Bullying Victimization and e-Cigarette Use among Middle and High School Students

Sunday Azagba, Nana Akofua Mensah, Lingpeng Shan, Keely Latham

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


BACKGROUND: Bullying has been associated with several adverse health outcomes, including substance use. However, little is known about the association between bullying and e-cigarette use. This study examined the association between bully victimization and the frequency of e-cigarette use. METHODS: Data from the 2016-2017 Canadian Student Tobacco, Alcohol and Drugs Survey were used (N = 49,543). The target population consists of Canadian students enrolled in grades 7-12. Multivariable logistic regression models were used to examine the association between bullying victimization status and e-cigarette use. RESULTS: Among the students included in the study, 14.1% were bullied less than once a week. Bullying victimization was statistically significantly associated with higher odds of any e-cigarette use in the last 30 days. Likewise, those bullied daily or almost daily were more likely to use e-cigarettes more frequently compared to students not bullied. We found a statistically significant difference in analysis stratified by sex, with female bullying victims having higher odds of all measures of e-cigarette use. CONCLUSIONS: Bullying victims were significantly more likely to use an e-cigarette, and findings appeared to vary by sex. Female bullying victims had a higher likelihood of e-cigarette use.

Original languageEnglish (US)
Pages (from-to)545-553
Number of pages9
JournalJournal of School Health
Issue number7
StatePublished - Jul 1 2020

All Science Journal Classification (ASJC) codes

  • Education
  • Philosophy
  • Public Health, Environmental and Occupational Health


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