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

Greenhill, Richard; Dawkins, Lynne; Notley, Caitlin; Finn, Mark; Turner, John

doi:10.1016/j.jadohealth.2016.08.005

Cited by 52 publications

(56 citation statements)

References 47 publications

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“…younger people]" (Male, Age 7, School 5) "Maybe your veins go stronger [when you are older], so maybe your veins can handle it" (Male, Age 9, School 1)DiscussionAs one of the first global studies to investigate e-cigarettes in the context of childhood, this research contributes unique and important insights into primary schoolchildren's perceptions of vaping, confirming that those aged 11 years and younger are already assimilating knowledge about and forming perceptions of e-cigarettes. Overall, there was general awareness of e-cigarettes which is not surprising, given the increasing popularity of e-cigarettes, and the high levels of awareness amongst adolescents demonstrated in previous studies(2,45). Consistent with research on older populations(46), most children could differentiate between electronic and tobacco cigarettes.…”

supporting

confidence: 80%

Welsh primary schoolchildren’s perceptions of e-cigarettes: a mixed method study

Porcellato¹,

Houle-Ross²,

Quigg³

et al. 2020

Preprint

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Background: There are concerns that the growing popularity of e-cigarettes promotes experimentation among children. Current research has focused almost exclusively on children over 11 years. Given the possible lifelong health harms caused by behaviours established in early childhood, understanding younger children’s perceptions is essential; to inform tobacco control policies, prevention strategies and the wider debate on further regulation of vaping. In one of the first global studies to provide insights into younger children’s perceptions of e-cigarettes, we explored Welsh primary schoolchildren’s (aged 7-11) awareness of e-cigarettes relative to tobacco smoking, their understanding of the risks and benefits associated with e-cigarettes and their intentions and beliefs about vaping. Methods: Data was collected using a mix of methods in June and July 2017 from 8 purposively selected primary schools across Wales. Four hundred and ninety-five children (52% female), aged 7 years (n=165), 9 years (n=185) and 11 years (n=145) completed a class-administered booklet encompassing a draw and write exercise and questionnaire. Ninety-six children participated in 24 peer cohort-based discussion groups comprised of 2 boys and 2 girls. Data from the three tools were analysed independently and findings triangulated. Questionnaire analyses used frequencies, descriptive statistics and chi-squared tests. Content analysis was undertaken on the draw and write data and peer discussion groups were analysed thematically. Results: Primary schoolchildren have general awareness of e-cigarettes but understanding of any health harms or the role of nicotine in e-cigarettes is poor or misperceived, particularly in the youngest children. Vaping was viewed as healthier than smoking by most and there was some recognition that e-cigarettes were used for smoking cessation. Few children intended to smoke (1.8%) or vape (3.9%) in the future but almost half thought it was okay for grownups. Children’s perceptions were influenced by exposure through family and friends. Conclusions: There is a need for e-cigarette education in primary schools. Health promotion efforts should reinforce the message that vaping is ‘less harmful’ rather than ‘healthier’ and highlight associated risks of e-cigarette experimentation including the potential for tobacco initiation. Further research is needed to explore whether children’s perceptions influence their future use of tobacco or e-cigarettes.

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supporting

confidence: 80%

Welsh primary schoolchildren’s perceptions of e-cigarettes: a mixed method study

Porcellato¹,

Houle-Ross²,

Quigg³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…To our knowledge, just three systematic reviews have described the prevalence of ENDS use in young people, 26–28 none of which synthesised findings via meta‐analysis, or considered the non‐English literature, 26–28 thus limiting their ability to provide global estimates of the prevalence of ENDS use in youth. Given the documented increase in ENDS use among young people in recent years, 29–31 a comprehensive review and meta‐analyses of the prevalence of ENDS use is needed.…”

mentioning

confidence: 99%

Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data

Yoong¹,

Stockings²,

Chai³

et al. 2018

Australian and New Zealand Journal of Public Health

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Objective: To describe the prevalence and change in prevalence of electronic nicotine delivery systems (ENDS) use in youth by country and combustible smoking status. Methods:Databases and the grey literature were systematically searched to December 2015. Studies describing the prevalence of ENDS use in the general population aged ≤20 years in a defined geographical region were included. Where multiple estimates were available within countries, prevalence estimates of ENDS use were pooled for each country separately.Results: Data from 27 publications (36 surveys) from 13 countries were included. The prevalence of ENDS ever use in 2013-2015 among youth were highest in Poland (62.1%; 95%CI: 59.9-64.2%), and lowest in Italy (5.9%; 95%CI: 3.3-9.2%). Among non-smoking youth, the prevalence of ENDS ever use in 2013-2015 varied, ranging from 4.2% (95%CI: 3.8-4.6%) in the US to 14.0% in New Zealand (95%CI: 12.7-15.4%). The prevalence of ENDS ever use among current tobacco smoking youth was the highest in Canada (71.9%, 95%CI: 70.9-72.8%) and lowest in Italy (29.9%, 95%CI: 18.5-42.5%). Between 2008 and 2015, ENDS ever use among youth increased in Poland, Korea, New Zealand and the US; decreased in Italy and Canada; and remained stable in the UK. Conclusions:There is considerable heterogeneity in ENDS use among youth globally across countries and also between current smokers and non-smokers.Implications for public health: Population-level survey data on ENDS use is needed to inform public health policy and messaging globally.

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“…Age may play an important role, particularly with regards to early initiation of smoking, which is predictive of adolescent and adulthood smoking [33, 34] and it may be important to examine younger ages in future studies. We were limited to the variables available in the database, which importantly only assessed past 30-day UDB engagement and tobacco use and did not include electronic cigarette or hookah use (waterpipe tobacco smoking) [35, 36]. In addition, inclusion and assessment of past year tobacco use may have strengthened the associations observed.…”

Section: Discussionmentioning

confidence: 99%

Associations between unhealthy dieting behaviors and tobacco use among adolescents

et al. 2016

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BackgroundCigarette smoking is an important risk factor for unhealthy dieting behaviors (UDBs) in youth. The role of alternative tobacco products and UDB engagement has yet to be examined empirically despite concerning trends in use. This study aimed to examine UDB prevalence in a U.S. geographic region-specific adolescent sample and associations with a variety of tobacco use behaviors and perceptions.MethodsWeighted data from the 2013 Virginia Youth Survey were analyzed (n = 6903). UDBs assessed included past 30-day fasting, diet pill use, and vomiting/laxative use. Tobacco-related items were ever and past 30-day cigarette smoking, past 30-day smokeless tobacco and cigar use, and the perception that smokers have more friends. UDB prevalence was recoded by the number of behaviors endorsed (0, 1, and 2+). Bivariate and multinomial regression models were used to examine associations between covariates and number of UDBs endorsed by gender.ResultsOverall, nearly 16% engaged in at least one UDB. Fasting was most prevalent (14.2%) followed by vomiting/laxative (7.0%) and diet pill use (6.1%). Across gender, ever cigarette smoking, past 30-day cigar use, and the perception that smokers have more friends were positively associated with UDB engagement in relative isolation as well as in combination.ConclusionsFindings highlight the importance of tobacco-related factors for weight control behaviors and are the first to identify an association between UDB incidence and an alternative tobacco product, cigars. This work should inform prevention efforts for tobacco use and UDBs and underscores the need to address the use of any tobacco for weight control.

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

Cited by 52 publications

References 47 publications

Welsh primary schoolchildren’s perceptions of e-cigarettes: a mixed method study

Welsh primary schoolchildren’s perceptions of e-cigarettes: a mixed method study

Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data

Associations between unhealthy dieting behaviors and tobacco use among adolescents

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