A Practitioner's Guide to Electronic Cigarettes in the Adolescent Population

Hildick-Smith, Gordon J.; Shearer, Lee S.; Hughes, Jenna M.; Chang, Jane Pei-Chen; Loughlin, Gerald M.; Ipp, Lisa S.

doi:10.1016/j.jadohealth.2015.07.020

Cited by 21 publications

(15 citation statements)

References 41 publications

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“…If studies were published online ahead of print in 2016, they were also included. If studies were published during 2014, but had already been included in the aforementioned review 12 , they were excluded. Finally, if studies dealt with both children and adults, but did not differentiate between the two in their results, they were excluded.…”

Section: Methodsmentioning

confidence: 99%

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Adolescent Awareness and Use of Electronic Cigarettes: A Review of Emerging Trends and Findings

Greenhill

Dawkins

Notley

et al. 2016

Journal of Adolescent Health

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Adult electronic cigarette use is increasing globally and early studies have suggested that similar trends may be observed among the adolescent population, albeit at lower levels. The current literature review presents data collected since 2014 from 21 cross-sectional studies and one cohort study that were all published in English. In particular, it focuses on awareness, ever-use, past 30 day use and regular use of e-cigarettes. The article suggests that adolescents are nearing complete awareness of e-cigarettes. Furthermore, in relation to ever-use and past 30 day use, higher prevalence rates continue to be reported across time, especially in the US.Nonetheless, reported regular use of e-cigarettes remains much lower than past 30 day use, although conclusions are limited due to inconsistencies with measurement and consequent lack of cross-cultural applicability. The majority of studies do not report whether adolescents use non-nicotine electronic cigarettes. There is a current absence of longitudinal studies that explore any association between electronic cigarettes and tobacco use, and little qualitative data that may illuminate how and why adolescents use electronic cigarettes. Through addressing these methodological limitations, future research will be able to inform healthcare and policy more effectively. Keywords: electronic cigarettes, e-cigarettes, vaping, nicotine, adolescents Implications and ContributionThis article provides a rapid review of upwards trends in adolescent awareness and use of ecigarettes. Current research priorities include surveying the extent of non-nicotine e-cigarette use and establishing the direction of any associations between e-cigarette and tobacco use longitudinally. Health practitioner priorities include promoting education strategies regarding what e-cigarettes are and their possible health implications.

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Section: Methodsmentioning

confidence: 99%

“…For an in-depth discussion of e-cigarette constituents, associated health risks and adolescent healthcare practitioner advice, please see Hildick-Smith, Pesko, Shearer et al's review 12 .…”

Section: Introductionmentioning

confidence: 99%

Adolescent Awareness and Use of Electronic Cigarettes: A Review of Emerging Trends and Findings

Greenhill

Dawkins

Notley

et al. 2016

Journal of Adolescent Health

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“…44 Second, the flavorings frequently used in EVPs are appealing to adolescents. 6,8,45 Third, use of EVPs may be considered more socially acceptable, particularly in indoor areas where conventional cigarette smoking is prohibited. 6 Fourth, EVPs have been relatively easy for youth to access; they are available in retail stores, mall kiosks, and the Internet.…”

Section: Figurementioning

confidence: 99%

Adolescent Risk Behaviors and Use of Electronic Vapor Products and Cigarettes

et al. 2017

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“…Largely unregulated e-cigarette marketing and the extensive array of product flavors may disproportionately appeal to youth [8–11]. Concerns regarding adolescent e-cigarette use include exposure to potentially harmful toxins, renormalization of smoking behavior, nicotine dependence, and subsequent initiation and long-term use of cigarettes and other tobacco products [10–12]. Effective August 2016, the Food and Drug Administration finalized a rule deeming the agency's authority to regulate e-cigarettes and other tobacco products in the United States [13].…”

Section: Introductionmentioning

confidence: 99%

Trends in characteristics and multi-product use among adolescents who use electronic cigarettes, United States 2011-2015

2017

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ObjectivesEvaluate trends from 2011–2015 in electronic cigarette (e-cigarette) use among U.S. adolescents, grades 6–12, including prevalence and associations with past month use of cigarettes and other tobacco products, cigarette smoking intensity, quit attempts, and quit contemplation.MethodsFive consecutive waves from the National Youth Tobacco Survey (N = 101,011) were used to estimate the grade- and race/ethnicity-standardized prevalence of past month use of e-cigarettes and nine non e-cigarette tobacco products. We assessed linear trends by year and compared outcomes (e.g., tobacco use, smoking intensity) by e-cigarette past month use.ResultsPast month e-cigarette use rose sharply from 2011–2015. In all years and both sexes, e-cigarette past month use and ever use were positively associated with use of cigarettes and other tobacco products, with past month e-cigarette use reaching 52% in 2015 among individuals who used ≥1 non e-cigarette tobacco product in the past month. Meanwhile, from 2011–2015, the population of adolescent past month e-cigarette users increasingly encompassed adolescents who were not past month users of other products (females: 19.0% to 41.7%; males: 11.1% to 36.7%) or had never used other products (females: 7.1% to 13.5%; males: 6.7% to 15.0%). Among male (but not female) past month cigarette users, there was a statistically significant positive association between past month e-cigarette use and daily cigarette smoking but not in all individual years. Past month e-cigarette use among past month cigarette smokers was not associated with cigarette quit attempts or quit contemplation, with no temporal trend.ConclusionAdolescent past month e-cigarette use is associated with past month use of other tobacco but not with cigarette quit attempts or quit contemplation among cigarette users. Over five years, the average characteristics of U.S. adolescents who use e-cigarettes have shifted, increasingly including more adolescents who do not use non e-cigarette tobacco products.

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A Practitioner's Guide to Electronic Cigarettes in the Adolescent Population

Cited by 21 publications

References 41 publications

Adolescent Awareness and Use of Electronic Cigarettes: A Review of Emerging Trends and Findings

Adolescent Awareness and Use of Electronic Cigarettes: A Review of Emerging Trends and Findings

Adolescent Risk Behaviors and Use of Electronic Vapor Products and Cigarettes

Trends in characteristics and multi-product use among adolescents who use electronic cigarettes, United States 2011-2015

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