{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T10:29:59Z","timestamp":1782988199624,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T00:00:00Z","timestamp":1646784000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Tobacco use is known to worsen asthma management. No studies have investigated how trends in youth tobacco use and related harm perceptions vary by asthma status and sex. This study examined these trends among Florida high school students during 2012\u20102018.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Data from the 2012, 2014, 2016, and 2018 Florida Youth Tobacco Survey were analyzed. Public high school students (grades 9\u201012) with known asthma status were included along with their current tobacco product use, tobacco product harm perceptions, and demographics. Weighted multivariable logistic regression was used to assess trends in tobacco product use and harm perceptions and test differences by asthma status and sex.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>From 2012 to 2018, high school students with asthma had the slowest decline in cigarette and cigar use prevalence (asthma status\u2010time interaction p\u00a0=\u00a0.01) compared to those with no asthma. Cigarette and cigar smoking were perceived as less harmful over time, except among females with asthma who smoked cigarettes (p\u2009&lt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Those with asthma showed a slower decline and were more likely to smoke cigarettes. Results indicate that further public health efforts are needed to address tobacco use among high school students with asthma.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13180","type":"journal-article","created":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T04:14:42Z","timestamp":1646885682000},"page":"521-529","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Current Tobacco Use Trends and Harm Perceptions Among High School Students by\u00a0Asthma Status and Sex, 2012\u20102018"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1023-8680","authenticated-orcid":false,"given":"Sarah Selica T.","family":"Miura","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Milken Institute School of Public Health George Washington University  950 New Hampshire Ave, NW, 5th Floor Washington DC 20052 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Bernat","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Milken Institute School of Public Health, George Washington University  950 New Hampshire Ave, NW, 5th Floor Washington DC 20052. USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keshia M.","family":"Reid","sequence":"additional","affiliation":[{"name":"Public Health Research Unit, Division of Community Health Promotion Florida Department of Health  4052 Bald Cypress Way, Bin A24 Tallahassee FL 32399\u20101712 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Division of Children's Medical Services, Florida Department of Health  4052 Bald Cypress, Bin A06 Tallahassee FL 32399\u20101712 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Porter","sequence":"additional","affiliation":[{"name":"Public Health Research, Division of Community Health Promotion Florida Department of Health  4052 Bald Cypress Way, Bin A24 Tallahassee FL 32399\u20101712 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelvin","family":"Choi","sequence":"additional","affiliation":[{"name":"Division of Intramural Research, National Institute on Minority Health and Health Disparities  9000 Rockville Pike, Building 3 Room 5W05 Bethesda MD 20892 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,9]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"1","article-title":"Characteristics of asthma visits to physician offices in the United States: 2012\u20102015 National Ambulatory Medical Care Survey","volume":"128","author":"Akinbami LJ","year":"2019","journal-title":"Natl Health Stat Rep"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12016\u2010019\u201008735\u2010y"},{"key":"e_1_2_6_4_1","unstructured":"Centers for Disease Control and Prevention.Most Recent National Asthma Data | CDC.2021. 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