days | 45.3 | Ref. | Ref. | Ref. | Ref. | Ref. |
Cigarettes smoked per day at baseline | ||||||
1–9 cigarettes per day | 61.0 | Ref. | Ref. | Ref. | Ref. | Ref. |
10–19 cigarettes per day | 48.4 | 0.60 (0.55–0.66)*** | 0.87 (0.76–0.99)* | 0.87 (0.77–1.00)* | 0.87 (0.77–1.00)* | 0.87 (0.77–1.00)* |
≥ 20 cigarettes per day | 42.8 | 0.48 (0.43–0.54)*** | 0.78 (0.66–0.92)** | 0.78 (0.66–0.92)** | 0.79 (0.67–0.93)** | 0.79 (0.67–0.93)** |
Number of days of JUUL use in past 30 days (at 6 months) | ||||||
1–9 days | 40.6 | 0.45 (0.38–0.52)*** | 0.38 (0.31–0.45)*** | 0.38 (0.31–0.45)*** | 0.36 (0.30–0.43)*** | 0.36 (0.30–0.43)*** |
10–19 days | 40.4 | 0.44 (0.39–0.51)*** | 0.39 (0.33–0.46)*** | 0.39 (0.33–0.46)*** | 0.38 (0.32–0.44)*** | 0.38 (0.32–0.44)*** |
20–29 days | 47.5 | 0.59 (0.53–0.67)*** | 0.45 (0.39–0.52)*** | 0.45 (0.39–0.52)*** | 0.44 (0.38–0.51)*** | 0.44 (0.38–0.51)*** |
30 days | 60.4 | Ref. | Ref. | Ref. | Ref. | Ref. |
Current use of an e-cigarette other than JUUL | ||||||
Yes | 46.6 | 0.71 (0.63–0.81)*** | 0.80 (0.67–0.95)* | 0.79 (0.67–0.95)* | 0.80 (0.67–0.95)* | 0.80 (0.67–0.95)* |
No | 55.0 | Ref. | Ref. | Ref. | Ref. | Ref. |
Place of first JUUL purchase | ||||||
Retail store | 59.0 | 1.45 (1.34–1.58)*** | 1.22 (1.08–1.37)** | 1.24 (0.89–1.74) | 1.23 (1.10–1.38)*** | 1.35 (0.93–1.95) |
JUUL website | 49.8 | Ref. | Ref. | Ref. | Ref. | Ref. |
Bought JUUL SK “to help me quit smoking” | ||||||
Yes | 54.4 | 1.10 (0.98–1.23) | 1.46 (1.26–1.68)*** | 1.46 (1.26–1.69)*** | 1.47 (1.27–1.70)*** | 1.47 (1.27–1.70)*** |
No | 52.1 | Ref. | Ref. | Ref. | Ref. | Ref. |
Primary JUULpod flavor used in past 30 days (at 6 months) | ||||||
Virginia tobacco | 47.0 | Ref. | Ref. | Ref. | Ref. | Ref. |
Mint | 59.5 | 1.66 (1.41–1.94)*** | 1.45 (1.20–1.76)*** | 1.51 (1.19–1.91)** | NI | NI |
Mango | 58.7 | 1.60 (1.37–1.87)*** | 1.39 (1.15–1.67)*** | 1.44 (1.15–1.82)** | NI | NI |
Crème | 45.2 | 0.93 (0.73–1.18) | 0.96 (0.73–1.27) | 1.05 (0.74–1.49) | NI | NI |
Fruit | 48.7 | 1.07 (0.81–1.41) | 1.30 (0.94–1.81) | 1.34 (0.89–2.04) | NI | NI |
Cucumber | 49.4 | 1.10 (0.86–1.41) | 0.91 (0.68–1.22) | 0.80 (0.55–1.15) | NI | NI |
Classic tobacco | 31.8 | 0.52 (0.37–0.74)*** | 0.82 (0.54–1.24) | 0.79 (0.48–1.31) | NI | NI |
Menthol | 46.7 | 0.99 (0.77–1.26) | 1.01 (0.75–1.36) | 1.01 (0.70–1.46) | NI | NI |
Equal use of 2+ flavors, no primary | 50.6 | 1.16 (0.98–1.36) | 1.06 (0.87–1.29) | 0.99 (0.77–1.28) | NI | NI |
JUULpod flavors used in the past 30 days (at 6 months) | ||||||
Only used JUUL tobacco flavors∆ | 43.1 | Ref. | NI | NI | Ref. | Ref. |
Only used JUUL characterizing flavors^ | 56.3 | 1.70 (1.47–1.98)*** | NI | NI | 1.37 (1.14–1.65)** | 1.41 (1.13–1.75)** |
Used flavors from both tobacco and categories | 47.1 | 1.18 (0.98–1.41) | NI | NI | 0.98 (0.79–1.22) | 1.03 (0.79–1.35) |
Interaction term: primary JUULpod flavor used in past 30 days (at 6 months) × place of first JUUL purchase | ||||||
Virginia tobacco × retail | Ref. | NI | NI | |||
Mint × retail | – | – | – | 0.92 (0.62–1.37) | NI | NI |
Mango × retail | – | – | – | 0.91 (0.62–1.35) | NI | NI |
Crème × retail | – | – | – | 0.78 (0.44–1.40) | NI | NI |
Fruit × retail | – | – | – | 0.93 (0.48–1.81) | NI | NI |
Cucumber × retail | – | – | – | 1.42 (0.77–2.62) | NI | NI |
Classic tobacco × retail | – | – | – | 1.12 (0.45–2.76) | NI | NI |
Menthol × retail | – | – | – | 0.99 (0.54–1.83) | NI | NI |
Equal use of 2+ flavors, no primary × retail | – | – | – | 1.13 (0.75–1.70) | NI | NI |
Interaction term: JUULpod flavors used in the past 30 days (at 6 months) × place of first JUUL purchase | ||||||
Only JUUL tobacco flavors × retail | – | – | NI | NI | – | Ref. |
Only JUUL characterizing flavors × retail | – | – | NI | NI | – | 0.92 (0.62–1.35) |
Both flavor categories and tobacco × retail | – | – | NI | NI | – | 0.86 (0.54–1.36) |