Association Between Initial Use of e-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults

Soneji, Samir; Barrington‐Trimis, Jessica L.; Wills, Thomas A.; Leventhal, Adam M.; Unger, Jennifer B.; Gibson, Laura; Yang, Jae Won; Primack, Brian A.; Andrews, Judy A.; Miech, Richard A.; Spindle, Tory R.; Dick, Danielle M.; Eissenberg, Thomas; Hornik, Robert; Dang, Rui; Sargent, James D.

doi:10.1001/jamapediatrics.2017.1488

Cited by 1,025 publications

(919 citation statements)

References 44 publications

(192 reference statements)

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“…E-cigarette use was shown to be significantly associated with asthma when controlling for several variables in the multivariate analysis. The findings provide a new perspective on e-cigarettes and suggest attention to possible respiratory effects from e-cigarette use and mechanisms of how e-cigarette use could affect health-related variable, as well as behavioral variables (Cho and Paik, 2016; Lerner et al, 2015; Soneji et al, 2017). Public health specialists may be involved in making parents and youth more aware of both potential risks and benefits of e-cigarette use (U.S.…”

Section: Resultsmentioning

confidence: 90%

“…This does not mean that cigarette smoking is irrelevant for asthma, and in fact some analyses showed significant independent effects. The additive contribution of e-cigarette use and cigarette smoking for predicting likelihood of asthma is relevant because e-cigarette use has been related in several studies to onset of cigarette smoking (Barrington-Trimis et al, 2016; Miech et al, 2017b; Soneji et al, 2017) and the two processes could reinforce each other.…”

Section: Discussionmentioning

confidence: 99%

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E-cigarette use and asthma in a multiethnic sample of adolescents

Schweitzer

Wills

Tam

et al. 2017

Preventive Medicine

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134

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There is minimal evidence from epidemiological studies on how e-cigarette use is related to health indices in adolescence. We hypothesized that e-cigarette use would be associated with asthma, controlling for demographics and cigarette smoking. The hypothesis was tested with cross-sectional data from a statewide sample of school students. Surveys were administered in classrooms in 2015 to adolescents in 33 high schools throughout the State of Hawaii. The sample (N = 6,089) was 50% female and mean age was 15.8 years. Data were obtained on demographics; ever use and current (past 30 days) use of e-cigarettes, combustible cigarettes, and marijuana; ever being diagnosed with asthma; and currently having asthma. Multinomial regression examined the association between e-cigarette use and asthma controlling for cigarette smoking, marijuana use, and six demographic covariates. Current e-cigarette use was associated with currently having (vs. never having) asthma (adjusted odds ratio [aOR] = 1.48, CI 1.26 – 1.74) and with previously having (vs. never having) asthma (aOR = 1.22, CI 1.07 – 1.40). This was independent of cigarette smoking, marijuana use, and other covariates. Smoking and marijuana were nonsignificant in the multivariate analysis. Blacks, Native Hawaiians, other Pacific Islanders, and Filipinos had higher rates of asthma compared with Asian Americans and Caucasians. We conclude that e-cigarette use by adolescents is independently associated with asthma. This finding is consistent with recent laboratory research on pulmonary effects from e-cigarette vapor. Implications for public health should be considered.

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Section: Resultsmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

E-cigarette use and asthma in a multiethnic sample of adolescents

Schweitzer

Wills

Tam

et al. 2017

Preventive Medicine

Self Cite

134

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“…Of note, many recent studies suggest that youth who start using e-cigarettes are more likely to progress on to using other combustible tobacco products like cigarettes [4•]. In fact, based on this evidence, the recent US Surgeon General’s Report on e-cigarette use among youth recommends a development of a comprehensive strategy to protect youth from e-cigarettes [5•].…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in U.S. Adolescent E-Cigarette Use

2017

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Purpose of Review This study aims to review the recent (2012–2017) available gender difference data on e-cigarette use among adolescents. Recent Findings E-cigarettes are the most commonly used tobacco product among adolescents, and recent study findings showed that e-cigarette use can lead to cigarette smoking. However, gender differences in e-cigarette use among adolescents are relatively unknown. Summary We used the search terms “adolescents” and “e-cigarettes” on PubMed and identified 652 articles. Of these, 16 articles (2.5%) examined gender differences in adolescent e-cigarette use. Boys appear to have greater use of e-cigarettes, but girls may be at increased risk if e-cigarettes are targeted to them, as it has been for cigarettes. Data on gender differences are limited, and future research should continue to examine gender differences in e-cigarette use. Trends in use rates could evolve with new regulations and innovations in e-cigarette marketing and product features.

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“…During the last decade, alternative smoke and smokeless products have become available and are being increasingly used; most popular are electronic cigarettes (e-cigarettes) and waterpipe, and also smokeless products such as snuff and chewing tobacco [2][3][4][5] . While there is little doubt that these products in themselves are less dangerous than cigarettes 6,7 , they are not harmless and there is concern that their use is associated with an increased risk of smoking initiation 3,[8][9][10] . High school constitutes a time of transition characterized by physical, psychological and social changes during which environment and opinions of peers become increasingly important to young people while parents' influence declines [11][12][13] .…”

mentioning

confidence: 99%

Trends in smoking and smokeless tobacco use among Danish Adolescents, 1997-2014

Tolstrup

Pisinger

Egan

et al. 2018

Tob. Prev. Cessation

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INTRODUCTION High rates of smoking among adolescents remain a public health concern. This study investigates smoking behavior and use of smokeless tobacco among Danish high-school students and assesses how smoking and use of smokeless tobacco cluster in schools and school classes. We estimate the trend in cigarette smoking from 1997 to 2014. METHODS We used data on 70 243 students, from 3 214 school classes in 119 high schools, who participated in the Danish National Youth Study from 2014. We had information on 87% of all Danish high schools and 85% of eligible students. We also used data from 1997 on 26 644 high-school students from a similar data set to assess the chronological trend in smoking. We calculated prevalences and intraclass correlation coefficients (ICCs) to estimate between-school and between-school class clustering in smoking and use of smokeless tobacco. RESULTS In all, 14% of boys and 11% of girls were daily smokers. A large fraction of the variation in smoking and the use of smokeless tobacco was attributable to the school and school-class level (ICC of 0.19, 0.12, 0.16 and 0.27, for daily smoking, waterpipe smoking, use of electronic cigarettes and snuff/chewing tobacco, respectively). Daily smoking decreased from 15% in 1997 to 12% in 2014, while more students were occasional smokers in 2014 than in 1997 (30% vs 18%). CONCLUSIONS The prevalence of smoking was high among Danish high-school students and had changed little since 1997. The school and class environment accounted for a large part of the variation in smoking behavior. INTRODUCTIONDespite the solid evidence of smoking's addictive properties and the comprehensive associated harms, high rates of smoking among adolescents remain a global public health concern. In 2015, 18 countries in western and central Europe had a smoking prevalence among girls, aged between 15 and 19 years, higher than 15%, and only three countries worldwide had significant decreases in adolescent smoking in the period from 2005 to 2015 1 . During the last decade, alternative smoke and smokeless products have become available and are being increasingly used; most popular are electronic cigarettes (e-cigarettes) and waterpipe, and also smokeless products such as snuff and chewing tobacco [2][3][4][5] . While there is little doubt that these products in themselves are less dangerous than cigarettes 6,7 , they are not harmless and there is concern that their use is associated with an increased risk of smoking initiation 3,[8][9][10] . High school constitutes a time of transition characterized by physical, psychological and social changes during which environment and opinions of peers become increasingly important to young people while parents' influence declines [11][12][13] . The school is an important setting that influences young people as they spend a large part of their day interacting with the school environment and other students. Research

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Association Between Initial Use of e-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults

Cited by 1,025 publications

References 44 publications

E-cigarette use and asthma in a multiethnic sample of adolescents

E-cigarette use and asthma in a multiethnic sample of adolescents

Gender Differences in U.S. Adolescent E-Cigarette Use

Trends in smoking and smokeless tobacco use among Danish Adolescents, 1997-2014

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