Association Between E-Cigarette Use and Acculturation Among Adult Immigrants in the United States

Yang Wang, Linnea Laestadius, Jim P. Stimpson, Fernando A. Wilson

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Despite a dramatic increase in e-cigarette popularity in recent years, the relationship between acculturation and e-cigarette use among immigrants largely remains unknown. We investigated the association between acculturation, measured by both self-reported English proficiency and length of stay in the United States, and immigrants’ use of e-cigarettes using data from the 2016-2017 National Health Interview Survey. Multivariate logistic regressions were used to examine the associations of acculturation factors with ever and current use of e-cigarettes. We found that high English proficiency increased the odds of ever using e-cigarettes among immigrants (adjusted odds ratios: “well,” 2.22; “very well,” 3.24; with the reference group being “not well”). The association was significant among only men. However, we did not find a significant association between length of stay in the United States and e-cigarette use after adjusting for English proficiency. Future research is warranted to investigate how peer use, family-level factors, country of origin, and marketing strategies jointly influence e-cigarette use among immigrants, especially men.

Original languageEnglish (US)
JournalSubstance Abuse: Research and Treatment
StatePublished - Jun 1 2019


  • acculturation
  • electronic cigarettes (e-cigarettes)
  • electronic nicotine delivery systems
  • female
  • immigrants
  • male
  • smoking
  • vaping

ASJC Scopus subject areas

  • Psychiatry and Mental health


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